HERB FORMULAS

HUANG QI JIAN ZHONG TANG

English: Astragalus Decoction to Construct the Middle
Also Known As: Astragalus Combination
Astragalus Build the Center Decoction
Decoction of Astragalus seu Hedysari for Warming the Middle Jiao

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Astragali Huang Qi 10-15g Replenishes Qi, stops perspiration, consolidates Wei, strengthens the Spleen and raises Spleen Yang.
With Gui Zhi, for Qi, Blood, Ying and Wei Deficiencies.
Maltosum Yi Tang 18-30g Tonifies Spleen and Stomach, alleviates Cold pain and moderates spasmodic abdominal pain.
With Gui Zhi, warms and tonifies the Middle Jiao.
With Gui Zhi and Gan Cao, for Middle Jiao Deficiency Cold with abdominal pain.
With and Huang Qi, for spleen Deficiency.
With Huang Qi, for abdominal pain due to Qi Deficiency.
Ram. Cinnamomi Gui Zhi 4-10g Warms the Middle Jiao, disperses Cold, releases the exterior, adjusts the Ying and Wei and warms the channels and collaterals to relieve pain .
 With Bai Shao, harmonizes the Ying and Wei and warms and tonifies the Middle Jiao.
Rx. Paeoniae Alba Bai Shao 6-20g Nourishes Blood, regulates menstruation and adjusts the Ying and Wei.
 With Gan Cao, stops spasmodic abdominal pain.
With Yi Tang, Gui Zhi, Sheng Jiang and Gan Cao, for abdominal pain due to Cold from Middle Jiao Deficiency which is better with pressure and somewhat alleviated by eating.
With Huang Qi, Gui Zhi, Sheng Jiang and Da Zao for Bi syndrome.
With Gui Zhi, Yi Tang, Da Zao, Gan Cao and Sheng JIang, for severe epigastric or abdominal pain or cramps caused by the Liver overacting on the Deficient, Cold Middle Jiao.
Rx. Glycyrrhizae Gan Cao 3-6g Tonifies the Spleen, tonifies Qi, moderates spasms. and moderates and harmonizes the properties of other herbs.
Rz. Zingiberis Recens Sheng Jiang 2-10g Releases the exterior, disperses Cold, warms the Middle, stops vomiting and adjusts the Ying and Wei.
 With Da Zao, harmonizes and protects the Ying and Wei.
Fr. Zizyphi Jujube Da Zao 3-5g Strengthens the Spleen, tonifies Qi and moderates and harmonizes the harsh properties of other herbs.
With Sheng Jiang, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen.

FORMULA ACTIONS

  • Warms and tonifies the Spleen and Stomach
  • Replenishes Qi
  • Harmonizes the Interior
  • Alleviates pain

SYNDROMES

  • Stomach Qi Deficiency
  • Spleen Yang Deficiency
  • Deficiency Cold of the Middle Jiao with severe Qi Deficiency
  • Wei Qi Deficiency

CLINICAL MANIFESTATIONS

  • Spontaneous perspiration
  • Shortness of breath
  • Occasional fevers
  • Dyspnea
  • Abdominal pain and spasms due to Cold
  • Pain is better with warmth and pressure
  • Pale face or a sallow, dull complexion
  • Fatigue
  • Fidgeting
  • Lethargy
  • Dry mouth
  • Aversion to Cold
  • Frequent, clear urination
  • Constipation
  • Cold extremities
  • Dry throat
  • Hematemesis
  • Irritability
  • Carbuncles
  • Palpitations
  • Hemorrhoids
  • Fever with a preference for hot drinks
  • Dry skin
  • T: Pale
  • C: White
  • P: Minute, thready and weak or Deep and slow or Floating, large and weak

TREATS

  • Inflammatory bowel syndrome
  • Postpartum fever
  • Delicate constitution in children
  • Night sweats
  • Weakness during convalescence
  • Chronic otitis media
  • Chronic ulcerations
  • Gangrene
  • Colitis
  • Anorexia
  • Leukopenia
  • Lead poisoning
  • Hypoglycemia
  • Yin jaundice
  • Prolapse of the gastric mucosa
  • Pulmonary tuberculosis
  • Ancylostomiasis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Eliminate sweet flavor for vomiting from roundworms.
  • Contraindicated for those with Heat from Yin Deficiency.
  • Modify for abdominal distention.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For more severe Cold: For relapse due to consumption of raw or cold food:
- Ram. Cinnamomi Gui Zhi + More Ram. Cinnamomi Gui Zhi
+ Cx. Cinnamomi Rou Gui + Rx. Linderae Wu Yao
For concurrent Qi Stagnation:
For diarrhea:
+ Rx. Aucklandiae Mu Xiang + Rz. Atractylodis Macrocephalae Bai Zhu
+ End. Corneum Gigeriae Galli Ji Nei Jin
For roundworms:
For shortness of breath and chest fullness due to Thin Mucus:
+ Less Rx. Paeoniae Alba Bai Shao
+ More Rz. Zingiberis Sheng Jiang + Fr. Pruni Mume Wu Mei
For abdominal fullness:
For Lung Deficiency where the Lungs' clearing and clarifying function is impaired:
- Fr. Jujube Da Zao + Rz. Pinelliae Preparatum Zhi Ban Xia
+ 4.5g Poria Fu Ling
For generalized weakness following an illness:
For generalized weakness in postpartum women:
+ Four Gentlemen Decoction
Si Jun Zi Tang
+ Four Substance Decoction
Si Wu Tang
For generalized weakness following a Wind-Cold Invasion:
For abdominal fullness:
+ Jade Windscreen Powder
Yu Ping Feng San
+ Cx. Magnoliae Officinalis Hou Po
For vomiting of clear fluids:
+ Fr. Amomi Sha Ren + Fr. Evodiae Wu Zhu Yu
+ Rx. Aucklandiae Mu Xiang + Rz. Pinelliae Preparatum Zhi Ban Xia
For edema:
+ Rz. Zingiberis Gan Jiang
+ Rz. Atractylodis Macrocephalae Bai Zhu
For allergic rhinitis:
+ Poria Fu Ling + Sm. Armeniacae Xing Ren
+ Rz. Alismatis Ze Xie + Rx. Glycyrrhizae Gan Cao
For allergic rhinitis with Heat:
+ Rx. Morindae Ba Ji Tian
+ Sm. Armeniacae Xing Ren
For dysmenorrhea due to Qi and Blood Deficiencies:
+ Rx. Glycyrrhizae Gan Cao + 12g Rx. Angelicae Sinensis Dang Gui
+ Rx. Scutellariae Huang Qin + 15g Rx. Codonopsis Dang Shen