Yue Bi Jia Zhu Tang - 越婢加朮湯 - Maidservant From Yue Decoction Plus Atractylodes

English:	Maidservant From Yue Decoction Plus Atractylodes
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Atractylodes	Bai Zhu	4-12g	Dries Dampness, Stabilizes the Exterior, Stops sweat, Tonifies Qi, Tonifies the Spleen.
Hb. Ephedrae	Ma Huang	3-18g	Disperses Cold, Moves Lung Qi, Promotes urination, Reduces edema, Releases the Exterior.
Gypsum Fibrosum	Shi Gao	8-48g	Clears Heat, drains Fire and clears Excess Heat from the Lungs. With Ma Huang, for cough with nasal flaring due to Wind-Heat Obstructing the Lungs.
Rz. Zingiberis Recens	Sheng Jiang	3-9g	Releases the Exterior, disperses Cold, warms the Middle, and adjusts the Ying and Wei (normalizes the flow of Qi at the center). With Da Zao, for External Wind-Cold and protects the Stomach Qi.
Rx. Glycyrrhizae	Gan Cao	2-6g	Alleviates pain and moderates, Harmonizes the properties of the other herbs, Tonifies Qi, Tonifies the Spleen.
Fr. Jujube	Da Zao	3-15g	Calms the Shen and moderates, Harmonizes the harsh properties of other herbs, Nourishes Blood, Strengthens the Spleen, Tonifies Qi. With Sheng Jiang, regulates Disharmony between the Ying and Wei and facilitates digestion and absorption.

Formula Actions

• Promotes perspiration
• Disseminates Lung Qi
• Clears Heat
• Moves water
• Suppresses asthma

Syndromes

• Wind-Damp Edema
• Wind at the exterior with Water accumulation (Secondary source)

Clinical Manifestations

Aversion to Wind and Cold Facial edema moving to generalized edema Slight fever or fever and chills Thirst Slight but continuous perspiration Sore, heavy limbs Decreased urination Headache Edematous orbits A red, swollen sore throat Weak abdomen

Belching Cough Asthma Dyspnea Bulging eyes Severe cough Weak, aching feet Skin problems T: Normal C: White or Thin white P: Floating or Floating and big

Treats

Edema Nephritis Arthritis Chronic bronchitis Painful obstruction Conjunctivitis Dermatic nephritis Rheumatism Keratitis Inguinal tinea Jaundice Eczema Fever Fatigue Spontaneous perspiration Dermatitis Sore throat

Pulmonary emphysema Edema during pregnancy Ocular swelling Ascites Hydrocele Rheumatoid arthritis Cough Beriberi Oliguria Nebula Nasal polyps Dysuria Acute conjunctivitis Acute glomerulonephritis Arthralgia Dyspnea

Contraindications And Herb/Drug Interactions

Notes

Modifications

For decreased urination:		For cough and asthma:
+ Rz. Imperatae	Bai Mao Gen	+ Sm. Armeniacae	Xing Ren
For a sore throat:		+ Rx. Peucedani	Qian Hu
+ Fr. Arctii	Niu Bang Zi	For a severe cough:
+ Flos Lonicerae	Jin Yin Hua	+ 6g Rx. Platycodi	Jie Geng
+ Rx. Scutellariae	Huang Qin	+ 9g Rx. Peucedani	Qian Hu
Or		+ 9g Fr. Arctii	Niu Bang Zi
+ 9g Fr. Lonicerae	Jin Yin Hua	For a cough with much Phlegm:
+ 15g Hb. Taraxaci	Pu Gong Ying	+ 9g Sm. Lepidii/ Descuraniae	Ting Li Zi
+ 3g Per. Cicadae	Chan Tui	+ 9g Flos Inulae	Xuan Fu Hua
For serious edema:		For a severe aversion to Wind and Cold:
+ 12g Sm. Plantaginis	Che Qian Zi	+ 9g Hb. Schizonepetae	Jing Jie
+ 15g Rz. Alismatis	Ze Xie	+ 9g Rx. et Rz. Notopterygii	Qiang Huo
For cold limbs:
+ 9g stir-fried Ram. Cinnamomi	Chao Gui Zhi	For difficult urination or urinary retention with Cold signs or without obvious Heat signs:
For a sore throat:		- Gypsum Fibrosum	Shi Gao
+ Fr. Arctii	Niu Bang Zi
+ Flos Lonicerae	Jin Yin Hua
+ Rx. Scutellariae	Huang Qin