AdmMistration: Grind the above drugs into fine powder and make them into pills with water; take 5 - 9 g at one time after meals with tea or warm boiled water and once or twice daily.

Actions : Purging away fire and eliminating phlegm.
Clinical Application: This recipe is indicated for excess heat with pertinacious phlegm syndrome, marked by manic-depressive psychosis with payor, or severe palpitation and coma, or cough and dyspnea with thick sputum, or fullness, or vertigo and tinnitus, or lymphoid tuberculosis, or involuntary movements of the mouth and eyes, insomnia or dream of things grotesque in shapes and appearance, or indescribable sudden pain of the joints, or chocking sensation and vexation, constiptation, greasy yellow fur, smooth rapid and forceful pulse. It is applicable to schizophrenia, epilepsy, neurosis and others, which pertain to internal blockage by phlegm-fire.

Elucidation: The syndrome is caused by long-term excess heat syndrome with pertinacious phlegm, which either obstructs the seven orificies or disturb mentality or retain in the lung or retain in the meridians and collaterals as well as joints. It should be treated by purging away intense heat and eliminating phlegm. No. 3 has a dry nature with drastic effect and is good at eliminating the pertinacious phlegm. It acts as monarch drug, whose purgative action is further enhanced when calcined with Xiaoshi (Nitrum). Used as minister drug, No. 1 is capable of eliminating excess heat and descending phlegm-fire. With a cold nature and purgative action, No. 2 helps the monarch and minister drugs in clearing away heat. No. 4 possesses the function of sending down the adverse flow of qi, promoting the functions of the monarch and minister drugs in purging away intense heat on the one hand, and ensuring a easy flow of qi to remove phlegm on the other. Both play the role of adjuvant drugs. The combination of all constitutes an effective result in purging away intense heat and eliminating phlegm so that the pertinacious phlegm will descend through the intestines. This is a drastic recipe for treating excess heat with pertinacious phlegm.

Cautions: Since this recipe is drastic in its potency, it should be used with caution for debilitated patients with deficiency of the spleen and stomach or with yang deficiency of the spleen and kidney or for pregnant women.Diarrhea may occur for a short period after this recipe is taken. A handful of patients may have viscid sensation in the throat or slight abdominal pain and tenesmus, which are the normal responses when healthy qi removes pathogenic factors and will get relieved spontaneously.

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