HERB FORMULAS

SI MO TANG - 四磨湯 - FOUR MILLED-HERB DECOCTION

English: Four Milled-Herb Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Ginseng Ren Shen 3-6g Tonifies Spleen and Stomach Qi, tonifies Lung Qi, tonifies Heart Qi and calms the Spirit.
Sm. Arecae Bing Lang 9g Regulates Qi, reduces accumulations, drains downward and unblocks the bowels.
Lignum Aquilariae Resinatum Chen Xiang 3-6g Promotes movement of Qi, alleviates pain, descends Qi, regulates the Middle, dispels Cold and warms the Spleen and Stomach.
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.
Rx. Linderae Wu Yao 6-9g Promotes movement of Qi and alleviates pain.

FORMULA ACTIONS

  • Promotes the movement of Qi
  • Descends Rebellious Qi
  • Expands the chest
  • Disperses Stagnation

SYNDROMES

  • Upper Jiao Qi Stagnation with clumping in the chest and Rebellious Qi

CLINICAL MANIFESTATIONS

  • An irritable, stifling sensation in the chest and diaphragm
  • Labored breathing
  • Wheezing
  • Epigastric distention and fullness
  • Anorexia
  • Hurried breathing
  • T: Normal
  • C: White
  • P: Wiry

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Do not take long-term.
  • Contraindicated for those with significant Qi Deficiency with fatigue and a frail pulse.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For strong patients with anger and distending pain in the abdomen and epigastrium: For constipation, belching and abdominal pain and distention:
- Rx. Ginseng Ren Shen + Fr. Aurantii Immaturus Zhi Shi
+ Rx. Aucklandiae Mu Xiang + Rx. et Rz. Rhei Da Huang
+ Fr. Aurantii Immaturus Zhi Shi