WH Acupuncture & Herbs Centre

Middle-Regulating Pills(Li  zhong wan) 

[SOURCE]: Treatise on Cold-Attack

【 INGREDIENTS】:Ginseng 6g , Dry ginger 5g , Roasted licorice root 6g, Bighead atractylodes rhizome 9g

[DIRECTIONS]: Grind the above herbs into powder then mix with honey to make into from of pills as large as yolk. Taking one pill with lukewarm water each time. Or the above herbs could be decocted in water for oral administration.

[EFEFCTS]: Warming the middle to dispel cold, reinforcing the spleen-qi.

[INDICATIONS]:

(1)      Deficient cold of the middle-jiao manifested by diarrhea without thirst, vomiting, abdominal distention and pain, anorexia, and cholera.

(2)      Yang deficiency and blood loss.

(3)      Chronic infantile convulsion, sleepy and sialorrhea after recovery from ill­ness, and chest congestion, etc. due to deficient cold of the middle-jiao.

ANALYSIS OF FORMULA: This is a representative formula for deficient cold of the spleen and stomach. Being pungent flavor and hot nature, dry ginger acts as the main herb to warm the middle for dispelling cold and relieving pain. As the as­sistant herb, ginseng reinforces the middle qi. Bighead atractylodes rhizome is the adjuvant herb to dry dampness and to strengthen the spleen-qi for recovering the normal ascending and descending. Licorice root acts as the dispatcher herb to toni­fy the middle qi and to harmonize all the components.

In the present clinic,this formula has affirmative effects on treating acute of chronic gastroenteritis, gastric and duodenal ulcer, gastroptosia, chronic colitis, chronic bronchitis, ascariasis, menorrhagia pertaining to deficient cold of the spleen and stomach.

[ASSOCIATED FORMULAE]:

(1)      Cassia Twig and Ginseng Decoction(gui zhi ren shen tang---桂枝人参汤)，(Treatise on Cold Attack)：

Cassia twig 6g, Roasted licorice root 9g, bighead atractylodes rhizome 9g, gin­seng 6g,dry ginger 5g.

The above herbs should be decocted in water for oral administration.

Effects: Warming the interior and relieving the exterior, reinforcing qi for re­lieving stuffiness.

Indications:Not relief of the exterior syndrome after applying several purga­tion to the Taiyang diseases manifested by fever with persistent diarrhea, stuffi­ness and hardness of epigastrium.

(2)      Aconite Middle-Regulating Pills (fu zi li zhong wan---附子理中丸) , ( Formulae of Peaceful Benevolent Dispensary) ••