Herb Formulas Notebook

Sheng Jiang Xie Xin Tang

Fresh Ginger Decoction to Drain the Heart


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Discussion of Cold Damage (Shang Han Lun, 傷寒論)


Category: Formulas that Harmonise

Pattern: Jueyin Syndrome with Heat Above, Cold Below and significant deficiency and accumulation of Water-Rheum; Clumping of water and Heat, or Stomach deficiency with Food Stagnation and suspended Thin Mucus

Key Symptoms: Firm epigastric focal distention, dry heaves with a foul odour, the sounds of fluids in the epigastrium, loud borborygmus and diarrhoea

Tongue: Thin, yellow and greasy coating. May have red tip.
Pulse: Wiry, rapid
Abdomen: Hardness and tension in the epigastrium, tension in rectus abdominis muscle, elastic tension and tenderness on pressure around Ren-12, splashing sounds in upper abdomen


Ingredients

Sheng Jiang 12g
Zhi Ban Xia 9g
Gan Jiang 3g
Huang Qin 9g
Huang Lian 3g
Ren Shen 9g
Zhi Gan Cao 9g
Da Zao 4pc


Preparation: Decoction.


Actions: Harmonises the Stomach, reduces focal distention, disperses clumping, expels water



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.