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Anemarrhena Tablets is based on formulas of the fire purging school, including Anemarrhena and Rehmannia Formula and the extended version of that formula, Anemarrhena, Phellodendron, and Rehmannia Formula, as well as a formula for treating blood heat: Lonicera and Gypsum Combination. The main difference between those formulas and the current prescription is the inclusion of cinnamon twig, red peony, and carthamus, which are ingredients found in several modern prescriptions for treating inflammation; they promote blood circulation. One concept that has developed in recent years is that chronic inflammation leads to local blood circulation damage, which is a reason for slow healing. This formula has several ingredients in common with three other Seven Forests formulas: Tortoise Shell Tablets and Restorative Tablets, which include herbs to tonify the kidney yin and yang, and Rehmannia 16, which includes several moistening herbs. Those formulas have a tonic action as their dominant effect, while Anemarrhena Tablets has a focus on heat clearing effects. Therefore, in choosing Anemarrhena Tablets, one should be treating a syndrome that is characterized by obvious heat signs, usually with a minor degree of yin deficiency that contributes to secondary excess; for simple excess fire, Gentiana 12 may be more suitable. In complex cases, this formula can be combined with one of the yin tonic prescriptions. Iridoid Complex may be used additionally to aid in reducing inflammation and nourishing yin.
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