HERB FORMULAS

HUA GAN JIAN JIA WEI - 化肝煎加味 - MODIFIED TRANSFORM THE LIVER DECOCTION

English: Modified Transform the Liver Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Cx. Moutan Mu Dan Pi 9-12g Clears Heat, cools and harmonizes the Blood, invigorates the Blood, dispels Blood Stasis and clears Liver Fire.
Fr. Gardeniae Zhi Zi 9-12g Clears Heat, reduces Fire and eliminates irritability.
With Mu Dan Pi, for Irregular menstruation, headache, red eyes and thirst due to Liver Qi Heat from Stagnation.
Rx. Paeoniae Alba Bai Shao 9-12g Nourishes the Blood, softens the Liver, calms Liver Yang and Liver Wind and alleviates pain.
With Huang Lian, for epigastric distention and indigestion due to a simultaneous invasion of Hot and Cold pathogenic influences into the Stomach.
Fr. Citri Sarcodactylis Fo Shou 9-12g Spreads and regulates Liver Qi, harmonizes the Stomach, dries Dampness and strengthens the Spleen.
Fr. Akebiae Ba Yue Zha 9-12g Dredges the Liver, regulates Qi, controls pain and expels Phlegm.
Per. Citri Medica Xiang Yuan Pi 9-12g Promotes the movement of Qi, awakens the Spleen, eases the Middle, dredges and regulates Liver Qi, descends and drains to reduce Phlegm and stops pain.
With Huang Lian, for acid regurgitation.
Rz. Pinelliae Preparatum Zhi Ban Xia 9-12g Dries Dampness, transforms Phlegm, descends Rebellious Qi, stops vomiting and harmonizes the Stomach.
Rz. Coptidis Huang Lian 6-9g Clears Heat, drains Dampness and drains Stomach Fire.
With Zhi Ban Xia, for Cold and Heat in the Middle Jiao with abdominal fullness, nausea and vomiting.
Fr. Evodiae Wu Zhu Yu 2-3g Warms the Middle Jiao, disperses Cold, promotes the movement of Qi, relieves Stagnation in the Liver channel, spreads the Liver, descends rebellious Qi, stops vomiting and alleviates pain.
With Huang Lian, for vomiting, belching, epigastric pain and regurgitation of sour fluids from a Heat induced disharmony between the Liver and Stomach.
With Bai Shao and Huang Lian, for Liver/Spleen disharmony with Stomach pain, acid regurgitation, abdominal pain and dysenteric diarrhea.

FORMULA ACTIONS

  • Clears Heat from the Stomach and Liver
  • Harmonizes the Stomach
  • Descends Stomach Qi

SYNDROMES

  • Stomach and Liver Heat

CLINICAL MANIFESTATIONS

  • Recurrent or relentless acid reflux and heartburn, aggravated by coffee, chocolate and alcohol or stress
  • The patient may wake in the middle of the night (1-2 am) with discomfort and reflux
  • Sour or bitter belching
  • Epigastric discomfort or burning sensation
  • Indeterminate, gnawing hunger
  • Foul stools
  • Dry mouth
  • Thirst
  • Irritability
  • Quick temper
  • T: Red with red edges
  • C: Yellow
  • P: Wiry and/or slippery, maybe rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For a stronger antacid effect: For Excess Heat with a red neck, flushing, red eyes and irritability:
+ 15g Endoconcha Sepia Hai Piao Xiao
+ 30g Hb. Taraxaci Pu Gong Ying
+15g Calcined Concha Arcae Duan Wan Leng Zi For constipation:
+ 6-9g Rx. et Rz. Rhei Da Huang
    + 9-12g Fr. Aurantii Immaturus Zhi Shi