Herb Formulas Notebook

Da Jian Zhong Tang

Major Construct the Middle Decoction

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Source: Essentials from the Golden Cabinet (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Warm Interior Cold

Pattern: Middle Jiao Yang deficiency with internal Cold

Key Symptoms: Excruciating epigastric and abdominal pain, strong sensation of cold in the epigastrium, vomiting to the point of being unable to eat
Secondary Symptoms: Borborygmus

Tongue: White, slippery coating
Pulse: Thin and tight, or slow and wiry, or in severe cases hidden
Abdomen: Cannot tolerate being touched

Hua Jiao 3-9g
Gan Jiang 12g
Ren Shen 6g
Yi Tang 18-30g

Preparation: Decoction.

Actions: Warms and tonifies middle Jiao deficiency, directs rebellious Qi downwards, alleviates pain

Contraindications: Internal clumping, Damp-Heat, Yin and Blood deficiency

Research Links:
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Journal of Chinese Medicine
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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.