This formula is a variant on Li Zhong Wan (Formula to Regulate the Middle Jiao). Over the centuries the clinical uses of this formula have been expanded to include a broad range of disorders characterised by deficiency-Cold of the Spleen and Stomach. Thus the key clinical features for the application of this formula centre on Spleen & Stomach Qi deficiency together with signs of Yang deficiency. When the Spleen Yang is deficient the ascending movement of the Spleen Qi fails to send the clear Yang Qi upwards. The presence of Cold in the middle Jiao retards the circulation of the Qi and Blood leading to stagnation, which may manifest clinically with conditions that are aggravated by the application of cold but alleviated by warmth and pressure (i.e. massage). In addition there may be systemic signs of Cold.The addition of Myristica seed (rou dou kou) and Tetradium fruit (wu zhu yu) are used together in this formula to enhances the original formula's interior Warming and Cold dispelling actions.
INDICATIONSTraditionally used in Chinese medicine to dissipate coldness of Cold Deficiency patternTraditionally used in Chinese medicine to replenish Qi in Cold Deficiency patternTraditionally used in Chinese medicine to warm and nourish spleen in Cold Deficiency patternTraditionally used in Chinese medicine to warm and strengthen stomach in Cold Deficiency pattern TCM ACTIONSWarm-tonifies the middle Jiao (i.e. Spleen & Stomach), dispels Cold (from the middle Jiao)TCM SYNDROMESSpleen-Stomach deficiency-Cold (middle Jiao Yang deficiency)Cold stagnation of the middle Jiao
8 - 12 pills, 3 times daily, half to one hour away from food. In severe cases and in the early stages of treatment (first 1 - 2 weeks) the dosage may be increased by 50-100%. Course of treatment: 1 week to 3 months.
Each Pill contains: Atractylodes macrocephala (Atractylodes) rhizome equiv. to dry84.9mgCodonopsis pilosula (Codonopsis) root equiv. to dry106.1mgGlycyrrhiza uralensis (Licorice) root equiv. to dry35.4mgMyristica fragrans seed equiv. to dry42.5mgTetradium ruticarpum fruit equiv. to dry42.5mgZingiber officinale (Ginger) rhizome equiv. to dry42.5mg
If using this formula to treat acute GIT disorders, discontinue once the symptoms have been resolved.Caution with patients taking antiarrhythmic drugs (e.g. quinidine, procainamide, disopyramide).Talk to a TCM practitioner/health professional if you are unsure if this medicine is right for y