Major Construct the Middle Decoction
Chinese Prescription: Da Jian Zhong Tang
English Translation: Major Construct the Middle Decoction
Formula Type: Warm the Middle and Dispel Cold
Actions: Warms & tonifies the middle burner deficiency, directs rebellious qi downward, & alleviates pain.
Indications: Excruciating epigastic & abdominal pain such that the patient cannot tolerate being touched, a strong sensation of cold in the epigastrium, vomiting to the point of being unable to eat, a white, slippery tongue coating, & a thin & tight or slow & wiry (or, especially in severe cases, hidden) pulse. There may also be borborygmus.
Contraindications: Contraindicated in cases with internal clumping, damp-heat, or yin & blood deficiency.
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Chuan Jiao / Szechuan Pepper Fruit Peel |
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Taste: • Temperature: • Category: Warm Interior & Expel Cold • Sub Category: |
Dosage |
Actions |
Meridians |
Cautions |
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Gan Jiang / Ginger Root, dried |
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Taste: Acrid • Temperature: Hot • Category: Warm Interior & Expel Cold • Sub Category: |
Dosage3-12g |
Actions1. Warms the middle & expels cold: for warming the Spleen & Stomach both in conditions of excess due to externally contracted cold, as well as cold from deficiency due to insufficiency of the yang qi.
2. Rescues devastated yang & expels interior cold: for devastated yang with such signs as a very weak pulse & cold limbs.
3. Warms the Lungs & transforms phlegm: for Lung cold with expectoration of thin, watery, or white sputum.
4. Warms the channels & stops bleeding: for cold from deficiency that may present with hemorrhage of various types, especially uterine bleeding. It is used in treating hemorrhage only if the bleeding is chronic & pale in color, & is accompanied by cold limbs, ashen white face, & a soggy, thin pulse. |
MeridiansHeart, Lung, Spleen, Stomach |
CautionsContraindicated in cases of yin deficiency with heat signs, or the reckless movement of hot blood. Use with caution during pregnancy. |
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Ren Shen / Panax Ginseng |
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Taste: Sweet, Slightly Bitter • Temperature: Slightly Warm • Category: Tonic • Sub Category: Tonify Qi |
Dosage1-9g, up to 30 grams (hemorrhagic shock) |
ActionsRen Shen / Panax Ginseng is used in treating patterns of qi, yang & yin deficiency.
1. Strongly tonifies the basal qi: for extreme collapse of the qi or abandoned conditions that manifest in shallow respiration, shortness of breath, cold limbs, profuse sweating, & a minute or weak pulse. The herb is used alone for this condition after severe loss of blood.
2. Tonifies the Lungs & augments the qi: for wheezing, shortness of breath, & labored breathing with exertion caused by Lung qi deficiency. There is usually also a concurrent failure of the Kidneys to grasp the qi.
3. Strengthens the Spleen & tonifies the Stomach: for lethargy, lack of appetite, chest & abdominal distention, chronic diarrhea, & in severe cases, prolapse of the stomach, uterus, or rectum.
4. Generates fluids & stops thirst: for wasting & thirsting disorders, as well as in cases when the qi & fluids have been injured by high fever & profuse sweating.
5. Benefits the Heart qi & calms the spirit: for palpitations with anxiety, insomnia, forgetfulness, & restlessness due to qi & blood deficiency.
Notes: Red Ginseng is more warming than White Ginseng. American Ginseng is considered cool and is better suited for those patients having a tendency towards heat signs. |
MeridiansLung, Spleen |
CautionsContraindicated in cases of yin deficiency with heat signs, heat excess, or in the absence of significant qi deficiency. Contraindicated for hypertensive patient with ascendant Liver yang, & in cases of very high blood pressure (systolic over 180mmHg). Overdose can lead to headache, insomnia, palpitations, & a rise in blood pressure. The traditional antidote is mung bean soup. This herb may antagonize wu ling zhi & may be incompatible with li lu. Patients taking this herb are advised to abstain from drinking tea & eating tunips, as this may reduce the effect of the herb. |
Dosage information not currently available