bubble_chart Efficacy

Tonifying qi warming the middle, downbearing counterflow to stop hiccup.

bubble_chart Indications

The formula for downbearing counterflow to stop hiccup is essential for symptoms such as hiccup, vomiting, abdominal distension and fullness, anorexia, pale tongue with white coating, and deep and weak pulse caused by chronic illness with physical weakness and cold deficiency in the stomach.

bubble_chart Formula Principles

Hiccup is caused by the ascending counterflow of stomach qi, with many underlying reasons. This formula is suitable for the spleen-stomach yang deficiency pattern. It primarily focuses on warming the stomach and downbearing counterflow to stop hiccups, while also assisting with tonifying qi and addressing deficiency. In the formula, Clove primarily warms the middle to stop hiccups; Persimmon Calyx is astringent and neutral, specifically targeting hiccups; Fresh Ginger Rhizome is pungent and warm, warming the stomach and downbearing counterflow; assisted by Ginseng, which is sweet and warm, greatly tonifying middle qi. The combination of these four ingredients promotes the healthy movement of middle yang, thereby relieving stuffiness and allowing stomach qi to descend smoothly, which naturally stops hiccups. This is a commonly used formula for treating hiccups.

bubble_chart Pattern Identification

1. hiccup.
2. abdominal distension and fullness.
3. pale tongue with white coating.
4. deep, slow, and weak pulse.
5. anorexia.

bubble_chart Formula Modification

1. Persistent vomiting: Add Pineilia and Poria.
2. For those with heat signs: Add Coptis Rhizome and Bamboo Shavings.
3. For severe cold with phlegm: Add red tangerine exocarp, Aquilaria, and Pineilia.
4. Stomachache: Combine with Middle-Stabilizing Powder.
5. Anorexia: Add hawthorn fruit and Germinated Barley.

bubble_chart Cautions and Contraindications

Not suitable for those with stomach heat, hiccups, or vomiting.

bubble_chart Modern Application

Hiccups caused by a stomach cold constitution.