Herb Formulas Notebook

Tiao Zhong Yi Qi Tang

Regulate the Middle to Augment the Qi Decoction


Author: Li Gao / Li Dong Yuan, 李杲 / 李東垣

Year: 1249

Source: Discussion of the Spleen and Stomach (Pi Wei Lun , 脾胃論)


Category: Formulas that Tonify Qi

Pattern: Accumulation of Dampness with deficiency of the Spleen and Stomach, Chong Mai counterflow (with modification).

Key Symptoms: A sensation of heaviness in the body, irritability, pain in the joints, difficulty in flexing and extending the joints, loss of appetite, either inability to rest calmly or hypersomnia, a sensation of fullness in the chest, shortness of breath, a productive cough with sticky sputum, frequent clear urination, either frequent diarrhoea or constipation

Pulse: Flooding, moderate and wiry that is choppy when pressed hard.


Ingredients

Huang Qi 12-20g
Ren Shen 9-12g
Cang Zhu 9-12g
Zhi Gan Cao 3-6g
Mu Xiang 6-9g
Chen Pi 6-9g
Sheng Ma 3-6g
Chai Hu 3-9g


Preparation: Decoction.


Actions: Leaches out Dampness, strengthens the Spleen and Stomach



Notes:
Extraordinary Vessel attributions come from Li Gao's Discussion of the Spleen and Stomach (Pi Wei Lun), cited by Li Shi-Zhen's (1577-8)in his Exposition on the Eight Extraordinary Vessels (Qi Jing Ba Mai Kao), trans. Chace & Shima (2009). It is recommended to add 1.5g of Wu Zhu Yu for this presentation for Cold patterns in winter and take with pills of wine fried Huang Lian, Huang Bai and Zhi Mu for Heat patterns in summer.



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