[Source]

Collected Works of Jing Yue

 [Composition]

Gypsum Fibrosum, (prepared) Rehmannia Glutinosa, Ophiopogon Japonicus, Anemarrhena Asphodeloides, Achyranthes Bidentata
(5 parts)

 [Category]

<Blood-Nourishing>: Prepared Rehmannia Glutinosa

<Yin-Tonifying and Yin-Nourishing>: Ophiopogon Japonicus

<Blood-Invigorating and Stasis-Removing>: Achyranthes Bidentata

<Heat-Clearing and Fire-Reducing>: Anemarrhena Asphodeloides, Gypsum Fibrosum

[Analysis of the Formula]

According to “Discussions on Formulas in Classical Texts”: When a person’s true yin is abundant, water and fire are balanced, and there will be no fire-dominant diseases. If the true yin of the lungs and kidneys is insufficient, they cannot moisten the stomach, leading to dryness of stomach fluid. Once attacked by pathogenic fire, it spreads like a prairie fire, manifesting as symptoms similar to the White Tiger Decoction pattern. In this formula, prepared Rehmannia Glutinosa and Achyranthes Bidentata nourish kidney water, Ophiopogon Japonicus preserves lung metal, and Anemarrhena Asphodeloides benefits lung yin above and nourishes kidney yin below, capable of treating fire dominant in the Yangming channel. Gypsum Fibrosum, with its sweet and cold nature and heavy quality, enters the Yangming channel alone, clearing excess heat in the stomach. Although this is the principle, if stomach fire is raging, the use of prepared Rehmannia Glutinosa should be carefully considered. For deficiency fire patterns, it is better to use raw Rehmannia Glutinosa. The prescriber should use their wisdom to adapt and apply it flexibly.

 [Functions]

Clears stomach heat and nourishes yin.

 [Indications]

Internal heat due to yin deficiency, stomach heat with yin deficiency leading to feverishness, thirst, dry mouth, headache, toothache, or vomiting blood, epistaxis, itchy skin, and five-dawn diarrhea. Tongue is dry and red, coating is white, yellow, and dry. Pulse is floating, surging, slippery, and large, with a deficient quality upon palpation.

 [Applications]

Acute and chronic stomatitis, glossitis with ulceration of the mouth and tongue, mouth ulcers, toothache, trigeminal neuralgia. Diabetes, epistaxis, hemoptysis, generalized pruritus, five-dawn diarrhea.

 [Contraindications]

Not suitable for individuals with loose stools and diarrhea, or those with spleen and stomach yang deficiency.

 [Mnemonic]

Jade Girl, Senior Brother, and Younger Brother Sell Mother’s Cow (Shi, Di, Mai, Mu, Niu)#

 [Modifications]

(1) For excess fire, add Gardenia Jasminoides and Lycium Chinense Root Bark to clear heat and reduce fire. (2) For excessive heat in the blood, remove prepared Rehmannia Glutinosa and add raw Rehmannia Glutinosa and Scrophularia Ningpoensis to enhance heat-clearing and blood-cooling effects. (3) For severe kidney yin deficiency, increase the dosage of prepared Rehmannia Glutinosa and add Ligustrum Lucidum, Scrophularia Ningpoensis, and Phellodendron Chinense to nourish yin and reduce fire. (4) For spleen deficiency, reduce the dosage of Gypsum Fibrosum and add Atractylodes Macrocephala to strengthen the spleen and stomach. (5) For mouth and tongue sores, add Catechu, Phellodendron Chinense, Rhubarb, Dendrobium Nobile, and Red Peony Root to enhance heat-clearing and wound-healing effects. (6) For bleeding gums, add Moutan Cortex, raw Sanguisorba Officinalis, and Lycium Chinense Root Bark to enhance blood-cooling and hemostatic effects. (7) For exuberant heart fire, add Coptis Chinensis and Lophatherum Gracile to clear heart heat. (8) For excessive sweating and thirst, add 14 grains of Schisandra Chinensis. (9) For difficulty in urination or inability of fire to descend, add 1.5 qian of Alisma Orientale, or Poria Cocos can also be used. (10) For deficiency of both metal and water, leading to deficiency of qi from essence depletion, adding 2-3 qian of Ginseng is particularly beneficial.

 [Pharmacology]

It has a hypoglycemic effect. Jade Girl Decoction has a significant effect in lowering blood sugar in rabbits with experimental diabetes.