ClassificationResuscitative formulas
CombinationGypsum Fibrosum (Shi Gao) 3 jin (1.5kg), Glauberitum (Han Shui Shi) 3 jin (1.5kg), Talcum (Hua Shi) 3 jin (1.5kg), Magnetitum (Ci Shi) 3 jin (1.5kg), Bubali Cornu (Shui Niu Jiao) 3.3 liang (100g), Saigae Tataricae Cornu (Ling Yang Jiao) 5 liang (150g), Aquilariae Lignum Resinatum (Chen Xiang) 5 liang (150g), Aucklandiae Radix (Mu Xiang) 5 liang (150g), Scrophulariae Radix (Xuan Shen) 1 jin (500g), Cimicifugae Rhizoma (Sheng Ma) 1 jin (500g), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 8 liang (240g), Caryophylli Flos (Ding Xiang) Caryophylli Flos (Note: Shui niu jiao is used in place of xi jiao. Gold is no longer used.)
MethodFirst crush shi gao, han shui shi, hua shi and ci shi and decoct them in water three times. Discard the dregs. Then, add xuan shen, mu xiang, chen xiang, sheng ma, zhi gan cao and ding xiang and decoct for another three times. Finally, filter the decoction and concentrate it into an extract. Second, grind mang xiao (5 kg) and xiao shi (950g) and blend them with the above extract. Then, mix, dry, and further grind the mix into powder. Third, grind ling yang jiao, zhu sha, she xiang, and shui niu jiao into powder. Zhu sha is ground using water and the amount of she xiang is 1.5g. Finally, mix all the powders, sift the mixture and bottle in 1.5g increments. Ingest 1.5-3g twice daily. Children under one year old take one dose of 0.3g. Children aged 2-5 years old take one daily dose that is equal to 0.3g multiplied by their age. Children 5 years old and above should take an appropriate dose.
ActionClears heat and opens the orifices, extinguishes wind and arrests convulsion.
IndicationZi Xue Dan is indicated for heat invading the pericardium and excessive heat generating wind. The symptoms are high fever, vexation and agitation, unconsciousness and delirium, convulsion, syncope, thirst, drinking a lot, scorched lips, dry tooth, dark urine, and constipation. The tongue is crimson with a dry, yellow coating, and a wiry, forceful pulse. Zi Xue Dan is also indicated for infantile convulsion due to excessive heat.
PathogenesisThis pattern is caused by heat invading the pericardium and excessive heat generating wind. Unconsciousness, vexation and agitation, and delirium result from heat disturbing the spirit. Syncope and convulsion result from excessive heat generating wind. Thirst, drinking a lot, scorched lips, and dry tooth result from heat consuming fluid. Infantile convulsion due to heat is a sign of pathogenic heat block and internal stirring of liver wind. The therapeutic method is to clear heat with cold, open the orifices with aroma, extinguish wind, and calm the mind.
Application1. Essential pattern differentiation Zi Xue Dan is commonly indicated for heat invading the pericardium and excessive heat generating wind. This clinical pattern is marked by high fever, vexation and agitation, unconsciousness and delirium, convulsion, crimson tongue, dry, yellow coating, forceful, rapid pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of excessive heat invading the pericardium and exuberant heat stirring wind: various febrile and infective diseases such as epidemic cerebrospinal meningitis, end-stage of encephalitis B, septicemia period of severe pneumonia, scarlatina, purulent infective diseases, hepatic coma, infantile convulsion and infantile measles. 3. Cautions and contraindications This formula should not be taken excessively because it may consume zheng qi and should be discontinued once the symptoms are relieved. It is not appropriate to use for weak patients with qi deficiency and is prohibited during pregnancy.
Additonal formulaeXiao er Hui Chun Dan (Children's Return-of-Spring Elixir, 小兒回春丹)
Remark1. Saiga ( Saiga tatarica ) is listed as "Critically endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Also, it is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. However, the wild specimen for commercial trade purposes is not allowed. 2. Aucklandia lappa is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix I. This speice is highly protected and the wild specice for commercial trade purposes is banned. 3. Forest Musk Deer ( Moschus berezovskii ) is listed as "Endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Also, it is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. (Except the populations of Afghanistan, Bhutan, India, Myanmar, Nepal and Pakistan, which are included in Appendix I) 4. Alpine Musk Deer ( Moschus sifanicus ) is listed as "Endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Also, it is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. (Except the populations of Afghanistan, Bhutan, India, Myanmar, Nepal and Pakistan, which are included in Appendix I) 5. Siberian Musk Deer ( Moschus moschiferus ) is listed as "Vulnerable" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Also, it is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. (Except the populations of Afghanistan, Bhutan, India, Myanmar, Nepal and Pakistan, which are included in Appendix I) 6. All species of Rhino are threatened. They are listed as "Near threatened", "Vulnerable", "Endangered" or "Critically endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Depend on their species and geographical range, they are listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix I or II. The speices listed in Appendix I are highly protected, and the wild specices for commercial trade purposes are banned; the trade of speices that listed in Appendix II are allowed but subject to licensing controls.
Source《Arcane Essentials from the Imperial Library》Wai Tai Mi Yao《外臺秘要》