Herb Formulas Notebook

Gui Qi Jian Zhong Tang

Tangkuei and Astragalus Decoction to Construct the Middle

<< Close Window

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

Category: Formulas that Warm Interior Cold

Pattern: Middle Jiao deficient and Cold due to chronic 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 or middle ear infections from chronic Qi deficiency
Secondary Symptoms: Low grade fever, spontaneous sweating, night sweats, palpitations, irritability, aversion to cold, cold extremities with soreness and nonspecific discomfort, alternating diarrhoea and constipation, dry mouth and throat, increased urination, bedwetting in children

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

Dang Gui 9g
Huang Qi 9g
Yi Tang 30g
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:
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.