Nuǎn Gān Jiān

Warm the Liver Decoction

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

AboutChinese MedicineCaution/Notes
Health Benefits
For: Hernia
Atributes:
Products
 

Tablets

 

Pills

 

Capsules

 

Granules

Other Names:
Research 

Category: Regulate Qi ⌕ 
Subcategory: Move Qi  Source:  
Actions: Cold from LV/KD deficiency: Lower abdominal pain that is sharp and localized and increases with local application of cold, T pale especially at sides and root, P deep, tight. A form of hernial disorder; Also for swollen and painful scrotum.[Kim]
Diagnosis
Tongue: pale, especially at the sides and root      Pulse: deep, tight    Other: 
Patterns: Cold Hernia 
Indications: Cold from LV & KD deficiency [35] • Hernia disorder, swollen/ painful scrotum [35]
Contraindications: 
Description
Name Variations: Nuan Gan Jian, 暖肝煎, Perilla Fruit Decoction for Directing Qi Downward,
Herb List: Xiao Hui Xiang (6g) • Rou Gui (3g) • Dang Gui (6g) • Gou Qi Zi (9g) • Wu Yao (6g) • Chen Xiang (3g) • Fu Ling (6g) • Sheng Jiang (3-5 pieces)
Commentary: Commonly used for treating hernia. Cold > Qi Stagnation. [Kim]
Related Formulas:
NCCAOM: There are 7 NCCAOM formulas for Qi Stagnation. They are Yuè Jū Wán, Chái Hú Shū Gān Sǎn, Bàn Xià Hòu Pó Tāng, Liáng Fù Wán, Jīn Líng Zǐ Sǎn, Tiān Tái Wū Yào Sǎn, and Nuǎn Gān Jiān. • Yue Ju Wan is for all 6 stagnations (Qi, Blood, Phlegm, Damp, Fire and Food). Only for excess. Depression. • Chai Hu Shu Gan San is LV Qi Yu -> pain. This formula includes Si Ni San, which is for LV Qi Stagnation overacting on SP causing cold extremities. Don’t confuse Si Ni San with Si Ni Tang, which is for KD Yang Deficiency Cold • Ban Xia Hou Po Tang is LV Qi Yu + Phlegm -> Plum Pit Qi. • Liang Fu Wan is LV Qi Yu + ST Cold -> Pain. Liang Fu Wan is only two herbs (Gao Lian Jiang + Xiang Fu) • Jin Ling Zi San =LV Qi Yu + Heat -> Pain. Jin Ling Zi San is also two herbs (Chuan Lian Zi + Yan Hu Suo). Jin Ling Zi is antoehr name for Chuan Lian Zi. • Tian Tai Wu Yan Sao = LV Qi Stagnation + Cold. Lower abdominal pain radiating to the testis. • Nuan Gan Jian = LV & KD deficiency Cold. Hernia disorder or swollen painful scrotum. All these formulas are related to Liver Qi Stagnation except for Nuan Gan Jian, which is LV deficiency.
Herbs Cat/Dosage Actions Attributes
Xiao Hui Xiang
Fennel Fruit • 小茴香
Warm Interior Expel Cold Warm Liver • Warm Kidney • Relieve pain • Expel cold • Regulate Qi • Harmonize stomach
Rou Gui 
Cinnamon Bark • 肉桂 
Warm Interior Expel Cold Warm interior • Disperse cold • Unblock channels • Relieve pain • Build Qi and Blood • Leads fire back to its source • Strengthen • Leads fire back to its source Antimicrobial • anticoagulant • teratogenic • emmenagogue • antiparasitic • antibiotic • hypoglycemic •analgesic • anti-inflammatory • antioxidant • free radical scavenging • sedative • memory enhancer
Dang Gui 
Chinese Angelica当归
Tonify Blood 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 Dang Gui Shen (body) - tonify blood • Quan Dang Gui - harmonize blood (tonify and invigorate) • Dang Gui Wei (tail) - invigorate blood • According to the Board Exams, this herb does not affect estrogen because it has not yet been determined in which way it does affect it. However, there are numerous research articles on Dang Gui and estrogen. phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost • volatile oil inhibits uterine contractions
Qian Hu 
Peucedanum 前胡 
Phlegm Heat Expel phlegm • Descend Lung Qi • Release exterior wind heat
Gou Qi ZiGoji Berry • 枸杞子   Tonify Blood Tonify kidneys • Tonify liver • Tonify essence • Moisten lungs • Nourish Yin • Improve eye sight Anti-aging• antimicrobial • anticoagulant • antioxidant • anti-diabetic • hepatoprotective • anti-cancer • hypotensive
Wu Yao
Lindera Root 乌药
Regulate Qi 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
Chen XiangChinese Englewood • 沉香 Regulate Qi Move Qi • Pain • Vomiting • Helps Kidney to grasp Qi • Qi stagnation painFor 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
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
Sheng Jiang
Ginger (Raw) 生姜  
Release Exterior Wind Cold

 

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
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: 

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Xiao Hui Xiang: Yin deficiency heat
Rou Gui: Pregnancy • Severe heat from yin deficiency • Interior heat
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Qian Hu: Yin deficient cough
Gou Qi Zi: Autoimmune disorder • External excess heat • Loose stools • High fever • Pregnancy • Spleen deficiency • Spleen dampness • Diarrhea • Allergic to tobacco • Peaches • Tomatoes • Nuts • Diabetes medication • Blood pressure medication
Chen Xiang:
Fu Ling: Foods: Vinegar, pickled food
Wu Yao:
Sheng Jiang: Lung heat • Dry cough • Phlegm heat • Full heat • Yin deficiency with heat • Vomiting from stomach heat • Gallstones • Exterior deficiency with unexplained sweating • Horse meat

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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