bubble_chart Efficacy

Warming the middle, tonifying deficiency, harmonizing the interior, and relieving urgency.

bubble_chart Indications

Deficiency fatigue, abdominal pain that alleviates with warmth and pressure, pale tongue with white coating, thin and wiry pulse that is slow; or palpitations, restlessness, dull complexion, or soreness in the limbs, heat in the hands and feet, dry throat and mouth.

bubble_chart Formula Principles

The so-called "Jianzhong" refers to strengthening (Jian) the various functional activities within the body (Zhong), and is used for spleen stomach deficiency (reduced digestive power) and cold in the middle with disharmony of nutrient and defense (poor blood circulation and metabolic decline). Therefore, there are the formulations of Major and Minor Center-Fortifying Decoction, both targeting internal deficiency and cold, but the Major Center-Fortifying Decoction is indicated for conditions more severe than those treated by this formula. This formula is derived from Cinnamon Twig Decoction with double the amount of Peony Root, and the addition of maltose. Although this syndrome involves middle deficiency, the exterior is not yet harmonized, so it is not appropriate to greatly tonify. Hence, Cinnamon Twig Decoction with double Peony Root is used to nourish the right and expel the evil, assisted by maltose, which has nourishing, strengthening, and moderating effects, to warm the middle, tonify deficiency, and achieve the effects of harmonizing the interior and relieving urgency.

1. deficiency fatigue abdominal pain.
2. The abdomen is soft and prefers warmth and pressure.
3. palpitation.
4. complexion is dull.
5. anorexia.

bubble_chart Formula Modification

1. Shortness of breath and chest fullness: add Fresh Ginger Rhizome.
2. Abdominal distension and fullness: remove Jujube, add Poria4.5g.
3. Qi deficiency spontaneous sweating: add Astragalus Root, Ginseng.
4. Blood deficiency: add Chinese Angelica, Sichuan Lovage Rhizome.
5. Lung deficiency dysphoria: add Ophiopogon Tuber, Schisandra Fruit.
6. Heart pain: add Corydalis Tuber.
7. Deficiency heat: add Bupleurum, Chinese Wolfberry Root-bark.
8. Night sweat: add Wheat, Poria with Pine.
9. Sore throat: add Vietnamese Sophora Root, Platycodon Root.
10. Infant panting: add Bitter Apricot Seed, Magnolia Bark.
11. Women's deficiency: combine with Four Ingredients Decoction.
12. Men's deficiency: combine with Four Gentlemen Decoction.
13. Retention of water in the stomach: add Pinellia, Poria.
14. Loss of blood: add Rehmannia, Donkey-hide Gelatin.

bubble_chart Cautions and Contraindications

Use with caution in cases of vomiting and abdominal fullness.

bubble_chart Modern Application

This formula enhances myocardial contractility and relieves smooth muscle spasms. It is used to improve the constitution of weak children, night crying, enuresis, chronic gastritis, gastric and duodenal ulcers, gastroptosis, trigeminal neuralgia, migraines, dysmenorrhea, menopausal disorders, vertigo, jaundice, beriberi, cholelithiasis, palpitations, hypotension, impotence, and seminal emission.