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Properties Source Text: Warp and Woof of Warm-febrile Diseases (Wen re jing Wei) Contraindications Because of the large number of cloying, yin-nourishing herbs, this fromula should not be used without considerable modification in cases with damp-summerheat. It is also inappropriate for conditions in which the pathogenic influence has already been resolved. -Bensky Chinese Symptomology Fever, profuse sweating, irritability, thirst, scanty and dark urine, a desire to curl up, shortness of breath, apathy, and a deficient, rapid pulse. Western Symptomology Upper respiratory tract infection, heat-stroke, and fevers of unknown origin. - Bensky Actions Clears summerheat, augments the qi, nourishes the yin, and generates fluids. - Bensky Pattern Summerheat injuring the qi and fluids. Tongue Usually has a greasy coating. Pulse Usually feeble and rapid. Ingredients Astragalus root, Ophiopogon root, Pueraria root, Dong Quai root, Massa Fermenta, Alismatis rhizome, Chinese White Ginseng root, White Atractylodes rhizome, Schisandra fruit, Cimicifuga rhizome, Phellodendron bark, Green Citrus peel, Chinese Licorice root. "According to the great Qing-dynasty physician, Ye Tian-shi, summeheat develops in the yang brightness stage. The presence of fever is an indication of heat in the yang brightness stage. While White Tiger plus Ginseng Decoction (bai hu jia ren shen tang) focuses on clearing heat, this formula focuses on replenishing the fluids, and may be regarded as a modification of Lophatherus and Gypsum Decoction (zhu ye shi gao tang). Because of the close relationship between summerheat and the Heart, Rhizoma Coptidis (huang lian), which enters the Heart channel is used in place of Gypsum (shi Gao). This formula is also known as Master Wang's Decoction to Clear Summerheat and Augment the Qi (wang shi qing shu yi gi tang)." Bensky: Chinese Herbal Medicine Formulas and Strategies.
'One of the chief herbs in this formula is Radix Panacis Quinquefolii (xi yang shen), which augments the qi, generate fluids, nourishes the yin, and clear heat. In this it is aided by Herba Dendrobii (shi hu) and Tuber Ophipopogonis Japonici (mai men dong), which nourish the yin of the Lungs and Stomach. The other chief herb, Pericarpium Citrulli Vulgaris (xi gua pi), is an important sbustnace for clearing heat and releasing summerheat. It is aidied by Ranulus Nelumbinis Nucuferae (lian geng), which has similar functions. The assistants include Herbal Lopthatheri Gracilis (dan zhu ye) and Radix Amemarrhenae Asphodeloidis (zhi mu), which clear heat and resolve irritability and thirst. Bitter, cold Rhizoma Coptidis (huang lian) is especially effective in quelling fire. Here it is used to assist in clearing heat and expelling summerheat. The other assistants, Radix Glycyrrhizae Uralensis (gan cao) and nonglutinous rice, augment the qi and nourish the Stomach. Not only do these ingredients assist in treating the underlying condition, they also prevent the cloying nature of the yin-nourishing herbs and the cold nature of the heat-clearing herbs from upsetting the Stomach." - Bensky: Formulas and Strategies
"When summerheat penetrates to the interior there is fever, irritability, dark, scanty urine, and a rapid pulse. The heat 'steaming' internally forces open the interstices and pores and causes profuse sweating. This results in thirst with a desire to drink, a desire to curl up, shortness of breath, apathy and a deficient pulse. - Bensky: F & S