TCM Prescriptions for Regulating the Flow

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Banxia Houpo Tang, Decoction of Pinellia and Magnolia Bark
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Source: Jingui Yaolue (Synopsis of Prescriptions of the Golden Cabinet).

Ingredients:
No. 1 Banxia (Rhizoma Pinelliae) 12 g;
No. 2 Houpo (Cortex Magnoliae Officinalis) 9 g;
No. 3 Fuling (Poria) 12 g;
No. 4 Shengjiang (Rhizama Zingiberis Recens) 15 g;
No. 5 Suye (Folium Perillae ) 6 g.

Administration:
Decoct the above ingredients in water for oral application.

Actions:
Promoting the flow of qi to remove stagnation, descending the adverse flow of qi to eliminate phlegm.
  
Clinical Application:
This recipe is indicated for globus hystericus, marked by a subjective sensation as if something stuffed in the throat, which can neither thrown up nor swallowed down, and chest distress, cough or vomiting, greasy whitish fur, taut and smooth pulse. It is applicable to hysteria, gastric neurosis, chronic pharyngitis, chronic bronchitis, and esophagismus, which pertain to qi stagnation and phlegm accumulation with chief manifestations as sensation of something stuffed in the throat, which can neither be spat out nor swallowed down, greasy whitish fur, taut and smooth pulse.

In case of excessive stagnation of qi, add Xiangfu (Rhizoma Cyperi) and Yujin (Radix Curcumae) to promote the effect of regulating flow of qi. In case of hypochondriac pain, add Chuanlianzi (Fructus Meliae Toosendan) and Yanhusuo (Rhizoma Corydalis) to disperse the stagnated liver-qi. In case of sore throat, add Xuanshen (Radix Scrophulariae) and Jiegeng (Radix Platycodi) to eliminate toxin and promote the dispersive function of the lung for relieving sore throat.

Elucidation:
The syndrome is caused by combined stagnancy of phlegm and qi in the throat and disorder of dispersing and descending functions of the lung and stomach. It should be treated by promoting the circulation of qi, sending down the adversely rising qi and eliminating phlegm. The first ingredient is capable of eliminating phlegm, descending the adversely rising qi and regulating the stomach. Ingredient No. 2 bears the effect of promoting the flow of qi and relieving fullness.

Both act as monarch drugs, with the one removing stagnation of qi and the other eliminating phlegm. No. 3 has the function of invigorating the spleen and promoting diuresis, and helps No. 1 remove phlegm. Aromatic in nature and with diaphoretic action, No. 5 can promote the effect of No.2 in regulating the flow of qi. Both function as minister drugs. No. 4 is used as adjuvant drug, which regulates the stomach to relieve vomiting, and helps No. 1 send down the adversely rising qi.

Cautions:
Warm and dry in nature, this recipe should not be used in case of fire transformation or lack of body fluid due to yin impairment.



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