Huáng Qí Jiàn Zhōng Tāng

Astragalus Decoction to Build the Middle

Disclaimer    For educational purposes only.  Do not use as medical advice

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Granules

 

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Category: Warm Interior Expel Cold ⌕ 
Subcategory: Middle Jiao Qi Deficiency  Source: Jin Gui Yao Le 
Actions: Warm and tonify middle Jiao qi, moderates spasmodic abdominal pain [31]
Diagnosis
Tongue:       Pulse:    Other: 
Patterns: Middle Jiao Qi Deficiency 
Indications: [31]
Contraindications: 
Description
Name Variations: Huang Qi Jian Zhong Tang, 黄芪建中汤, Astragalus Decoction to Build the Middle,
Herb List: Yi TangGui ZhiBai ShaoSheng JiangDa ZaoGan CaoHuang Qi
Commentary: Huang Qi Jian Zhong Tang = Xiao Jian Zhong Tang + Huang Qi
Related Formulas: Attachment formulas – Dang Gui Jian Zhong TangXiao Jian Zhong Tang + Dang Gui • Warm and tonify qi blood, moderates spasmodic abdominal pain – Da Jian Zhong TangYi Tang, Shu Jiao, Gan Jiang, Ren Shen • Warm and tonify middle Jiao, descend upward flowing cold, stop pain
Herbs Cat/Dosage Actions Attributes
Chai Hu • Thorowax • 柴胡 Release Exterior Wind Heat
9g
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
Dang GuiChinese Angelica • 当归 Tonify Blood
9g
Tonify blood • Move Blood and Qi • Regulate menses • Invigorate blood • Dispel cold • Unblock bowels • Reduce abscess swelling • Alleviate pain • Clear pus • Generate flesh • Moisten intestines phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost
Bai ShaoWhite Root Peony • 白芍 Tonify Blood
9g
Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei Qi analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative
Fu LingPoria Mushroom • 茯苓   Drain Dampness
9g
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
Bo He • Field Mint • 薄荷  Release Exterior Wind Heat
3g
Clear eyes • Dispel wind heat • Ease sore throat • Expel turbid filth • Resolve toxicity • Reduce rashes • Clear liver Qi stagnation • Drain stomach damp heat • Release exterior • Calm liver yang • Nourish lung yin Anti-inflammatory • Antipyretic • Diaphoretic • Carminative • Antiandrogenic • Antiemetic • Antidiarrheal • Analgesic • Anticholesterol • Antidiabetic • Antimicrobial • Gastrointestinal • Emmenagogue • Increase local blood circulation • Decongestant
Sheng Jiang • Ginger (Raw) • 生姜 Release Exterior Wind Cold
3g
Release exterior • Stops vomiting • Relieve Nausea • Stops cough • Reduce herb toxicity • Regulate central flow of Qi Expectorant • Cough Suppressant • Digestive • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic
Zhi Gan CaoLicorice Root • 甘草 Tonify Qi
6g
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 Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal
Bai ZhuWhite Atractylodes Root • 白术 Tonify Qi
9g
Tonify Spleen Qi • Stop sweating • Calms fetus • Dry dampness • Stabilize exterior • Stop sweating Anti-inflammatory • Hepatoprotective • Immunity Booster • Hypoglycemic • Antibaterial
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: 
Modifications For
+ Jin Yin Hua + Guan Zhong Vaginal discharge
Zhi Gan Cao +Wang Bu Liu Xing + Jin Xue Teng + Dan Shen + Xiang Fu Fibrocystic breast disease
Bai Zhu +Xiang Fu Severe hypochondriac pain 
+ Mu Dan Pi + Yu Jin +San Leng Severe fixed pain from blood stasis
– Wei Jiang – Bo He + Xiang Fu + Fo Shou + Dan Shen + Dang Shen Fatigued, poor appetite
+ Hai Piao Xiao + Mu Li Enlarged liver and spleen
+ Ji Xue Teng + Xiang Fu + Ze Lan + Chuan Xiong Irregular Menses 31
+ Sheng Di Huang + Xiang Fu + Chuan Xiong + Yan Hu Suo + Chuan Lian Zi Dysmenorrhea 31
+ Ju Luo + Qing Pi + Xia Ku Cao + Mu Li Breast distention, breast tumor 31
+ Kidney tonifying herbs Emotional menopause syndrome 31

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
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
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Fu Ling: Foods: Vinegar, pickled food
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section.
Bai Zhu: Autoimmune disorder • Yin deficiency with heat • Dehydration • Foods: black carp, Chinese cabbage, peach, plum and coriander

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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