Forum - Article 21 / Guizhi minus Shaoyao Soup

Translated by Dr. Lim Siow Jin @ 2014 all rights reserved.

21. Exo-yang disease, purging by mistake, resulted in quick and short pulse, chest full and tight, main treatment is Guizhi minus Shaoyao soup.
Original Guizhi minus Shaoyao soup (For three serving)
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(Guizhi qu Shaoyao tang)
thin Guizhi 27g, Zhi Gancao 18g, Shengjiang 27g, split Dazao 12 pcs. Cut and slice the above herbs, put in 1400 ml water boiled to 600 ml. Removed the spent herb, take 200 ml per serving. According to documentation, after care is the same as Guizhi soup.

Notes:
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When exogenous symptoms persist, even endogenous symptoms present, no purging should be used. Purging will always weaken the metabolism of stomach. If exogenous syndrome still prevail, weakening of stomach metabolism will resulted in the exogenous pathogenic factor attack inward, causing inner complication.
Some of the complication including infection of lung, chest cavity, stomach, liver or pancreas. The patient feels that the chest is full and tight. This is not osmosis problem of chest tightness due to water congestion. Normally water congestion will not resulted in quick and short pulse that indicate infection. Water congestion or osmosis problem like self sweating, stomach pain etc we may use Shaoyao, however, infection of chest cavity if use Shaoyao, more fluid will rush to the area and complicate the situation, thus Shaoyao is not applicable in this case.
Also, when the metabolism in upper body is weak, some time lead to weakness of heart and causing cardiac pain or pericardial pain, that is not osmosis problem, Shaoyao should not be use.
In short, for upper body fullness that is mainly due to infection and not osmosis problem, Zhang Zhong Jing will drop Shaoyao from the formula.
Modern formulation for Guizhi minus Shaoyao soup
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Guizhi 9g, Zhi Gancao 6g, Shengjiang 9g, Dazao 4 pcs
Add 600 ml boils 20 to 30 minute to 200ml for one serving.