Herb Formulas Notebook

Li Zhong Wan

(Regulate the Middle Pill)

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji (Zhong-Jing)

Category: Formulas that Warm Interior Cold

Pattern: Middle Jiao deficient and Cold

Key Symptoms: Abdominal fullness and distention, vomiting, thin or unformed stools, dirrhoea with watery stools, cold hands and feet
Secondary Symptoms: Emaciation, fatigue, loss of appetite, excess frothy saliva, cough with thin watery sputum, absence of thirst despite diarrhoea or thirst with no desire to drink, various types of bleeding

Tongue: Pale red with white coating that may be thick, greasy or wet
Pulse: Submerged and thin, frail, thin and forceless, slow and frail
Abdomen: Hard focal distention in the epigastrium, weak and cold abdomen

Gan Jiang 9g
Ren Shen 9g
Bai Zhu 9g
Zhi Gan Cao 9g

Preparation: Decoction.

Actions: Warms the middle Jiao, strengthens the Spleen and Stomach

Contraindications: Externally contracted disorders with fever, Yin deficiency, excess conditions

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.