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Common Medicinal Formulas
 
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IndicationsFormula PrinciplesPattern IdentificationFormula ModificationModern Application
formula nameAconite Middle-Regulating Decoction
sourceSanyin Jiyi Bingzheng Fanglun
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bubble_chart Preparation and Dosage

Aconite Lateral Root (Radix Aconiti Lateralis Praeparata) prepared, de-naveled and de-skin
Ginseng (Radix Ginseng)
Dried Ginger (Rhizoma Zingiberis) prepared
Liquorice Root (Radix Glycyrrhizae) roasted
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae)

The above is for powdering by filing or pounding. Take four large qian each time, boil with one and a half cups of water until reduced to seven-tenths, remove the dregs, and take at any time. For lockjaw, pry open the mouth and administer it.

bubble_chart Efficacy

Warming yang dispels cold, tonifying qi strengthens the spleen.

bubble_chart Indications

Deficiency-cold of the spleen and stomach, indigestion, cold pain in the epigastrium and abdomen, vomiting and diarrhea, cold limbs, white tongue coating, deep and slow pulse, and all chronic cold diseases.

bubble_chart Formula Principles

This formula is composed of Middle-Regulating Pill plus Aconite Lateral Root, which enhances the function of warming the middle and dispelling cold compared to Middle-Regulating Pill. In the formula, Dried Ginger is pungent and hot, warming the middle and supporting yang to dispel cold; Ginseng is sweet, warming and tonifying the middle, strengthening the spleen and stomach, and tonifying qi. These two herbs are combined to address both the root and the branch. White Atractylodes Rhizome dries dampness and invigorates the spleen; roasted Liquorice Root is sweet and warm, combining with Dried Ginger to transform pungent and sweet into yang, boosting spleen yang. Aconite Lateral Root is pungent and hot, restoring yang qi and dispersing pudendal coldness.

bubble_chart Pattern Identification

  1. Abdominal pain without thirst.
  2. Vomiting or diarrhea.
  3. Cold limbs.
  4. Pale tongue with white coating.
  5. Deep and slow pulse.

bubble_chart Formula Modification

  1. hematemesis, bloody stool: add Sanqi, common bletilla pseudobulb.
  2. severe deficiency-cold: add Cassia Bark.
  3. palpitations below the heart: add Poria.
  4. excessive vomiting: add Fresh Ginger Rhizome, Evodia Fruit.
  5. phlegm-fluid retention food accumulation: combine with Stomach Poria Decoction.
  6. cholera diarrhea: add Coptis Rhizome, Immature Orange Fruit.

bubble_chart Modern Application

Acute and chronic gastroenteritis, functional uterine bleeding, upper consumptive thirst with gastrointestinal bleeding, purpura, lung heart disease, chronic bronchitis, lung qi swelling, chronic hepatitis, early-stage liver cirrhosis, pediatric pneumonia, allergic colitis, cholera with vomiting and diarrhea, morning sickness, dyspepsia, gastric atony, and gastroptosis.

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