1. Yueju Wan from "Danxi Xinfa"

1. Yueju Wan from "Danxi Xinfa"

[Composition] Cangzhu, Xiangfu, Chuanxiong, Shenqu, and Shan Zhi (stir-fried), each in equal parts.

[Administration] Grind all ingredients into powder, form small pills with water, take 6–9 grams per dose, washed down with warm water. In modern times, it can also be made into a decoction, with each ingredient measured at 6 grams.

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When liver qi flows horizontally against its natural direction, it invades the stomach. The former generates heat, while the latter generates dampness; when dampness and heat combine and accumulate in the liver and gallbladder, this condition arises. Symptoms such as alternating chills and fever, bitter taste in the mouth, dry throat, right flank pain, scleral jaundice, greasy yellow tongue coating, and wiry, rapid pulse are all caused by the accumulation of damp-heat in the liver and gallbladder; abdominal distension and nausea are due to liver qi flowing horizontally against the stomach. In this formula, large doses of Jinqiancao clear heat and drain dampness from the liver and gallbladder, serving as the principal herb, while Huangqin clears heat and dries dampness in the Shaoyang region, acting as an auxiliary herb. The combination of damp-heat obstructs the flow of qi, resulting in right flank pain; Muxiang, Zhike, and Chuannianzi promote qi flow and relieve pain, while Shugan Jieyu serves as a complementary treatment. Dahuang purges fire and cleanses the intestines, guiding damp-heat downward, thus functioning as a guiding agent.

[Clinical Modifications] ① For chest tightness and flank pain, add Chaihu and Shaoyao; for a crimson tongue, thirst, and a bounding pulse, add Sheng Shigao, Zhimu, and Huafen; for severe heat, add Yin Hua and Di Ding; for severe pain, add Mangxiao; for poor appetite, add Neijin, Sharen, fried malt, Shenqu, and roasted hawthorn; for vomiting, add Banxia, Zhuru, and Shengjiang; for severe jaundice, add Yinchen. (Zunyi Medical College) ② Remove Zhike, Jinqiancao, and Chuannianzi, add Chaihu, Banxia, and Yujin, naming it Compound Xiao Chaihu Tang (Tianjin Nankai Hospital), with the same indications as the original formula. ③ Remove Jinqiancao and Chuannianzi, add Huanglian, naming it Bile Duct Stone Removal Formula No. 2 (Dalian Medical College). Used to treat gallstones and inflammation that is not severe.

[References] This formula is also known as Bile Duct Stone Removal Formula No. 5, which can promote bile secretion, strengthen gallbladder contraction, relax the Oddi sphincter, and has a significant antibacterial effect. After eight healthy individuals took this formula, cholecystography was performed, and within one hour of taking the medication, most gallbladders shrank, with three cases showing particularly remarkable results—one case even showed a significant reduction in the gallbladder after intravenous imaging half an hour after taking the drug. At the same time, animal experiments also proved that this formula indeed has: ① relaxing the Oddi sphincter, ② promoting bile flow, and ③ inhibiting bacteria. (Zunyi Medical College: "Integrated Chinese and Western Treatment of Acute Abdominal Conditions")

[Note] Based on the principle of "where there is unobstructed flow, there is no pain," this formula aims to soothe the liver, promote qi flow, facilitate bile flow, and dissipate heat, with soothing, promoting, facilitating, and dissipating all serving the purpose of unobstruction.