Da Jian Zhong Tang (Major Construct the Middle Decoction)
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Da Jian Zhong Tang (Major Construct the Middle Decoction)

Formula 4 of 10 in Formulas that Warm Interior Cold

Sub-Category:

  • Formulas that Warm the Channels and Disperse Cold

Pattern:

  • Cold from Yang Deficiency with upward movement of cold

Actions:

  • Tonifies and warms the middle burner (SP/ST)
  • Moves rebellious Qi downward.
  • Alleviates pain.

Indications:

  • Severe abdominal and epigastric pain that is aggravated with pressure
  • A strong cold sensation in the abdomen.
  • Nausea and vomiting causing an inability to eat.
  • Flatulence.

Possible Tongue Appearance:

  • Pale tongue with a moist coat
  • Pale tongue with a greasy white coat

Possible Pulse Patterns:

  • Tight pulse
  • Slow and wiry pulse
  • Deep and thready pulse in severe cases

Western Uses:

  • Chronic gastritis
  • Chronic Pancreatitis
  • Chronic Cholecystitis
  • Urinary calculi
  • Uncomplicated intestinal obstruction
  • Abdominal pain with spasms
  • Biliary Ascariasis
  • Duodenal ulcer
  • Vomiting

Cautions, Contraindications, Herb Drug Interactions:

  • Do not use in cases of Blood and Yin Deficiency, with Damp Heat conditions, or internal clumping
  • This formula contains one or more toxic substances.
    While some Chinese herbs are toxic, many come prepared, or are combined, to mitigate their toxicity.

Preparation Notes:

  • Decoction. Yi Tang is added to the final strained decoction.
  • In modern formulations, Dang Shen is often substituted for Ren Shen with 2-3 times the dosage, a lower dosage of Chuan Jiao can be used, and half the listed dosage of Gan Jiang and Yi Tang are used.

Originally Appeared In:

  • Essentials from the Golden Cabinet (Jin Gui Yao Lue)

Combined Channels of all herbs in this formula:

  • Stomach, Spleen, Kidneys, Lungs, Heart

There are 4 Substances in this Chinese Medicne

Chuan Jiao (Qty: 3-9 grams)

Hot Chuan Jiao (Pericarpium Zanthoxyli Bungeani)
Channels:
KI, SP, ST
Properties:
Spicy, Hot, Slightly Toxic
Latin:
Pericarpium Zanthoxyli Bungeani
Chinese:
川椒
Tone Marks:
chuān jiāo
Alt Names:
Hua Jiao, Qin Jiao, Shu Jiao, Ba Jiao, Hong Jiao
Translation:
Flower Pepper

Gan Jiang (Qty: 12 grams)

Hot Gan Jiang (dry Rhizoma Zingiberis)
Channels:
HT, LU, SP, ST
Properties:
Spicy, Hot
Latin:
dry Rhizoma Zingiberis
Chinese:
干姜
Tone Marks:
gān jiāng

Ren Shen (Qty: 6 grams)

Slightly Warm Ren Shen (Radix Ginseng)
Channels:
LU, SP
Properties:
Sweet, Slightly Bitter, Slightly Warm
Latin:
Radix Ginseng
Chinese:
人参
Tone Marks:
rén shēn
Translation:
Man root

Yi Tang (Qty: 18-30 grams)

Slightly Warm Yi Tang (Saccharum Granorum)
Channels:
LU, SP, ST
Properties:
Sweet, Slightly Warm
Latin:
Saccharum Granorum
Chinese:
饴糖
Tone Marks:
yí táng

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