HERB FORMULAS

SHENG JIANG XIE XIN TANG - 生薑瀉心湯 - FRESH GINGER DECOCTION TO DRAIN THE EPIGASTRIUM

English: Fresh Ginger Decoction to Drain the Epigastrium
Also Known As: Pinellia and Ginger Combination
The Stomach Purging Powder with fresh Ginger

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Zingiberis Recens Sheng Jiang 9-15g Warms the Middle, stops vomiting, warms the Lungs, stops cough and normalizes the flow of Qi at the center.
With Da Zao, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen.
Rz. Zingiberis Gan Jiang 3-6g Warms the Middle, expels Cold, warms the Lungs and transforms thin mucus.
With Huang Lian, for epigastric pain and distention, dysentery, indeterminate gnawing hunger, vague abdominal pain or discomfort, belching, and nausea.
With Zhi Ban Xia, for vomiting of saliva or dry heaves due to Cold-induced congested fluids.
With Zhi Gan Cao, for epigastric pain and vomiting due to Spleen and Stomach Deficiency Cold.
With Zhi Ban Xia and Ren Shen, for vomiting due to Deficiency Cold.
Rz. Pinelliae Preparatum Zhi Ban Xia 9-12g Dries Dampness, transforms Phlegm, descends Rebellious Qi, stops vomiting and harmonizes the Stomach.
With Sheng Jiang, for vomiting due to Cold, thin mucus.
With Huang Lian, for epigastric distention and indigestion due to a simultaneous invasion of Hot and Cold pathogenic influences into the Stomach.
With Huang Qin, for Phlegm-Heat induced Rebellious Qi with cough, nausea, and vomiting.
With Huang Lian, Huang Qin and Gan Jiang, for nausea and vomiting due to Heat and Cold.
Rx. Scutellariae Huang Qin 6-12g Clears Heat and dries Dampness.
With HUang Lian, drains pathogenic Heat from the Upper and Middle Jiaos.
Rz. Coptidis Huang Lian 3-6g Clears Heat and drains Dampness and drains Stomach Fire.
With Zhi Ban Xia and Gan Jiang, for Cold and Heat complexes in the Intestines and Stomach marked by focal distention, nausea, vomiting and feelings of oppression in the chest.
Rx. Ginseng Ren Shen 9-12g Tonifies Spleen and Stomach Qi.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-9g Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of other herbs.
Fr. Jujube Da Zao 3-24g Tonifies the Spleen and Stomach, augments Qi and moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Harmonizes the Stomach
  • Reduces focal distention
  • Disperses clumping
  • Expels water
  • Descends Qi

SYNDROMES

  • Fluid and Heat Stagnation
  • Stomach Deficiency with Food Stagnation and Suspended Thin Mucus (Xuan Yin)
  • Disharmony between the Stomach and Intestines with Cold and Heat and Dampness Accumulation
  • Improper purging of the Shao Yang with underlying Stomach Qi Deficiency and Dampness Accumulation
  • Damp-Heat in the gastrointestinal area

CLINICAL MANIFESTATIONS

  • Food Stagnation
  • Firm epigastric focal distention
  • Dry heaves with a foul odor
  • The sound of Fluids in the hypochondria
  • Diarrhea
  • Very loud borborygmus
  • Nausea
  • Vomiting
  • Foul breath
  • Fullness and oppression in the chest and abdomen
  • Heartburn
  • Acid regurgitation
  • Ascites
  • T: Normal
  • C: Thin, yellow and greasy
  • P: Wiry, taut and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For nausea and vomiting of clear Fluids: For thirst with a desire to drink:
+ Fr. Aurantii Immaturus Zhi Shi + Poria Fu Ling
+ Cx. Magnoliae Officinalis Hou Po + Rz. Alismatis Ze Xie
For diarrhea and abdominal pain:
For indigestion: + Rx. Paeoniae Alba Bai Shao
+ Calm the Stomach Powder
Ping Wei San
+ Per. Citri Reticulatae Chen Pi
For belching and water retention in the Middle Jiao:
For epigastric distention with Excess Heat:
- Rz. Zingiberis Recens Sheng Jiang
+ Five-Ingredient Powder with Poria
Wu Ling San
- Rz. Pinelliae Preparatum Zhi Ban Xia
For epigastric distention with Excess Cold:
For hiccups: - Rx. Scutellariae Huang Qin
+ Calyx Kaki Shi Di - Rz. Coptidis Huang Lian