Pu Ji Xiao Du Yin

Pu Ji Xiao Du Yin

(Li Dongyuan)

[Composition] Coptis chinensis: 15 grams; Scutellaria baicalensis: 15 grams; Indigofera tinctoria: 3 grams; Scrophularia ningpoensis: 6 grams; Arctium lappa: 3 grams; Atractylodes macrocephala: 3 grams; Forsythia suspensa: 3 grams; Citrus peel: 6 grams; Licorice: 6 grams; Silkworm moth: 2.4 grams; Bupleurum chinense: 6 grams; Mint: 3 grams; Platycodon grandiflorus: 6 grams; Raíz de Senna: 2.4 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–3 grams; Paeonia suffruticosa root: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams; Lonicera japonica: 1–2 grams; Radix rehmanniae: 1–2 grams; Coptis chinensis: 6 grams; Raw licorice: 1–3 grams......① "After sweating and vomiting, if there is restlessness and difficulty sleeping, and if symptoms are severe, the patient will often experience repeated tossing and turning, with a feeling of fullness and discomfort in the chest, accompanied by a sense of frustration and a desire to vomit. The Zhizi Chishi Decoction is indicated for such cases; if the patient experiences only slight fatigue, the Zhizi Gancao Chishi Decoction is recommended; if the patient experiences nausea, the Zhizi Shengjiang Chishi Decoction is suitable." (Shanghan Lun)

② Zheng × suffered from epigastric pain. Despite treatment, the pain did not subside but instead worsened, leading to constipation and abdominal distension, along with fullness and discomfort in the chest, a feeling of frustration and a desire to vomit, difficulty sleeping due to restless tossing and turning, poor appetite, and general weakness. After seven or eight days, his pulse was found to be deep, wiry, and slippery, while his tongue was yellowish and greasy, with a cloudy coating. Examination revealed that the formula contained mostly cinnamon, ginger, and fragrant sandalwood. This case was primarily caused by accumulated food residue; initially, simple digestive aids might have been sufficient to resolve the condition. However, as the illness persisted for several days, it had developed into a condition where food residue combined with excess heat led to deficiency. While tonifying the body was certainly necessary, purgation was also inappropriate. Therefore, in response to the symptoms of frustration and a desire to vomit, the physician prescribed the Zhizi Shengjiang Chishi Decoction: 3 qian of raw gardenia, 3 qian of fresh ginger, and 5 qian of fragrant soybeans. The medicine was administered in two doses, warm, and after completing the entire dose, all symptoms were alleviated. Last night, the patient slept soundly, and this morning he had a bowel movement and was able to eat a small amount. (Analysis of the Shanghan Lun)

[Commentary]

① According to the Shanghan Lun, patients with loose stools should not take this formula, as loose stools often indicate deficiency-cold in the spleen and stomach, and gardenia’s bitter and cold nature can easily damage these organs.

② This formula can be used for neurasthenia, autonomic dysfunction, chronic cholecystitis, coronary heart disease, gastrointestinal disorders, and other conditions.

II. Clearing the Heart and Cooling the Blood

When heat enters the heart and blood, this method is employed when symptoms include fever, thirst, confusion, delirium, faint red rashes, vomiting, nosebleeds, bloody stools, a red and dark tongue with little coating, and a fine, rapid pulse.