HERB FORMULAS

FU GUI LI ZHONG WAN - 附桂理中丸 - PREPARED ACONITE AND CINNAMON PILL TO REGULATE THE MIDDLE

English: Prepared Aconite and Cinnamon Pill to Regulate the Middle
Also Known As: Gui Fu Li Zhong Tang
Cinnamon and Prepared Aconite Decoction to Regulate the Middle
Decoction to Regulate the Spleen and Stomach with Aconite and Cinnamon Bark

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 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, for debilitated Spleen and Kidney Yang with incessant diarrhea.
Rx. Ginseng Ren Shen 3-15g Strongly tonifies Source Qi, tonifies Spleen and Stomach Qi, reinforces Yang and rectifies the ascending and descending functions of the the Middle Jiao.
With Zhi Fu Zi, for Collapsed Qi and Devastated Yang with spontaneous sweat, ice cold extremities and shortness of breath.
With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
Rz. Atractylodes Macrocephalae Bai Zhu 3-9g Aids Ren Shen in tonifying the Spleen and Stomach, strengthens the Spleen and Dries Dampness.
With Gan Jiang, Ren Shen and Zhi Gan Cao, for Spleen and Stomach Deficiency Cold.
Cx. Cinnamomi Rou Gui 2-6g Warms the Spleen, tonifies Kidney Yang and relieves pain by dispelling Cold.
With Zhi Fu Zi, powerfully tonifies Kidney Yang, for Kidney Yang Deficiency with lower back pain and weakness in the legs and knees.
With Zhi Fu Zi and Gan Jiang, for Cold, painful abdomen, anorexia, and diarrhea due to Kidney and Spleen Yang Deficiency.
Rx. Aconiti Lateralis Preparata Zhi Fu Zi 3-6g Restores Kidney and Heart Yang, relieves pain and Coldness and dispels water and Dampness.
With Bai Zhu, for Spleen Yang Deficiency with a Cold, painful abdomen, vomiting and watery diarrhea.
With Bai Zhu and Gan Jian, for Internal ascendancy of Yin Cold leading to lack of arousal of Spleen Yang with abdominal pain and Cold with watery diarrhea.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-9g Augments Qi of the Middle Jiao and moderates and harmonizes the harsh properties of other herbs.
With Ren Shen, relieves palpitations and anxiety.

FORMULA ACTIONS

  • Warms and Tonifies the Spleen, Stomach and Kidneys
  • Dispels Cold
  • Replenishes Yang

SYNDROMES

  • Spleen, Stomach and Kidney Yang Deficiency, with Accumulation of Cold

CLINICAL MANIFESTATIONS

  • Diarrhea with undigested food
  • Aversion to Cold or
  • Daybreak (Cock Crow) diarrhea
  • Cold and stiff extremities
  • Back pain
  • Reduced appetite
  • Fullness in the epigastrium and abdomen (likes pressure)
  • Lack of thirst
  • Vomiting
  • Loose stools
  • Trismus
  • T: Pale, may be moist
  • C: White
  • P:Deep, slow and weak

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with External Invasion with fever.
  • Contraindicated for those with sudden turmoil disorder - stop when diarrhea and Yin Deficiency vomiting have stopped.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe fatigue: For drowsiness after eating:
+15g Rx. Astragali Huang Qi + 9g Rz. Acori Tatarinowii Shi Chang Pu
For severe Spleen Yang Deficiency: For vomiting:
+ 3g Fr. Evodiae Wu Zhu Yu + 9g Rz. Zingiberis Recens Sheng Jiang
For Stomach distention:
+ 9g Rx. Aucklandiae Mu Xiang For severe anorexia:
+ 9g Stir-fried Per. Citri Reticulatae Chao Chen Pi + 3g Fr. Amomi Sha Ren
+ 9g Stir-fried Per. Citri Reticulatae Chao Chen Pi
For undigested food in the stool:
+ 9g Stir-fried Fr. Hordei Germinatus Chao Mai Ya
For senile dementia with Phlegm-Damp:
+ Sm. Sinapis Bai Jie Zi
+ 9g Stir-fried Fr. Crataegi Chao Shan Zha + Fr. Trichosanthis Gua Lou
+ Rz. Arisaematis Preparatum Zhi Tian Nan Xing
For senile dementia with edema of the limbs:
+ Poria Fu Ling
For senile dementia with pain and paralysis of the limbs due to Blood Stasis:
+ Sm. Plantaginis Che Qian Zi
+ Rz. Alismatis Ze Xie + Sm. Persicae Tao Ren
    + Flos Carthami Hong Hua
    + Caulis Spatholobi Ji Xue Teng