HERB FORMULAS

English: Separate and Reduce Fullness in the Middle Pill
Also Known As:
Pharmaceutical Latin
Pin Yin
Dosage
Actions
Ginger-fried Cx. Magnoliae Officinalis Jiang Chao Hou Po 12-30g Promotes the movement of Qi in the Middle Jiao, resolves Stagnation, descends Rebellious Qi, reduces Phlegm and dries Dampness, specifically for abdominal distention.
With Chao Zhi Shi, for abdominal or chest distention, focal epigastric distention, wheezing, shortness of breath nausea, rebellious Qi or constipation from Cold, Heat, Dampness or Phlegm as long as clumped Qi is at the root of the problem (use with caution in weaker patients).
With Chao Zhi Shi and Jiang Huang, promotes Qi movement and harmonizes the Stomach.
With Gan Jiang, for acute diarrhea from Cold attacking the Middle.
With Huang Lian, for acute diarrhea associated with sudden turmoil disorder from Damp-Heat.
Dry-fried Fr. Aurantii Immaturus Chao Zhi Shi 9-15g Breaks up Stagnant Qi, reduces accumulation, descends Qi, unblocks the bowels, removes Stagnant Food, transforms Phlegm, reduces distention and resolves hardenings. It can be used in both Hot and Cold disorders.
With Jiang Chao Hou Po, Removes Qi Obstruction in the Middle Jiao.
With Jiang Huang and Jiang Chao Hou Po, promotes Qi movement and harmonizes the Stomach.
With Chen Pi, strengthens the Middle Jiao.
Rz. Curcumae Longae Jiang Huang 3-6g Invigorates Blood, promotes movement of Qi, alleviates pain and aids Chao Zhi Shi in removing Qi Obstruction in the Middle Jiao.
Rx. Scutellariae Huang Qin 10-36g Clears Heat, dries Dampness, drains Fire, detoxifies and Calms ascending Liver Yang.
With Huang Lian, drains pathogenic Heat from the Upper and Middle Jiaos for high fever, redness, swelling and pain of the head and face, dry mouth, parched throat, ulcerations of the mouth and tongue, epistaxis, rashes and irritability in warm-febrile disease and treats explosive diarrhea and dysentery with burning pain in the anus or fitted, filthy stools and abdominal pain.
With Huang Lian, Gan Jiang, Zhi Ban Xia, and Chao Zhi Mu, drains Stagnation from the epigastrium in order to separate Damp from Heat.
Rz. Coptidis Huang Lian 10-15g Clears Heat and drains Dampness, drains Fire, resolves Fire toxicity and drains Stomach Fire.
With Chao Zhi Mu, for Blazing Stomach Fire with intense hunger, dry stools, dry, yellow tongue coat and a slippery rapid pulse.
Rz. Zingiberis Gan Jiang 6g Warms the Middle and expels Cold.
With Huang Lian, for epigastric pain and distention, dysentery, indeterminate gnawing hunger, vague abdominal pain or discomfort, belching, and nausea.
With Jiang Chao Hou Po, for epigastric distention and pain due to Cold-induced congested fluids.
Rz. Pinelliae Preparatum Zhi Ban Xia 10-15g Dries Dampness, transforms Phlegm, descends Rebellious Qi, stops vomiting and harmonizes the Stomach.
With Chen Pi, for epigastric and abdominal distention or pain due to disharmony of the Stomach Qi.
With Huang Qin and Chao Zhi Mu, for Phlegm-Heat in the Lungs with yellow, viscous sputum, with other Heat signs and vomiting.
With Fu Ling, expels Phlegm and stops nausea and vomiting, hiccups, coughs with clear, profuse Phlegm and loose and watery stools and treats Phlegm, thin mucus and turbid Dampness.
With Huang Lian, for epigastric distention and indigestion due to a simultaneous invasion of Hot and Cold pathogenic influences into the Stomach.
With Jiang Chao Hou Po, treats Phlegm-Dampness with Qi Stagnation to open Phlegm and Qi Obstruction with a sensation of fullness in the chest with coughing and wheezing, nausea, vomiting and a sensation of distention in the hypochondrium.
Dry-fried Rx. Anemarrhenae Chao Zhi Mu 6-12g Clears Yang Ming and Qi Stage Heat, drains Fire and nourishes Yin (clears Heat from the Lung and Stomach).
