Herb Formulas Notebook

Da Ban Xia Tang

Major Pinellia Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Essentials from the Golden Cabinet (Jin Gui Yao Lue, 金匱要略)


Category: Formulas that Regulate Qi

Pattern: Damp Obstruction from Middle Jiao Deficient and Cold

Key Symptoms: Vomiting long after eating, a sense of firm fullness in the epigastrium, fatigue, weakness
Secondary Symptoms: Lustreless complexion, emaciation, either dried stool like sheep droppings or scanty loose stools

Tongue: Pale with little or thin white coating
Pulse: Thin and weak, or deficient and lax


Ingredients

Zhi Ban Xia 15-30g
Ren Shen 9g
Feng Mi 9-15g


Preparation: Decoction.


Actions: Harmonises the Stomach, augments the Qi, nourishes what has become dry.



Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).



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These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.