Herb Formulas Notebook

Huang Qi Jian Zhong Tang

Astragalus Docoction to Construct the Middle

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

Category: Formulas that Warm Interior Cold

Pattern: Taiyin Spleen and Lungs deficient and Cold due to consumptive illness, disharmony of Yang Wei Mai where Ying and Wei are too fearful to produce fever or chills.

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, spontaneous sweating, shortness of breath, occasional fevers
Secondary Symptoms: 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: Faint and frail
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
Gui Zhi 9g
Bai Shao 18g
Zhi Gan Cao 6g
Sheng Jiang 9g
Da Zao 4pcs

Preparation: Decoction.

Actions: Warms and tonifies the Spleen and Lungs, moderates spasmodic abdominal pain

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

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.