Yang-Returning Emergency Decoction

Yang-Returning Emergency Decoction

Aconiti Lateralis Radix Praeparata(Shu Fu Zi) 9g, Zingiberis Rhizoma (Gan Jiang) 6g, Ginseng Radix et Rhizoma (Ren Shen) 6g, Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 6g, Atractylodis Macrocephalae Rhizoma (Bai Zhu) 9g, Cinnamomi Cortex (Rou Gui) 3g, Citri Reticulatae Pericarpium (Chen Pi) 6g, Schisandrae Chinensis Fructus (Wu Wei Zi) 3g, Poria (Fu Ling) 9g, Pinelliae Rhizoma (Ban Xia) 9g

Decoct the medicinals with two cups of water and three pieces of gan jiang. Before it is taken, mix she xiang 3 li (0.1g) into the warm decoction. Stop taking the decoction once hands and feet get warm. (Modern use: prepare as decoction, infuse she xiang.)

Restores yang to rescue from desertion, boosts qi and engenders pulse.

This formula treats pathogenic cold directly attacking the three yin channels, causing yang weakness. This pattern is characterized by reversal cold of the limbs, debilitated spirit, desire to sleep, aversion to cold, lying curled up, vomiting and diarrhea, stomach pain, no thirst, shivering, greenish-purple nails and lips, frothy saliva, a pale white tongue body with a white tongue coating, and a deep, feeble or barely perceivable pulse.

Hui Yang Jiu Ji Tang is indicated for a pattern of pathogenic cold that directly attacks the three yin, and exuberant cold causes desertion of the weakened yang. The patient's yang is chronically deficient, so the pathogenic cold can directly attack the three yin channels. This causes stomach pain, vomiting and diarrhea, reversal counterflow cold of the four limbs, debilitated spirit, desire to sleep, shivering, greenish-purple nails and lips, and a deep, feeble pulse or barely perceivable pulse. All these are the signs of internal yin excess and yang weakness, and possibly yang collapse. The treatment is to restore yang to rescue from desertion, and boost qi to generate the pulse.

1. Essential pattern differentiation Hui Yang Jiu Ji Tang is the basic formula used to treat pathogenic cold directly attacking the three yin, causing yang weakness.This clinical pattern is marked by counterflow cold of the four limbs, desire to sleep, diarrhea and stomach pain, weak or a hardly perceivable pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of yang collapse and desertion: severe vomiting and diarrhea due to acute gastroenteritis, shock, and cardiac failure. 3. Cautions and contraindications A small amount of she xiang is used in this formula. Stop taking the decoction once the hands and feet get warm.

Hui Yang Ji Jiu Tang (Yang-Returning First Aid Decoction 回陽急救湯)

1. Ginseng ( Panax ginseng ) 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. 2. 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) 3. 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) 4. 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)