HERB FORMULAS

DING KOU LI ZHONG WAN - 丁蔻李中囊 - REGULATE THE MIDDLE PILLS WITH CLOVE AND CARDAMON

English: Regulate the Middle Pills with Clove and Cardamon
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Codonopsis Dang Shen 15-24g Tonifies the Middle Jiao and augments Qi.
With Bai Zhu, for Spleen Qi Deficiency with anorexia, loose stools and vomiting.
Rz. Atractylodis Macrocephalae Bai Zhu 12-15g Strengthens the Spleen and dries Dampness.
Rz. Zingiberis Gan Jiang 9-12g 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.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-6g Tonifies the Spleen, augments Qi, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.
With Dang Shen, for anorexia, fatigue and loose stools due to Spleen Deficiency.
Flos Caryophylli Ding Xiang 3-6g Warms the Middle Jiao, relieves pain, descends Qi, warms the Kidneys and assists Yang.
With Bai Zhu, for Spleen Qi Deficiency.
With Dang Shen, for hiccups due to Deficiency Cold.
With Gan Jiang, Dang Shen, Bai Dou Kou and Bai Zhu, for diarrhea due to Deficiency Cold.
Fr. Amomi Rotundus Bai Dou Kou 6-9g Promotes the movement of Qi, aromatically transforms Dampness, strengthens the Stomach, warms the Middle Jiao, descends Qi and stops vomiting.
With Ding Xiang, for belching due to Stomach Cold.

FORMULA ACTIONS

  • Warms and strengthens the Spleen and Stomach
  • Harmonizes the Stomach
  • Descends Qi

SYNDROMES

  • Spleen and Stomach Qi and Yang Deficiency

CLINICAL MANIFESTATIONS

  • Intermittent abdominal and gastric fullness and distention after eating
  • Vomiting of partially undigested food about 12 hours after eating which relieves the discomfort
  • The vomitus is relatively inoffensive with clearly identifiable food and possibly watery mucus-like material
  • Waxy, pale complexion
  • Anorexia
  • Weight loss
  • Emaciation
  • Loose stools or
  • Diarrhea
  • Fatigue
  • Weakness
  • Listlessness
  • Increased desire to sleep
  • Cold abdomen
  • Cold extremities
  • Intolerance of Cold
  • T: Pale and swollen
  • C: White
  • P: Thready, deep and weak

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

  • The dosages may be adjusted, depending on the degree of Cold.

MODIFICATIONS

For more severe Cold: For more Qi Deficiency symptoms with fewer Cold symptoms:
+ 6g Fr. Evodiae Wu Zhu Yu
For severe regurgitation: +12-15g Poria Fu Ling
+ 9-12g Rz. Pinelliae Preparatum Zhi Ban Xia For edema or Fluid Retention:
+ 9-12g Rz. Alismatis Ze Xie
+ 12-15g Flos Inulae Xuan Fu Hua + 9-12g Sm. Plantaginis Che Qian Zi
For severe fullness and distention:    
+ 9-12g Cx. Magnoliae Officinalis Hou Po    
   
+ 9-12g Fr. Aurantii Zhi Ke