Li Zhong Wan (Regulate the Middle Pill)

Li Zhong Wan (Regulate the Middle Pill)

Formula 3 of 10 in Formulas that Warm Interior Cold

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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 (Dried Ginger Rhizome)
Quantity = 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 (Ginseng Root)
Quantity = 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 (White Atractylodes Rhizome)
Quantity = 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 (Honey Fried Licorice Root)
Quantity = 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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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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