HERB FORMULAS

FU ZI LI ZHONG WAN

English: Prepared Aconite Pill to Regulate the Middle
Also Known As: Aconite, Ginseng and Ginger Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Zingiberis Gan Jiang 3-9g Warms the Spleen and Stomach and eliminates interior Cold.
 With Zhi Gan Cao, for vomiting and epigastric pain due to Spleen and Stomach Deficiency Cold.
With Bai Zhu, for diarrhea due to Spleen Deficiency.
With Bai Zhu and Ren Shen, for Spleen Yang Deficiency with a cold abdomen, vomiting, and diarrhea.
With Zhi Fu Zi, counteracts the Internal consequences of an External Wind-Cold attack, warms the Spleen and Kidneys, benefits Yang, and disperses Cold for debilitated Spleen and Kidney Yang with incessant diarrhea, Devastated Yang, overabundance of Yin fluids due to Deficiency Cold and Cold-Damp Bi .
Rx. Ginseng Ren Shen 3-15g Tonifies Yuan Qi, reinforces Yang and harmonizes the middle Jiao.
With Zhi Fu Zi, for Collapsed Qi and Devastated Yang (spontaneous sweat, ice cold extremities, shortness of breath, etc.).
With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
Rz. Atractylodis Macrocephalae Bai Zhu 3-9g Tonifies the Spleen, tonifies Qi and dries Dampness.
 With Ren Shen, tonifies the Spleen and Stomach and dries Dampness.
With Gan Jiang, eliminates Cold Dampness in the Spleen with loss of taste, a sticky sensation in the mouth, nausea, vomiting, diarrhea and a thick,white tongue coat and treats bleeding due to Deficiency of Spleen Yang with hemafecia or hematuria and frequent diarrhea due to Spleen/ Stomach Deficiency Cold.
Rx. Aconiti Lateralis Preparata Zhi Fu Zi .5-6g Restores Kidney and Heart Yang, relieves pain, disperses Cold, dispels Dampness and warms the Spleen.
With Bai Zhu and Gan Jiang, for Cold abdominal pain with watery diarrhea.
With Gan Jiang and Zhi Gan Cao, strengthens its actions of fortifying Qi and benefiting the Yang for cold extremities and diarrhea with undigested food due to Collapse of the Spleen and Kidney Yang.
With Zhi Fu Zi, for Spleen Yang Deficiency with a Cold, painful abdomen, vomiting and watery diarrhea and Wind-Damp Bi.
With Ren She, Bai Zhu and Gan Jian, for Spleen Yang Deficiency.
With Ren Shen, Zhi Gan Cao and Gan Jiang, for Heart Yang collapse with vomiting, a fading pulse, icy extremities and profuse perspiration.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-6g Tonifies the Qi of the Middle Jiao and harmonizes.
With Ren Shen, relieves palpitations and anxiety.

FORMULA ACTIONS

  • Warms Yang
  • Dispels Cold
  • Tonifies Qi
  • Strengthens the Spleen

SYNDROMES

  • Colon Cold
  • Spleen Yang Deficiency
  • Spleen and Stomach Deficiency Cold
  • Stomach Cold
  • Spleen and Kidney Yang Deficiency
  • Tai Yin Deficiency with Cold

CLINICAL MANIFESTATIONS

  • Severe abdominal and epigastric pain (likes pressure)
  • Cold body
  • Diarrhea with undigested food
  • Aversion to Cold
  • Cold and stiff or rigid extremities
  • Reduced appetite
  • Fullness in the epigastrium and abdomen (likes pressure)
  • Lack of thirst
  • Nausea and vomiting
  • Loose stools
  • Trismus
  • Constipation (Cold type)
  • Gastric spasms
  • Mild perspiration
  • Maybe syncope
  • T: Pale and maybe moist
  • C: White
  • P: Deep, minute and slow

TREATS

  • Acute or chronic gastritis
  • Acute and chronic gastroenteritis
  • Gastrectasis
  • Gastric or duodenal ulcers
  • Gastroptosis
  • Irritable bowel syndrome
  • Chronic colitis
  • Sudden turmoil disorder with muscle spasms
  • Gastroatonia
  • Infantile diarrhea
  • Cholera
  • Chronic oral ulcers due to Spleen and Stomach Deficiency Cold
  • Toxemia during pregnancy
  • Nervous vomiting in children
  • Bleeding
  • Indigestion
  • Constipation (Cold type)
  • Stomach prolapse

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with External invasion with fever.
  • For those with sudden turmoil disorder, stop when diarrhea and vomiting have stopped.
  • Contraindicated for those with Yin Deficiency.
  • Contraindicated during pregnancy.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe deficiency and Cold: For nausea and vomiting of Phlegm and saliva:
+ Cx. Cinnamomi Rou Gui + Rz. Pinelliae Preparatum Zhi Ban Xia
+ Rz. Atractylodis Cang Zhu + Scl. Poriae cocos Fu Ling
For tetanus-like vomiting and diarrhea:
For Phlegm and Food Stagnation:
+ Rz. Coptidis Huang Lian
+ Calm the Stomach and Poria Decoction
Wei Ling Tang
+ Fr. Aurantii Immaturus Zhi Shi
For fibromyalgia due to Damp Stagnation Blocking the Channels:
For fibromyalgia due to Spleen and Kidney Yang Deficiencies:
+ Ephedra, Apricot Kernel, Coicis and Licorice Decoction
Ma Xing Yi Gan Tang
+ Kidney Qi Pill
Shen Qi Wan
+ Tonify Yang to Restore Five-Tenths Decoction
Bu Yang Huan Wu Tang
For fibromyalgia due to Phlegm Stagnation Blocking the Channels:
  
+ Kudzu Decoction modified
Ge Gen Tang modified
 
+ Three Painful Obstruction Decoction
San Bi Tang