Li Zhong Wan (Regulate the Middle Pill)

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 3 of 10 in Formulas that Warm Interior Cold

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Sub-Category:

• Formulas that Warm the Channels and Disperse Cold

Pattern:

• Middle Jiao (SP, ST) Yang deficiency with cold

Actions:

• Warms the Middle Jiao and dispels cold
• Strengthens the Spleen and Stomach.

Indications:

• Watery diarrhea, undigested food in the stool, indigestion, nausea, vomiting, lack of thirst, abdominal pain that is relieved by warmth, poor appetite, and fatigue

Possible Tongue Appearance:

• Pale tongue with white coat

Possible Pulse Patterns:

• Deep, slow, and weak pulse

Western Uses:

• Acute and Chronic Gastroenteritis
• Gastro-Duodenal Ulcers
• Irritable Bowel Syndrome
• Gastrectasis
• Gastroptosis
• Chronic Colitis
• Cholera
• Vomiting
• Anemia
• Chronic Bronchitis
• Oral Herpes
• Functional Uterine Bleeding

Cautions, Contraindications, Herb Drug Interactions:

• This formula is warm and drying it should not be used in cases with Yin deficiency and heat
• Do not use in cases where external pathogens are present.

Preparation Notes:

• Pills. Grind all herbs into an even powder and use honey to form into pills. Take in 9 gram doses 2-3 times a day.
• In all but acute cases Dang Shen is substituted for Ren Shen.
• This formula can also be prepared as a decoction.

Originally Appeared In:

• On Cold Damage (Shang Han Lun)

Combined Channels of all herbs in this formula:

• Lungs, Stomach, Spleen, Heart

There are 4 Substances in this Chinese Medicne

Gan Jiang (Dried Ginger Rhizome)
Quantity = 9 grams Ren Shen (Ginseng Root)
Quantity = 9 grams Bai Zhu (White Atractylodes Rhizome)
Quantity = 9 grams Zhi Gan Cao (Honey Fried Licorice Root)
Quantity = 9 grams

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