Da Jian Zhong Tang (Major Construct the Middle Decoction)

Da Jian Zhong Tang (Major Construct the Middle Decoction)

Formula 6 of 10 in Formulas that Warm Interior Cold

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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 (Fruit of Szechuan Pepper)
Quantity = 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 (Dried Ginger Rhizome)
Quantity = 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 (Ginseng Root)
Quantity = 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 (Barley Malt Sugar, Maltose)
Quantity = 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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References Used

The TCM information presented here has been referenced from numerous sources; including teachers, practitioners, class notes from Five Branches University, the following books, as well as other sources. If you have benefited from this information, please consider supporting the authors and their works by purchasing the books below.

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General Formulas