With Huang Qin, for cough with Excess Lung Heat.
Rz. Alismatis Ze Xie 6-9g Promotes urination, leaches out Dampness, settles Ministerial Fire in the Kidneys by draining Damp-Heat from the lower Jiao and drains Kidney Fire.
With Fu Ling, facilitates the removal of water and leaches out Dampness to treat stagnant water and Dampness leading to edema, jaundice, diarrhea, Milky Lin, and scanty, difficult urination with abdominal distention.
With Zhu Ling and Fu Ling, leaches out Dampness through the urine to treat generalized edema.
With Zhi Ban Xia, for Turbid Dampness in the Middle Jiao causing epigastric and abdominal distention.
Polyporus Zhu Ling 3-10g Promotes urination, leaches out Dampness and dispels Damp-Heat.
With Fu Ling, for Lin syndrome, scanty urine, edema, loose stools, vaginal discharge, jaundice, leg Qi and diarrhea.
With Ze Xie, drains Damp, unblocks and drains urinary pathways and drains Heat from the Bladder.
With Fu Ling and Ze Xie, for edema due to Spleen Deficiency.
Poria

 

Fu Ling 6-10g Promotes urination, leaches out Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
With Bai Zhu, strengthens the Spleen and resolves Dampness.
With Ren Shen and Bai Zhu, for weak and deficient Spleen with fatigue, anorexia and loose stools.
With Bai Zhu, Ren Shen and Zhi Gan Cao (Si Jun Zi Tang), strengthens Spleen Qi.
With Ze Xie and Zhu Ling, strengthens its ability to promote urination and leach out Dampness.
With Zhi Ban Xia and Chen Pi, for nausea, vomiting, chest fullness and distention and anorexia due to congested fluids.
Rz. Atractylodes Macrocephalae Bai Zhu 3-6g Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism.
With Chao Zhi Shi, for Spleen Deficiency with Qi Stagnation with anorexia, epigastric focal distention, and fullness.
With Zhu Ling and Ze Xie, for edema due to Internal Dampness.
With Gan Jian, eliminates Cold Dampness in the Spleen with loss of taste, a sticky sensation in the mouth, nausea, vomiting, diarrhea and a thick,white tongue coat and treats frequent diarrhea due to Spleen and Stomach Deficiency Cold.
With Ren Shen, Fu Ling, Zhi Gan Cao and Chao Zhi Shi, for Spleen and Stomach Qi Deficiencies with Qi and Food Stagnation.
With Gan Jiang, Ren Shen and Zhi Gan Cao, for Spleen and Stomach Deficiency Cold.
With Fu Ling, Zhu Ling and Ze Xie, for edema with Spleen Deficiency.
Rx. Ginseng Ren Shen 3g Tonifies Spleen and Stomach Qi.
With Bai Zhu, for Tonifies the transformation and transportation functions of the Spleen.
With Bai Zhu, Fu Ling and Zhi Gan Cao, for Spleen and Stomach Qi Deficiencies with Dampness with anorexia, diarrhea, vomiting, abdominal distention and fatigue.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3g Tonifies the Spleen, augments Qi, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.
Per Citri Reticulatae Chen Pi 6-9g Regulates Qi, adjusts the Middle, relieves the diaphragm, descends Qi, dries Dampness and transforms Phlegm.
With Sha Ren, regulates and revives the Spleen, assists in resolving acute problems and assists the patient back to health.
With Zhi Ban Xia, Fu Ling and Jiang Chao Hou Po, enhances the Phlegm transforming, Spleen strengthening properties.
With Bai Zhu, for anorexia and other symptoms of Damp-Obstruction due to Spleen Deficiency.
Fr. Amomi Sha Ren 3-9g Promotes the movement of Qi, aromatically transforms Dampness, strengthens the Spleen, stops vomiting, warms the Middle and stops diarrhea
With Chen Pi, for Dampness Obstructing the Spleen's transforming and transporting functions with reduced intake of food and diarrhea, belching, nausea, and a stifling sensation in the epigastrium due to Disharmony of the Stomach Qi and Vomiting of unadulterated, or scanty but viscous fluids.
