bubble_chart Efficacy

Drying dampness and invigorating spleen, regulating qi and armonizing stomach.

bubble_chart Indications

Spleen-stomach syndrome/pattern of dampness obstruction in the qi phase. Epigastric distension and fullness, belching, acid regurgitation, poor appetite, bland taste in the mouth, heavy sensation in the limbs, fatigue and a tendency to sleep, diarrhea, white and greasy tongue coating, slow pulse.

bubble_chart Formula Principles

This formula is the main remedy for gastrointestinal diseases and is widely used for various digestive system disorders. In the formula, Atractylodes Rhizome, which is warm and drying, strengthens the spleen and removes water toxin, serves as the monarch; Magnolia Bark, which is bitter, warm, and drying, eliminates dampness, moves qi, and relieves fullness, with qi movement leading to dampness transformation, serves as the minister; Dried Tangerine Peel regulates qi transformation stagnation and assists Magnolia Bark in lowering qi and counterflow, serving as the assistant; Liquorice Root, which is sweet and moderating, harmonizes the middle, regulates the other herbs, and moderates their drying nature, serves as the envoy. Ginger and jujube are added to regulate the spleen and stomach, resolve dampness, and harmonize the middle.

bubble_chart Syndrome Differentiation

1. Abdominal distension and fullness.
2. Belching and nausea.
3. Anorexia and fatigue.
4. White and greasy tongue coating.

bubble_chart Formula Modification

1. External contraction dampness turbidity internal stagnation: Add Patchouli, Pineilia.
2. Indigestion, anorexia: Add hawthorn fruit, Germinated Barley, Medicated Leaven.
3. Scanty and dark urine: Add Poria, Alisma.
4. Dysentery with bloody stools: Add Coptis Rhizome.
5. Dysentery with white stools: Add Evodia Fruit.
6. Constipation: Add Rhubarb Rhizoma, Mirabilite.
7. Nausea and vomiting due to phlegm-fluid retention: Add Pineilia, Poria.
8. Chest and abdominal distension and fullness: Add Aucklandia Root, Submature Bitter Orange.
9. Epigastric and abdominal pain: Add Corydalis Tuber, Cyperus.
10. Severe dampness-heat: Add Skullcap Root, Coptis Rhizome.
11. Cold pain in legs and knees: Add Achyranthes Root, Eucommia Bark

bubble_chart Cautions and Contraindications

The medicinal ingredients in this formula are mostly bitter, warm, and drying, which can easily deplete yin and blood. Therefore, it should be used with caution in cases of yin and blood deficiency and during pregnancy.

bubble_chart Modern Application

This formula strengthens the stomach, dispels wind, relieves spasms, promotes appetite, combats ulcers, and reduces inflammation. It is used for acute and chronic gastritis, chronic enteritis, gastrointestinal neurosis, gastric and duodenal ulcers, abdominal distension, indigestion, and gastric atony.