Da Jian Zhong Tang (Major Construct the Middle Decoction)

Formulas in this Category Dang Gui Si Ni Tang Yang He Tang Li Zhong Wan Wu Zhu Yu Tang Xiao Jian Zhong Tang Da Jian Zhong Tang Gan Cao Gan Jiang Tang Si Ni Tang Shen Fu Tang Hei Xi Dan

Formula 6 of 10 in Formulas that Warm Interior Cold

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Sub-Category:

• Formulas that Warm the Channels and Disperse Cold

Pattern:

• Cold from Yang Deficiency with upward movement of cold

Actions:

• Tonifies and warms the middle burner (SP/ST)
• Moves rebellious Qi downward.
• Alleviates pain.

Indications:

• Severe abdominal and epigastric pain that is aggravated with pressure
• A strong cold sensation in the abdomen.
• Nausea and vomiting causing an inability to eat.
• Flatulence.

Possible Tongue Appearance:

• Pale tongue with a moist coat
• Pale tongue with a greasy white coat

Possible Pulse Patterns:

• Tight pulse
• Slow and wiry pulse
• Deep and thready pulse in severe cases

Western Uses:

• Chronic gastritis
• Chronic Pancreatitis
• Chronic Cholecystitis
• Urinary calculi
• Uncomplicated intestinal obstruction
• Abdominal pain with spasms
• Biliary Ascariasis
• Duodenal ulcer
• Vomiting

Cautions, Contraindications, Herb Drug Interactions:

• Do not use in cases of Blood and Yin Deficiency, with Damp Heat conditions, or internal clumping
• This formula contains one or more toxic substances.
  While some Chinese herbs are toxic, many come prepared, or are combined, to mitigate their toxicity.

Preparation Notes:

• Decoction. Yi Tang is added to the final strained decoction.
• In modern formulations, Dang Shen is often substituted for Ren Shen with 2-3 times the dosage, a lower dosage of Chuan Jiao can be used, and half the listed dosage of Gan Jiang and Yi Tang are used.

Originally Appeared In:

• Essentials from the Golden Cabinet (Jin Gui Yao Lue)

Combined Channels of all herbs in this formula:

• Stomach, Spleen, Kidneys, Lungs, Heart

There are 4 Substances in this Chinese Medicne

Chuan Jiao (Fruit of Szechuan Pepper)
Quantity = 3-9 grams Gan Jiang (Dried Ginger Rhizome)
Quantity = 12 grams Ren Shen (Ginseng Root)
Quantity = 6 grams Yi Tang (Barley Malt Sugar, Maltose)
Quantity = 18-30 grams

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