Newly Revised Turtle Shell Liver-Relieving Decoction，*Guide to the Diagnosis and Treatment of Black-Heat Diseases*.，Black Heat Disease. The skin is dark and sallow; the eye sockets are sunken and bluish; the area around the lips is dark and dull; the neck is long and thin with a pulsating neck vein; the limbs are thin and weak; only the abdomen is abnormally distended, resembling a swollen sack; the abdominal skin is bluish-black,tight and glossy, with tendons protruding like a net, extending to the abdomen and ribs, which are distended; upon palpation, both the ribs and the pleura are painful, and breathing is also painful. Every midnight, the pain becomes particularly severe; at this time, pain and distension occur simultaneously, causing indescribable distress. The tongue is bluish-gray, dull, pale, and slippery; the pulse is string-like, fine, and constricted.
Newly Revised Turtle Shell Liver-Relieving Decoction
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Formulas Name : Newly Revised Turtle Shell Liver-Relieving Decoction
Chinese Name : 新订鳖甲解肝煎
Drug Formulation
Butter-roasted soft-shelled turtle shell, wine-fried (common) insects, sweet cinnamon bark, small green tangerine peel, stewed Sichuan lacquer, roasted pangolin scales, wine-fried rhubarb, thoroughly rinsed seaweed, Chinese angelica root, white peony root, raw oyster shell, and blue bupleurum.
Source
*Guide to the Diagnosis and Treatment of Black-Heat Diseases*.
Benefits
Black Heat Disease. The skin is dark and sallow; the eye sockets are sunken and bluish; the area around the lips is dark and dull; the neck is long and thin with a pulsating neck vein; the limbs are thin and weak; only the abdomen is abnormally distended, resembling a swollen sack; the abdominal skin is bluish-black,tight and glossy, with tendons protruding like a net, extending to the abdomen and ribs, which are distended; upon palpation, both the ribs and the pleura are painful, and breathing is also painful. Every midnight, the pain becomes particularly severe; at this time, pain and distension occur simultaneously, causing indescribable distress. The tongue is bluish-gray, dull, pale, and slippery; the pulse is string-like, fine, and constricted.
Copyright: Excerpt from *Guide to the Diagnosis and Treatment of Black-Heat Diseases*., 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
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Newly Revised Turtle Shell Liver-Relieving Decoction,Black Heat Disease. The skin is dark and sallow; the eye sockets are sunken and bluish; the area around the lips is dark and dull; the neck is long and thin with a pulsating neck vein; the limbs are thin and weak; only the abdomen is abnormally distended, resembling a swollen sack; the abdominal skin is bluish-black,tight and glossy, with tendons protruding like a net, extending to the abdomen and ribs, which are distended; upon palpation, both the ribs and the pleura are painful, and breathing is also painful. Every midnight, the pain becomes particularly severe; at this time, pain and distension occur simultaneously, causing indescribable distress. The tongue is bluish-gray, dull, pale, and slippery; the pulse is string-like, fine, and constricted.