Decoction of Four Reversals to Unblock the Vessels with Added Pig Gallbladder Juice，*Treatise on Cold Damage*.，For cholera where vomiting and diarrhea have ceased, the patient is sweating and experiencing cold extremities, the limbs are stiff and unresponsive, and the pulse is faint and nearly imperceptible.
Decoction of Four Reversals to Unblock the Vessels with Added Pig Gallbladder Juice
Disclaimer: These statements have not been evaluated by the Food and Drug Administration (FDA). This product is not intended to diagnose, treat, cure, or prevent any disease. All references in this article to TCM syndrome differentiation, herbal medicines, teas, and decoctions are intended to promote TCM culture and are provided solely for educational and reference purposes.
Formulas Name : Decoction of Four Reversals to Unblock the Vessels with Added Pig Gallbladder Juice
Chinese Name : 通脉四逆加猪胆汁汤
Drug Formulation
2 liang of licorice (roasted), 3 liang of dried ginger (4 liang for robust individuals), 1 large aconite root (raw, peeled, and split into 8 pieces), and half a he of pig bile (if pig bile is unavailable, substitute with sheep bile).
Source
*Treatise on Cold Damage*.
Benefits
For cholera where vomiting and diarrhea have ceased, the patient is sweating and experiencing cold extremities, the limbs are stiff and unresponsive, and the pulse is faint and nearly imperceptible.
Instructions for Use
Combine the four ingredients above with 3 sheng of water; boil until reduced to 1 sheng and 2 he; strain out the residue; add the pig bile juice; and divide into two doses to be taken warm. The pulse will immediately return.
Copyright: Excerpt from *Treatise on Cold Damage*., Copyright belongs to the Original Author and all original sources, This article was shared by DeDe on August 31, 2026, Please credit the source and include a link to the original article when reposting.
Terminology Proofreading: [Cheng Bo] | August 31, 2026 Reviewed by: [Wang Zhongxiang, Associate Chief TCM Physician (China)] | August 31, 2026
Correct Content Errors: Errors may occur during the writing, editing, translation, and publication of website content. If you find any errors or inaccurate information in this article, please feel free to Contact Us to report them, and we will correct them promptly.
FDA Disclaimer: The descriptions of the efficacy of Chinese herbal medicines, herbal teas, decoctions, and formulas, as well as the content on Traditional Chinese Medicine (TCM) diagnostic theory and traditional TCM therapies contained on this site, are intended solely for the purpose of popularizing TCM culture and serving as an educational reference; they do not constitute medical diagnosis or treatment advice. Please do not attempt to use these products on your own without proper guidance. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. If you are experiencing any physical discomfort, please consult a licensed healthcare professional and seek treatment at a reputable medical institution. This platform assumes no responsibility for any consequences resulting from the use of herbs or formulas by any individual based on the information provided on this site. Please read Medical Disclaimer.
Decoction of Four Reversals to Unblock the Vessels with Added Pig Gallbladder Juice,For cholera where vomiting and diarrhea have ceased, the patient is sweating and experiencing cold extremities, the limbs are stiff and unresponsive, and the pulse is faint and nearly imperceptible.