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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: chronic gastritis, gastric ulcer, chronic cholecystitis, and duodenal ulcer |
| Atributes: |
| Products |
|
Tablets |
Pills |
Capsules |
Granules |
| Other Names: |
| Category: Warm Interior Cold ⌕ |
| Subcategory: Warm the Middle and Dispel Cold Source: Shang Han Lun |
| Actions: Warm and tonify middle Jiao, direct rebellious Qi downard, stop pain
[31] |
| Diagnosis |
| Tongue: Pulse: Other: |
| Patterns: Middle Jiao Deficiency Cold |
| Indications: Middle Burner Yang deficiency (root) + Vigorous Yin-cold (manifestation) [35] • Chronic gastritis, gastric ulcer, chronic cholecystitis, and duodenal ulcer.[3]
|
| Contraindications: Internal Stagnation, Damp-Heat, Yin Deficiency, Blood Deficiency[3] |
| Description |
| Name Variations: Da Jian Zhong Tang, 大建中汤, Major Construct the Middle Decoction, |
| Herb List: Yi Tang(15g) • Hua Jiao(6g) • Gan Jiang(12g) • Ren Shen(6g) |
| Commentary: Shu Jiao = Hua Jiao. |
| Related Formulas: |
| NCCAOM: The 4 NCCAOM formulas for warming the Middle Jiao are Lǐ Zhōng Wán, Wú Zhū Yú Tāng, Xiǎo Jiàn Zhōng Tāng, and Dà Jiàn Zhōng Tāng. • Li Zhong Wan is for Spleen/Stomach deficiency cold with cold extremities, dull abdominal pain, poor appetite, loose stool. • Wu Zhu Yu Tang is for Deficiency Cold of the Stomach, Liver, and Kidney with vertex headaches, cold limbs, vomiting after eating food, intermediate gnawing hunger, or diarrhea. • Xiao Jian Zhong Tang is for deficiency cold due to Liver and Spleen disharmony leading to spasmodic abdominal pain and warmth makes it better. • Da Jian Zhong Tang is for Middle Burner Yang deficiency (root) + Vigorous Yin-cold (manifestation). For chronic gastritis, gastric ulcer, chronic cholecystitis, and duodenal ulcer. |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
Qiang Huo •
Notopterygium Root • 羌活 |
Release Exterior Wind Cold |
relieve occipital headaches • ease bi zheng in upper body • dispel cold • release exterior • dry superficial dampness • guide herbs to Tai Yang jingBest for occipital headaches |
antipyretic, analgesic, vasodilator |
Du Huo •
Pubescent Angelica Root • 独活 |
Wind Damp Cold |
Dispel wind damp cold • Alleviate pain • Release exteriorHerb pair: Du Huo/Qiang Huo for headaches. Du Huo for lower body Shao Yin headache and Qiang Huo for upper body Tai Yang headache |
hypotensive • antibiotic • anti-platelet • anti-inflammatory • analgesic |
Chuan Xiong •
Szechuan Lovage • 川芎 |
Invigorate Blood |
Relieve pain • Expel Wind • Invigorate blood • Moves qi • Guide herbs to Jue Yin JingDao Di: Si Chuan • Available as injections |
Anticoagulant • Antiplatelet • Analgesic • Antitussive • Anti-inflammatory • Hypotensive • Sedative |
Chai Hu •
Thorowax • 柴胡 |
Release Exterior Wind Heat |
Harmonize interior and exterior • Reduce fevers • Reduce chills • Soothe liver Qi • Clear muscle layer heat • Tonify stomach Qi • Guide herbs to Shao Yang Jing |
Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate |
Jie Geng •
Platycodon Root • 桔梗 |
Phlegm Cold |
Disperse Lung qi • Expel mucus • Soothe sore throat • Guide other herbs to upper body • Treat abscesses • Move Qi upward • Guide herbs upward |
Expectorant • Hypoglycemic • Anticholesterol • Antifungal |
| Zhǐ Ké • Ripe Bitter Orange • 枳壳 |
Regulate Qi |
Dissolves Qi stagnation • Clear congestion • Relieve abdominal distention For moving Qi: Epigastric area - Chen Pi • Intestinal area - Mu Xiang • From epigastric all the way to the abdominal area - Zhi Shi and Zhi Ke • Lateral side area -Chai Hu, Xiang Fu, Qing Pi, and Fo Shou • Lower abdomen: Wu Yao warms kidney • Upper chest area: Tan Xiang, Xie Bai • REN4 & REN6 area: Chen Xiang |
antiplatelet • antithrombatic • hypertensive • diuretic • bronchodilator • antineoplastic |
Qian Hu •
Peucedanum • 前胡 |
Phlegm Heat |
Expel phlegm • Descend Lung Qi • Release exterior wind heat |
|
Fu Ling •
Poria Mushroom • 茯苓 |
Drain Dampness |
Dry dampness • Tonify spleen • Calm spirit • Relief edema • Detox food poisoning • Promote urination Dao Di: Yun Nan |
Diuretic • Antibacterial • Anti-inflammatory • Anti-allergic • Hypoglycemic • Antacid • Sedative • Immunity booster |
Ren Shen •
Ginseng • 人参 |
Tonify Qi |
Tonify yuan qi • Tonify lung qi • Tonify heart qi • Calms Shen • Stop thirst • Helps impotence • Treats qi collapse • Tonify Spleen • Generate fluid • Stop thirst • Strengthen anti-pathogenic qi • Can go to all 5 zang organsUnlike Huang Qi, Ren Shen is adaptogenic and may be used by people with autoimmune disorders. |
adaptogen • anti-aging • anticoagulant • antiplatelet • antioxidant • adrenalcortical • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant |
Gan Cao •
Licorice Root • 甘草 |
Tonify Qi |
Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effects • enters 12 channelsEnters all 12 channels, often serve as envoy in a formula. |
Hypoglycemic • Antiarrhythmic • Hypertensive • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal |
| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: |
| Caution |
ALERT: Contraindications of each herb - use with caution under these conditions:
Qiang Huo: Yin deficiency • Blood deficiency, Bi Zheng with red tongue and light/no coat
Du Huo: Yin deficient heat
Chuan Xiong: Pregnancy • Blood thinners • Fire from yin deficiency • Dry tongue • Dry mouth • Fever • Profuse menstrual bleeding • Spleen deficiency • caution: LV yang xu since this herb tends to move Qi upward.
Chai Hu: Dries Yin and can exacerbate the Yin deficiency • Do not use as intramuscular injections • Liver fire • Hyperactive liver yang • Cytochrome P450, 2C9, 2E1, 2D6, and 3A4 • Greater than 19g may lead to liver injury
Jie Geng : Blood-stained mucus • Hypoglycemia • Tuberculosis • Anti-diabetic drugs
Zhǐ Ké: pregnancy • anticoagulant or antiplatelet drugs • Spleen/Stomach deficiencies • gastric ulcers • duodenal ulcers
Qian Hu: Yin deficient cough
Fu Ling: Foods: Vinegar, pickled food
Ren Shen: Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat • food: onion, garlic, radishes, tea, turnips
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section. |
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