Lǐ Zhōng Wán

理中丸

Regulate the Middle Pill

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Category: Warm Interior Cold ⌕ 
Subcategory: Warm the Middle and Dispel Cold  Source: Shan Han Lun 
Actions: Warm Middle Jiao to expel cold, Tonify qi to strengthen SP [31]
Diagnosis
Tongue: pale body white coating      Pulse: deep, thin    Other: 
Patterns: Middle Jiao Cold Accumulation, Infantile Convulsions Spleen Yang Deficiency 
Indications: Deficiency-Cold of the SP/ST [35] • Cold extremities, dull abdominal pain, vomiting, loose stools, poor appetite, pale tongue with white coating, deep thin pulse [31]
Contraindications: 
Description
Name Variations: Li Zhong Wan, 理中丸, Regulate the Middle Pill,
Herb List: Gan Jiang(K) • Ren Shen(M) • Bai Zhu(A) • Gan Cao(E)
Commentary: Modification and attachment formulas – Severe Yang deficiency (cold limbs, watery loose stools with undigested food): Fu Zi, Rou Gui (Fu Zi Li Zhong Tang, Gui Fu Li Zhong Tang) – “Trans”- dysfunction: ST fail to accept food (poor appetite) : Shan Zha, Mai Ya, Shen Qu (Zha Qu Li Zhong Tang); ST fail to descend turbidity (vomiting): Sha Ren, Ban Xia (Sha Ban Li Zhong Tang); SP fail to trans damp, accumulate into Phlegm (cough with phlegm): Fu Ling, Ban Xia (Li Zhong Hua Tan Wan)
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
Gan Jiang • 
Ginger (Dried) •  干姜
Warm Interior Expel Cold Warm interior • Expel cold • Stop bleeding • Transform phlegm • Rescue devastated yang • Warm Middle Jiao • Warm lungs • Warm meridians Anticoagulant • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic
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
Bai Zhu • 
White Atractylodes Root • 白术
Tonify Qi Tonify Spleen Qi • Stop sweating • Calms fetus • Dry dampness • Stabilize exteriorDao Di: Zhe Jiang Anti-inflammatory • Hepatoprotective • Immunity Booster • Hypoglycemic • Antibaterial
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:
Gan Jiang: Pregnancy • Blood heat • Pregnancy • Bloody mucous • Night sweats • Unexplained sweating • Heat induced pain • Heat induce vomiting
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
Bai Zhu: Autoimmune disorder • Yin deficiency with heat • Dehydration • Foods: black carp, Chinese cabbage, peach, plum and coriander
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section.
Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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