Herb Formulas Notebook

Dang Qi Jian Zhong Tang

Tangkuei and Astragalus Decoction to Construct the Middle

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Source: Experimental Formulas Composed by Hanaoka Seshu (1760-1835)
Author: Hanaoka Seshu

Category: Formulas that Warm Interior Cold

Pattern: Middle Jiao deficient and Cold with Qi and Blood deficiency

Key Symptoms: Spasmodic abdominal pain (often focused in either the epigastrium or around the umbilicus) that improves with heat or pressure, lustreless complexion, reduced appetite, suppurating sores and skin ulcers
Secondary Symptoms: Low grade fever, spontaneous sweating, night sweats, palpitations, irritability, aversion ot cold, cold and sore extremities with nonspecific discomfort, alternating diarrhoea and constipation, dry mouth and throat, increased urination

Tongue: Normal or pale, thin white coating
Pulse: Thin, wiry and moderate, or large and deficient
Abdomen: Distended but with weak muscle tone, visible peristaltic movements, hypertonicity of rectus abdominis, pencil line of tension above and below the umbilicus

Yi Tang 30g
Huang Qi 9g
Dang Gui 9g
Gui Zhi 9g
Bai Shao 18g
Zhi Gan Cao 6g
Sheng Jiang 9g
Da Zao 4pcs

Preparation: Decoction.

Actions: Tonifies Qi and Blood, warms and strengthens the middle Jiao, moderates spasmodic abdominal pain

Contraindications: Heat from Yin deficiency, abdominal distension from excess patterns

Research Links:
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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.