Herb Formulas Notebook

Ban Xia Xie Xin Tang

Pinellia Decoction to Drain the Epigastrium

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Harmonise

Pattern: Jueyin Syndrome with Heat Above, Cold Below and significant Deficiency; Spleen and Stomach Deficiency Cold with Damp-Heat obstructing the middle Jiao

Key Symptoms: Epigastric focal distention, fullness and tightness with little or no pain, nausea and vomiting, tendency to diarrhoea
Secondary Symptoms: Reduced appetite, dry heaves, belching or hiccup, borborygmus, mouth ulcers, fatigue, neck and shoulder stiffness, restlessness, insomnia

Tongue: Thin, yellow and greasy coating. May have red tip.
Pulse: Wiry, rapid
Abdomen: Hardness and tension in the epigastrium, tension in rectus abdominis muscle, elastic tension and tenderness on pressure around Ren-12, splashing sounds in upper abdomen

Zhi Ban Xia 9-12g
Gan Jiang 9g
Huang Qin 9g
Huang Lian 3g
Ren Shen 9g
Zhi Gan Cao 9g
Da Zao 4pc

Preparation: Decoction.

Actions: Harmonises the Stomach, directs rebellious Qi downward, disperses clumping, eliminates focal distention

Contraindications: Focal distention due to Qi stagnation or harboured food

For more pronounced deficiency presentations with restlessness and insomnia increase Zhi Gan Cao to 12g to make Gan Cao Xie Xin Tang.

For more substantial signs of water clumping or food stagnation and thin mucus lingering internally characterised by dry heaves with a foul odour, the sounds of fluids in the epigastrium, loud borborygmus and diarrhoea, add 12g of Sheng Jiang to make Sheng Jiang Xie Xin Tang.

Bob Flaws (2008) provides an example of this formula distilled in alcohol under the heading Ban Xia Ren Shen Jiu.

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.