HERB FORMULAS

LIAN LI TANG - 连李汤 - DECOCTION TO REGULATE THE MIDDLE WITH COPTIS

English: Decoction (Pill) to Regulate the Middle with Coptis
Also Known As:  

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Zingiberis Gan Jiang 3-9g Warms the Spleen and Stomach and eliminates interior Cold.
With Gan Cao, for vomiting and epigastric pain due to Spleen and Stomach Deficiency Cold.
With Bai Zhu, for diarrhea due to Spleen Deficiency.
Rx. Ginseng Ren Shen 3-15g Reinforces Yang, strongly tonifies Yuan Qi and harmonizes the Middle Jiao.
 With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
Rz. Atractylodis Macrocephalae Bai Zhu 3-9g Strengthens the Spleen and dries Dampness.
With Ren Shen, tonifies the Spleen and Stomach.
With Ren Shen and Gan Jiang, for Middle Jiao Deficiency Cold with abdominal pain, distention, vomiting and diarrhea.
Fried Rx. Glycyrrhizae Zhi Gan Cao 3-9g Augments the Qi of the Middle Jiao and harmonizes.
Rz. Coptidis Huang Lian 1.5-10g Clears Heat, drains Dampness, drains Stomach Fire, resolves Fire toxicity and stops bleeding.

FORMULA ACTIONS

  • Warms the Middle Jiao
  • Dispels Cold
  • Clears Heat
  • Strengthens the Spleen and Stomach
  • Tonifies Qi

SYNDROMES

  • Spleen Yang Deficiency with Dampness in the Lower Jiao and Dryness in the Upper Jiao

CLINICAL MANIFESTATIONS

  • Diarrhea with watery stools
  • Nausea and vomiting of sour fluids
  • Thirst
  • Anorexia
  • Abdominal and/or epigastric fullness (likes pressure)
  • Abdominal pain
  • Gastrointestinal weakness
  • Pale face
  • Reduced urination
  • Tends toward fatigue
  • May have cold limbs
  • May have headache with fever
  • Body aches
  • Epistaxis
  • Hematemesis
  • Shortness of breath
  • Lassitude
  • Epigastric pain
  • All Blood from bleeding is pale
  • Mouth ulcers
  • Edema
  • Insomnia
  • Hemoptysis
  • Intestinal bleeding
  • Chronic bleeding
  • Hemafecia
  • Uterine bleeding
  • Rectal bleeding
  • Profuse menstrual flow
  • Chest fullness and pain
  • Hypochondriac pain that shoots toward the Heart
  • Intolerance of Cold
  • Rigid focal distention in the Heart region
  • Excessive production or drooling of foamy saliva
  • Emaciation
  • T: Pale, may be moist
  • C: White or None
  • P: Deep, weak and slow or Deep and thready or Big and weak

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with External Wind Invasion with fever.
  • Contraindicated for those with Yin Deficiency.
  • Use with caution during pregnancy.
  • For those with sudden turmoil disorder, stop when diarrhea and vomiting have stopped.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For Stomach cancer with more Dampness:
For Stomach cancer with more Cold:
+ 9g Polyporus Zhu Ling + 9g Rx. Aconiti Lateralis Preparata

Zhi Fu Zi

+ 9g Rz. Alismatis
When Yang begins to revive, nourish Yin and Blood:
+ 6g Cx. Cinnamomi Gui Zhi
+ 6g Fr. Amomi Sha Ren
+ 1.5g Rx. Ginseng Ren Shen + 9g Rz. Pinelliae Sheng Ban Xia
+ 18g Rz. Dioscoreae Shan Yao + 9g Flos Caryophylli Ding Xiang
+ 10g Sm. Nelumbinis Lian Zi + 10g Fr. Alpiniae Oxyphyllae Yi Zhi Ren
+ 6g Fr. Mume Wu Mei
+ 4g Fr. Jujube Da Zao    
+ 15g Sm. Oryzae Glutinosae Nuo Mi    
   
+ 3g Rx. Glycyrrhizae Gan Cao    
+ 10g Rx. Angelicae Sinensis Dang Gui    
   
+ 10g Rx. Paeoniae Alba Bai Shao