HERB FORMULAS

XIAO JIAN ZHONG TANG

English: Minor Construct the Middle (Burner) Decoction
Also Known As: Minor Decoction for Restoring the Normal Function of the Middle Burner
Minor fortify the Center Decoction
Minor Cinnamon and Peony Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Maltose Yi Tang 18-30g Tonifies the Spleen and Middle Jiao Qi, alleviates pain, disperses Cold and moderates spasmodic abdominal pain.
With Gui Zhi, warms and tonifies the Middle Jiao.
With Gui Zhi and Gan Cao, for Cold abdominal pain due to Middle Jiao Deficiency.
With Gui Zhi, Bai Shao, Sheng Jiang and Zhi Gan Cao, for abdominal pain that is better with pressure and somewhat alleviated by eating. due to Cold from Middle Jiao Deficiency.
Ram. Cinnamomi Gui Zhi 4-9g Warms the Middle Jiao, disperses Cold, releases the exterior and adjusts the Ying and Wei.
 With Bai Shao, harmonizes the Ying and Wei.
With Zhi Gan Cao, for Palpitations and shortness of breath due to injured Yang of the chest.
Rx. Paeoniae Alba Bai Shao 6-18g Harmonizes, protects Yin, nourishes Blood, Softens the Liver and alleviates pain.
With Gan Cao, stops spasmodic abdominal pain.
With Gui Zhi, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-6g Tonifies the Spleen and augments Qi, moistens the Lungs, resolves Phlegm, stops cough, moderates spasms, alleviates pain and harmonizes the Middle Jiao.
Rz. Zingiberis Recens Sheng Jiang 2-9g Releases the exterior, disperses Cold, warms the middle and adjusts the Ying and Wei.
 With Da Zao, harmonizes and protects Ying Qi and alleviates epigastric pain, nausea and vomiting, protects the Stomach Qi and reduces irritation of the gastrointestinal. tract by other herbs.
With Gui Zhi, strongly induces sweating for treatment of External Wind-Cold with chills, fever, body aches and anhidrosis and warms and dispels thin mucus in the Stomach with nausea, hiccough, Stomach pain, acid reflux or vomiting of clear fluid.
Fr. Jujube Da Zao 3-5g Strengthens the Spleen, tonifies Qi and protects and harmonizes the Middle Jiao.

FORMULA ACTIONS

  • Warms and tonifies the Middle Jiao
  • Replenishes Qi
  • Relieves spasmodic abdominal pain
  • Dispels Cold
  • Improves the constitution in children
  • Resolves exterior conditions

SYNDROMES

  • Spleen and Stomach Deficiency Cold
  • Spasmodic abdominal pain due to consumptive conditions
  • Consumptive diseases due to Yin and Yang Deficiencies
  • Consumptive diseases due to high fever
  • Blood Deficiency which cannot nourish the Heart

CLINICAL MANIFESTATIONS

  • Intermittent spasmodic abdominal pain which is better with Heat and pressure
  • Epigastric pain
  • Lusterless complexion
  • Fidgeting
  • Reduced appetite
  • Maybe low-grade fever
  • Palpitations
  • Irritability
  • Cold and sore extremities
  • Nonspecific discomfort
  • Dry mouth and throat
  • Nocturnal emission
  • Five sole heat
  • Debilitated constitution in children
  • Enuresis in children
  • Insomnia
  • Epistaxis
  • Habitual constipation
  • Maybe warm extremities
  • Night sweats
  • Tired limbs
  • Frequent urination
  • Night crying
  • Diarrhea in children
  • Habitual headache in children
  • Hernia pain in children
  • Chronic constipation
  • Purpura
  • Asthma
  • T: Pale
  • C: White
  • P: Thready, wiry and even or Thready and weak

