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Yibian
 Shen Yaozi 
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formula nameMagnolia Bark Middle-Warming Decoction
sourceNeiwaishang Bianhuo Lun
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bubble_chart Preparation and Dosage

Magnolia Bark (Cortex Magnoliae Officinalis) 12gm
Dried Tangerine Peel (Pericarpium Citri Reticulatae) 12gm
Liquorice Root (Radix Glycyrrhizae) 6gm
Alpinia Seed (Semen Alpiniae Katsumadai) 6gm
Poria (Poria) 6gm
Aucklandia Root (Radix Aucklandiae) 6gm
Dried Ginger (Rhizoma Zingiberis) 1gm
Fresh Ginger Rhizome (Rhizoma Zingiberis) 9gm

bubble_chart Efficacy

Warming the middle to regulate qi, drying dampness to relieve fullness.

bubble_chart Indications

Spleen and stomach cold dampness, qi movement obstruction causing abdominal distension and fullness, or external cold invading the stomach, occasional pain, loss of appetite, fatigue in the limbs, vomiting clear fluid, pale tongue, white greasy coating, and deep pulse.

bubble_chart Formula Principles

This formula is suitable for the syndrome of cold-dampness invading the spleen and stomach. In the formula, Magnolia Bark warms the middle and lowers qi, serving as the key herb for dispersing fullness and relieving distension; Dried Ginger is pungent and hot, assisting Magnolia Bark in warming the interior and dispelling cold; Alpinia Seed, tangerine peel, and Aucklandia Root are bitter-warm and dry dampness, regulate qi to smooth the middle, and assist Magnolia Bark in dispersing fullness and relieving distension; Poria invigorates the spleen and drains dampness; while roasted licorice regulates the middle and harmonizes the stomach.

bubble_chart Syndrome Differentiation

  1. Abdominal distension and fullness, pain when full.
  2. Anorexia.
  3. Fatigue.
  4. White greasy tongue coating.
  5. Deep pulse.

bubble_chart Formula Modification

  1. Excessive dampness: add Patchouli, Fortune Eupatorium, Atractylodes Rhizome.
  2. Excessive cold: add Cinnamon Twig, Aconite Lateral Root.
  3. Spleen deficiency: add White Atractylodes Rhizome, Poria, Atractylodes Rhizome, Tangshen.

bubble_chart Modern Application

This formula strengthens the stomach, improves digestive system function, and relieves pain. It is used for acute and chronic gastritis, gastric and duodenal ulcers, acute and chronic hepatitis, chronic enteritis, leucorrhea, and indigestion.

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