Li Zhong Wan (Regulate the Middle Pill)
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Li Zhong Wan (Regulate the Middle Pill)

Formula 5 of 10 in Formulas that Warm Interior Cold

Sub-Category:

  • Formulas that Warm the Channels and Disperse Cold

Pattern:

  • Middle Jiao (SP, ST) Yang deficiency with cold

Actions:

  • Warms the Middle Jiao and dispels cold
  • Strengthens the Spleen and Stomach.

Indications:

  • Watery diarrhea, undigested food in the stool, indigestion, nausea, vomiting, lack of thirst, abdominal pain that is relieved by warmth, poor appetite, and fatigue

Possible Tongue Appearance:

  • Pale tongue with white coat

Possible Pulse Patterns:

  • Deep, slow, and weak pulse

Western Uses:

  • Acute and Chronic Gastroenteritis
  • Gastro-Duodenal Ulcers
  • Irritable Bowel Syndrome
  • Gastrectasis
  • Gastroptosis
  • Chronic Colitis
  • Cholera
  • Vomiting
  • Anemia
  • Chronic Bronchitis
  • Oral Herpes
  • Functional Uterine Bleeding

Cautions, Contraindications, Herb Drug Interactions:

  • This formula is warm and drying it should not be used in cases with Yin deficiency and heat
  • Do not use in cases where external pathogens are present.

Preparation Notes:

  • Pills. Grind all herbs into an even powder and use honey to form into pills. Take in 9 gram doses 2-3 times a day.
  • In all but acute cases Dang Shen is substituted for Ren Shen.
  • This formula can also be prepared as a decoction.

Originally Appeared In:

  • On Cold Damage (Shang Han Lun)

Combined Channels of all herbs in this formula:

  • Lungs, Stomach, Spleen, Heart

There are 4 Substances in this Chinese Medicne

Gan Jiang (Qty: 9 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: 9 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

Bai Zhu (Qty: 9 grams)

Warm Bai Zhu (Rhizoma Atractylodis Macrocephalae)
Channels:
SP, ST
Properties:
Bitter, Sweet, Warm
Latin:
Rhizoma Atractylodis Macrocephalae
Chinese:
白术
Tone Marks:
bái zhú

Zhi Gan Cao (Qty: 9 grams)

Warm Zhi Gan Cao (Radix Glycyrrhizae)
Channels:
All 12 Channels
Properties:
Sweet, Warm
Latin:
Radix Glycyrrhizae
Chinese:
炙甘草
Tone Marks:
zhì gān căo

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