With Jiang Chao Hou Po, for constrained Dampness with Qi Stagnation leading to distention and fullness in the epigastrium and abdomen.
With Bai Zhu and Ren Shen, for Spleen and Stomach Deficiencies.
  • Strengthens the Spleen
  • Regulates Qi
  • Drains Heat
  • Resolves Dampness
  • Damp-Heat
  • Drum-like abdominal distention due to Damp-Heat
  • Abdominal distention
  • Irritability
  • Firmness with a sensation of fullness and bursting pain in the epigastrium and abdomen.
  • Fever
  • Bitter taste in mouth
  • Dark-yellow urine
  • Oliguria with reddish urine
  • Constipation or foul smelling diarrhea
  • Thirst with no desire to drink
  • T: Normal
  • C: Yellow and greasy
  • P: Wiry and rapid
CONTRAINDICATIONS
  • Contraindicated for those with conditions due to Cold.
  • Use only for distention due to Damp-Heat.
HERB/DRUG INTERACTIONS
For jaundice due to Damp-Heat in the Spleen and Stomach: For painful rough urination:
- Rx. Ginseng Ren Shen + Hb. Polygoni Avicularis Bian Xu
- Rz. Zingiberis Gan Jiang + Talcum Hua Shi
+ Hb. Artemisiae Scopariae Yin Chen + Hb. Dianthi Qu Mai
+ Rx. et Rz. Rhei Da Huang
For dark-purple blood vessels showing on the abdomen, a dark-purple tongue and a choppy pulse:
+ Fr. Gardenia Zhi Zi + Rz. Sparganii San Leng
For jaundice due to Spleen and Stomach Deficiency with Stagnation of Dampness and Heat:
+ Rz. Curcumae E Zhu
- Rx. Glycyrrhizae Preparata Zhi Gan Cao + Rx. Salviae Miltiorrhizae Dan Shen
- Dry-fried Rz. Anemarrhenae Chao Zhi Mu
For leukorrhagia due to Spleen Deficiency with Damp-Heat (Dampness predominant):
+ Hb. Artemisiae Scopariae Yin Chen + More Rz. Atractylodis Macrocephalae Bai Zhu
or
+ More Poria Fu Ling
- Rx. Glycyrrhizae Preparata Zhi Gan Cao
For constipation:
+ 6-9g Rx. et Rz. Rhei Da Huang
- Rx. Ginseng Ren Shen
For difficult or painful urination:
- Rz. Atractylodis Macrocephalae Bai Zhu + 9-12g Sm. Plantaginis Che Qian Zi
+ 9g Six to One Powder
Liu Yi San
- Rz. Zingiberis Gan Jiang
+ 18g Hb. Artemisiae Scopariae Yin Chen
For ascites:
- Fr. Aurantii Immaturus Zhi Shi
+ 9-12g Fr. Gardeniae Zhi Zi - Rz. Zingiberis Gan Jiang
+ 6-9g Rx. et Rz. Rhei Da Huang - Rx. Ginseng Ren Shen
For ascites without jaundice:
+ 10g Fr. Aurantii Zhi Ke
- Fr. Aurantii Immaturus Zhi Shi + 30g Hb. Artemisiae Scopariae Yin Chen Hao
- Rz. Zingiberis Gan Jiang
- Rx. Ginseng Ren Shen + 6g Rx. et Rz. Rhei Da Huang
+ 10g Fr. Aurantii Zhi Ke
For ascites with diarrhea:
+ 6g Rx. et Rz. Rhei Da Huang - Fr. Aurantii Immaturus Zhi Shi
For liver cancer:
- Rz. Zingiberis Gan Jiang
- Rz. Curcumae Longae Jiang Huang - Rx. Ginseng Ren Shen
- Rz. Zingiberis Gan Jiang + 10g Fr. Aurantii Zhi Ke
- Rz. Anemarrhenae Zhi Mu + 30g Hb. Artemisiae Scopariae Yin Chen Hao
- Rz. Atractylodis Macrocephalae Bai Zhu
   
- Rx. Ginseng Ren Shen    
- Rx. Glycyrrhizae Gan Cao    
- Fr. Amomi Sha Ren    
+ 24g Sm. Plantaginis Che Qian Zi    
+ 30g Exocarpium Benincasae Dong Gua Pi