bubble_chart Efficacy

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

bubble_chart Indications

Deficiency fatigue, rectal urgency, and various deficiencies. Cold pain in the epigastrium and abdomen, preference for warmth and pressure, sallow complexion, emaciation, reduced appetite, shortness of qi, reluctance to speak, pale tongue with thin white coating.

bubble_chart Formula Principles

This formula is derived from Minor Center-Fortifying Decoction with the addition of Astragalus Root, thus its efficacy in tonifying middle qi and alleviating urgency is superior to that of Minor Center-Fortifying Decoction. In the formula, Astragalus Root is sweet and warm, tonifying qi and raising yang, enhancing the power of tonifying qi and strengthening the middle, benefiting various deficiencies and eliminating rectal urgency; Cinnamon Twig and Peony Root warm and nourish spleen yang; Fresh Ginger Rhizome and Chinese Date invigorate spleen yang to support the source of qi and blood generation and transformation. When used together with Peony Root and roasted Liquorice Root, they alleviate urgency and pain, tonify qi and harmonize yin, consolidate the exterior and stop sweating. Together, they achieve the effects of warming the middle, tonifying deficiency, alleviating urgency and pain, harmonizing yin-yang, and regulating nutrient-defense.

1. Cold pain in the epigastrium and abdomen.
2. Preference for warmth and pressure.
3. Pale complexion.
4. Poor appetite.
5. Fatigue.

bubble_chart Formula Modification

1. For blood deficiency: add Chinese Angelica, Salvia, Red Peony Root.
2. For severe cold: add Lesser Galangal Rhizome, Aconite Lateral Root.
3. For abdominal distension and fullness after meals and loose stool: add Tangshen, White Atractylodes Rhizome.
4. For gastric and duodenal ulcers: replace Fresh Ginger Rhizome with Blast-Fried Ginger Charcoal, combine with Lindera and Fritillaria Powder, and add sanchi.
5. For dysmenorrhea and amenorrhea: add Sichuan Lovage Rhizome, Cyperus.
6. For epigastric abdominal distension and fullness: add Magnolia Bark, Villous Amomum Fruit, Aucklandia Root.

bubble_chart Modern Application

This formula strengthens the heart, boosts immunity, and relieves smooth muscle spasms. It is used for chronic gastritis, gastroptosis, gastric and duodenal ulcers, leukemia, aplastic anemia, pulmonary subcutaneous nodules, arrhythmia, chronic hepatitis, chronic nephritis, dysmenorrhea, night sweats, post-illness weakness, and bone abscess.