bubble_chart Efficacy

Warming the middle and dispelling cold, tonifying qi, and strengthening the spleen.

bubble_chart Indications

1. spleen-stomach yang deficiency pattern. Spontaneous diarrhea without thirst, abdominal pain vomiting, pale tongue with white or gray-black and slippery coating, deep and thin pulse.
2. Chest impediment, or post-illness vomiting of frothy saliva, yang deficiency loss of blood, infantile chronic convulsions, etc., belonging to middle energizer yang deficiency, with internal invasion of cold pathogen.

bubble_chart Formula Principles

This formula is a representative prescription for treating middle energizer deficiency-cold. In the *Jingui Yaolue*, it is mentioned as a treatment for chest impediment syndrome, named Ginseng Decoction. In the formula, Dried Ginger is pungent and hot, warming the spleen and stomach to dispel cold pathogens; Ginseng powerfully tonifies primordial qi, strengthens the spleen, and aids transportation; White Atractylodes Rhizome invigorates the spleen and dries dampness; Prepared Liquorice Root tonifies qi, harmonizes the middle, and moderates the effects of the other herbs. When these herbs are combined, they warm the middle to dispel interior cold, tonify qi to strengthen the spleen and stomach, restore the normal ascending and descending functions, and thus normalize transportation and transformation, leading to the resolution of symptoms.

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

bubble_chart Formula Modification

1. Excessive vomiting: Add Fresh Ginger Rhizome or Evodia Fruit.
2. Severe diarrhea: Increase the dosage of White Atractylodes Rhizome.
3. Severe cold abdominal pain: Add Aconite Lateral Root, Cassia Bark.
4. Palpitations below the heart: Add Poria.
5. Accompanied by liver channel depression heat, vomiting sour water: Add Coptis Rhizome.
6. Accompanied by exterior pattern: Add Cinnamon Twig, named Cinnamon Twig and Ginseng Root Decoction.
7. Stomach cold hiccup: Add Clove, Persimmon Calyx.
8. Accompanied by qi stagnation: Add green tangerine peel, Dried Tangerine Peel.
9. Accompanied by edema: Combine with Five Ingredients with Poria Powder.
10. Yang deficiency loss of blood: Add Donkey-hide Gelatin, Sanqi, Carbonized Platycladus Orientalis Leaf.

bubble_chart Cautions and Contraindications

1. This formula is warm in nature and is not suitable for those with heat pattern or yin deficiency.
2. Avoid raw and cold fruits and foods.

bubble_chart Modern Application

Chronic bacillary dysentery, chronic enteritis, chronic gastritis, gastric and duodenal ulcers, gastric ptosis, abdominal pain caused by roundworms, chronic hepatitis, functional uterine bleeding, thrombocytopenic purpura, morning sickness, indigestion, intercostal neuralgia, atrophic kidney, excessive salivation.