Four-Valiant Decoction for Well-Being (si miao yong an tang)
Chief: Flos Lonicerae Japonicae (jin yin hua)
Deputy: Radix Scrophulariae Ningpoensis (xuan shen)
Assistant: Radix Angelicae Sinensis (dang gui)
Envoy: Radix Glycyrrhizae Uralensis (gan cao)
Pattern: Fire toxin leading to stasis of blood in the sinews and blood vessels.
Indication: Ulcerated sores that wont heal on a limb that is dark red, slightly swollen, warm to the touch the touch, and extremely painful (This is called sloughing ulcer (tuo ji).
Contraindicated in cases with cold, qi deficiency, or blood deficiency.
Commentary: With the appropriate presentation, this formula may be used in treating such biomedically-defined disorders as thromboangiitis obliterans, other disorders with thrombosis in the limbs, and gangrene (in conjunction with surgery).
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