TREATS

  • Chronic gastritis
  • Gastric ulcer
  • Duodenal ulcer
  • Inflammatory bowel disease
  • Neurasthenia
  • Chronic hepatitis
  • Pernicious anemia
  • Hypoglycemia
  • Autonomic dystonia
  • Chronic nephritis
  • Migraines
  • Enuresis in children
  • Hemolytic jaundice
  • Frequent urination
  • Malnutrition with a low grade fever in children
  • Hepatitis B
  • Fever of unknown origin
  • Depression
  • Leukemia
  • Aplastic anemia
  • Postpartum fever
  • Gastric and intestinal spasm
  • Asthma
  • Tonsillitis
  • Neuropalpitations
  • Cholelithiasis
  • Benign prostatic hypertrophy
  • Hypotension
  • Idiopathic thrombocytic purpura
  • Debility and chronic illness in children
  • Constant crying in children
  • Habitual constipation

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Heat from Yin Deficiency.
  • Eliminate sweet flavor for vomiting or roundworms.
  • 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
 + Rx. Linderae Wu Yao
For concurrent Qi Stagnation:
For roundworms:
+ Rx. Aucklandiae
+ Less Maltosum Yi Tang
+ End. Corneum Gigeriae Galli Ji Nei Jin + Less Rx. Paeoniae Alba Bai Shao
For diarrhea:
+ Fr. Mume
+ Rz. Atractylodis Macrocephalae Bai Zhu
For abdominal fullness or nausea after taking this formula:
For fatigue due to Qi Deficiency:
+ Per. Citri Reticulatae
+ Rx. Astragali
+ Fr. Amomi Sha Ren
+ Rx. Ginseng Ren Shen
For fatigue due to Blood Deficiency:
for a sallow complexion with fatigue + Rx. Angelicae Sinensis Dang Gui
- Maltosum Yi Tang + Rz. Chuanxiong Chuan Xiong
+ Rx. Astragali
For irritability due to Lung Deficiency:
+ Rx. Ginseng Ren Shen + Rx. Ophiopogonis Mai Men Dong
+ Rx. Angelicae Sinensis Dang Gui + Fr. Schisandrae Wu Wei Zi
For chronic weakness and Deficiency in women:
For chronic weakness and Deficiency in men:
+ Four-Substance Decoction
Si Wu Tang
+ Four Gentlemen Decoction
Si Jun Zi Tang
for postpartum weakness with abdominal pain and spasms or severe Blood Deficiency:
For dyspnea and spontaneous perspiration or severe Qi Deficiency:
+ Rx. Angelicae Sinensis Dang Gui
+ Rx. Astragali
For spontaneous sweating, low grade fever and frequent colds:
For postpartum diffuse abdominal pain and weakness:
+ 18-30g Honey-fried Rx. Astragali Zhi Huang Qi
+ 9-12g Rx. Angelicae Sinensis
For abdominal Cold:
+ 15-20g Rz. Zingiberis Recens
+ Rz. Zingiberis Gan Jiang
For abdominal Cold pain with nausea, vomiting and acid regurgitation:
For severe abdominal Cold pain:
+ 3-5g Fr. Evodiae
+ 9g Rz. Alpiniae Officinarum Gao Liang Jiang
For Spleen Yang Deficiency causing Dampness Accumulation with heaviness, fullness and distention of the Stomach and abdomen, reduced appetite, fatigue and a glossy, white tongue coat:
+ 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
- Minor Construct the Middle (Burner) Decoction
Xiao Jian Zhong Tang
For severe Qi Deficiency:
+ Magnolia Bark Decoction for Warming the Middle
Hou Po Wen Zhong Tang
+ 9g Rice bran stir-fried Rx. Codonopsis
For Middle Jiao Yang failing to move causing Qi Stagnation with abdominal distention, borborygmus and flatulence:
+ 12g Honey stir-fried Rx. Astragali
- Minor Construct the Middle (Burner) Decoction
Xiao Jian Zhong Tang
   
+ Aquilaria Decoction
Chen Xiang Tang