HERB FORMULAS

NUAN GAN JIAN - 暖肝煎 - WARM THE LIVER DECOCTION

English: Warm the Liver Decoction
Also Known As: Decoction for Warming the Liver Channel

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Angelicae Sinensis Dang Gui 6-10g Invigorates and tonifies Liver Blood, disperses Cold and alleviates pain.
With Fu Ling, strengthens Qi and Blood while promoting their movement.
Fr. Lycii Gou Qi Zi 9-10g Nourishes and tonifies The Liver and Kidneys, and nourishes Blood and Yin.
With Rou Gui, warms and tonifies the Liver and Kidneys.
Fr. Foeniculi Xiao Hui Xiang 6g Warms the Kidneys, disperses Cold, spreads Liver Qi and alleviates pain.
With Rou Gui and Wu Yao, for sharp, localized lower abdominal pain that is aggravated by Cold.
Cx. Cinnamomi Rou Gui 3-6g Warms the Kidneys, strengthens Ming Men Fire, disperses deep Cold and warms the channels.
Rx. Linderae Wu Yao 6g Moves Qi, alleviates pain, disperses Cold and warms the Kidneys.
With Chen Xiang, enhances the actions of Xiao Hui Xiang by moving Qi and alleviating Lower Jiao pain.
With Rou Gui, for abdominal pain, especially sensations of Cold and pain in the lower abdomen.
With Dang Gui, disperses Cold and stops pain, for abdominal pain due to External Cold.
Lignum Aquilariae Chen Xiang 3g Moves and descends Qi, warms the Kidneys and alleviates pain.
With Wu Yao, for lower abdominal pain, especially with lower abdominal Cold and tension and a stifling sensation in the chest and diaphragm with wheezing, distention, and anorexia.
With Rou Gui, for Spleen and Stomach Deficiency Cold with epigastric, abdominal and hypochondriac Cold pain.
With Xiao Hui Xian, for Spleen and Stomach Deficiency Cold with epigastric, abdominal and hypochondriac Cold pain.
With Mu Xiang, for Rebellious Middle Jiao Qi with belching, hiccup, nausea and vomiting, epigastric and abdominal distention stifling sensation in the epigastrium and diarrhea.
(Rx. Aucklandiae) (Mu Xiang) (3g) (May substitute for Chen Xiang.)
(With Wu Yao, for lower abdominal Coldness and pain.)
Poriae Fu Ling 6g Drains Dampness and strengthens the Spleen.
 With Sheng Jiang, treats nausea and anorexia.
With Mu Xiang, for diarrhea and borborygmus due to Dampness.
Rz. Zingiberis Recens Sheng Jiang 3-6g Disperses Cold and harmonizes the Stomach.

FORMULA ACTIONS

  • Warms the Liver and Kidneys
  • Promotes Qi movement
  • Dispels Cold
  • Alleviates pain

SYNDROMES

  • Small Intestine Qi Pain
  • Cold Stagnation in the Liver Channel
  • Cold type hernia

CLINICAL MANIFESTATIONS

  • Sharp, localized lower abdominal pain
  • Pain aggravated by Cold
  • Post menstrual pain
  • Swelling, distention and pain of scrotum
  • May be nausea and anorexia
  • T: Pale (especially on sides of root)
  • C: Moist and white
  • P: Deep and tight or Wiry, thin and slow

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Heat, redness, swelling and pain of the scrotum due to Damp-Heat in Lower Jiao.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe Cold: For even more severe Cold:
+ Fr. Evodiae Wu Zhu Yu + Fr. Evodiae Wu Zhu Yu
+ Rz. Zingiberis Gan Jiang + Rz. Zingiberis Gan Jiang
For hydrocele:
 + Rx. Aconiti Preparata Zhi Fu Zi
- Fr. Lycii Gou Qi Zi
For scrotal pain:
+ Per. Arecae Da Fu Pi + Sm. Litchi Li Zhi He
- Cx. Cinnamomi Rou Gui + Sm. Citri Reticulatae Ju He
+ Ram. Cinnamomi Gui Zhi
For severe lower abdominal pain:
For severe abdominal pain:
+ Rz. Corydalis Yan Hu Suo
+ Rz. Cyperi + Fr. Toosendan Chuan Lian Zi
For testicular pain:
+ Per. Citri Reticulatae Viride Qing Pi    
   
+ Sm. Citri Reticulatae Ju He