Indication
This formula is from the ‘Formulary of the Tai Ping Welfare Dispensary Bureau’ (tai ping hui min he ji ju fang) (1151 CE), a compilation of popular and effective formulas that were used in the public dispensaries of the Song dynastic period.
It is mainly used for chronic digestive disorders due to interior retention of Damp due to Spleen Qi deficiency. The Damp obstructs the normal Qi movements of the middle Jiao, i.e. Stomach Qi descending and Spleen Qi ascending, resulting in the characteristic signs and symptoms described above.
The synergistic actions of the herbs are as follows:
Atractylodes rhizome (cang zhu): dries Damp and promotes Spleen function.
Citrus fruit pericarp (chen pi), Magnolia stem bark (hou po): dry Damp and regulate the Qi of the middle Jiao.
Glycyrrhiza root (zhi gan cao): harmonizes the Stomach, harmonizes the formula.
Indications:
Acute gastroenteritis
Indigestion
Acute or chronic gastritis
Gastrectasis
Gastric ulcer
Peptic ulcer
Gastric neurosis
Obesity
Chronic pancreatitis
Signs & Symptoms:
Fullness and distention in the epigastrium and/or abdomen
Loss of appetite, belching, acid reflux
Nausea, vomiting
Bland feeling in the mouth and lack of taste
Borborygmus (abdominal gurgling)
Sensation of bodily heaviness
Fatigue, tiredness
Loose stools or diarrhoea
Tongue has a thick white greasy coat
Pulse is moderate or slippery
Combinations –
Diarrhoea, chronic:
FU ZI LI ZHONG WAN (jia Wei)
Epigastric pain and distention (severe):
SHEN LING BAI ZHU SAN
HUO XIANG ZHENG QI WAN
Helicobacter infection (gastritis or gastric ulcer):
WEN DAN TANG
XIANG SHA YANG WEI WAN
Indigestion:
JIAN PI WAN
SHEN LING BAI ZHU SAN
Irritable bowel syndrome:
BU ZHONG YI QI WAN
CHAI HU SHU GAN WAN
SHEN LING BAI ZHU SAN
HUO XIANG ZHENG QI WAN
FU ZI LI ZHONG WAN (Jia Wei)
Reflux oesophagitis:
XIANG SHA LIU JUN ZI WAN
WEN DAN TANG
XIANG SHA YANG WEI WAN
TCM Syndromes: Spleen-Stomach obstruction by Cold-Damp, Disorded Qi movement in the middle Jiao.
TCM Actions: Dries Damp and promotes Spleen function, Moves the Qi and regulates the Stomach.
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