HERB FORMULAS

XIAO JIAN ZHONG TANG - 小建中湯 - MINOR CONSTRUCT THE MIDDLE BURNER DECOCTION

English: Minor Construct the Middle (Burner) Decoction
Also Known As: Minor Decoction for Restoring the Normal Function of the Middle Burner
Minor fortify the Center Decoction
Minor Cinnamon and Peony Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Maltosum Yi Tang 18-30g Tonifies the Spleen and Middle Jiao Qi, alleviates pain, disperses Cold and moderates spasmodic abdominal pain.
With Gui Zhi, warms and tonifies the Middle Jiao.
With Gui Zhi and Gan Cao, for Cold abdominal pain due to Middle Jiao Deficiency.
With Gui Zhi, Bai Shao, Sheng Jiang and Zhi Gan Cao, for abdominal pain that is better with pressure and somewhat alleviated by eating. due to Cold from Middle Jiao Deficiency.
Ram. Cinnamomi Gui Zhi 4-9g Warms the Middle Jiao, disperses Cold, releases the exterior and adjusts the Ying and Wei.
 With Bai Shao, harmonizes the Ying and Wei.
With Zhi Gan Cao, for palpitations and shortness of breath due to injured Yang of the chest.
Rx. Paeoniae Alba Bai Shao 6-18g Harmonizes, protects Yin, nourishes Blood, Softens the Liver and alleviates pain.
With Gan Cao, stops spasmodic abdominal pain.
With Gui Zhi, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-6g Tonifies the Spleen and augments Qi, moistens the Lungs, resolves Phlegm, stops cough, moderates spasms, alleviates pain and harmonizes the Middle Jiao.
Rz. Zingiberis Recens Sheng Jiang 2-9g Releases the exterior, disperses Cold, warms the middle and adjusts the Ying and Wei.
 With Da Zao, harmonizes and protects Ying Qi and alleviates epigastric pain, nausea and vomiting, protects the Stomach Qi and reduces irritation of the gastrointestinal. tract by other herbs.
With Gui Zhi, strongly induces sweating for treatment of External Wind-Cold with chills, fever, body aches and anhidrosis and warms and dispels thin mucus in the Stomach with nausea, hiccup, Stomach pain, acid reflux or vomiting of clear fluid.
Fr. Jujube Da Zao 3-5g Strengthens the Spleen, tonifies Qi and protects and harmonizes the Middle Jiao.

FORMULA ACTIONS

  • Warms and tonifies the Middle Jiao
  • Replenishes Qi
  • Relieves spasmodic abdominal pain
  • Dispels Cold
  • Improves the constitution in children
  • Resolves exterior conditions

SYNDROMES

  • Spleen and Stomach Deficiency Cold
  • Spasmodic abdominal pain due to consumptive conditions
  • Consumptive diseases due to Yin and Yang Deficiency
  • Consumptive diseases due to high fever
  • Blood Deficiency which cannot nourish the Heart

CLINICAL MANIFESTATIONS

  • Intermittent spasmodic abdominal pain which is better with Heat and pressure
  • Epigastric pain
  • Lusterless complexion
  • Fidgeting
  • Reduced appetite
  • Maybe low-grade fever
  • Palpitations
  • Irritability
  • Cold and sore extremities
  • Nonspecific discomfort
  • Dry mouth and throat
  • Nocturnal emission
  • Five Sole heat
  • Debilitated constitution in children
  • Enuresis in children
  • Insomnia
  • Epistaxis
  • Habitual constipation
  • Maybe warm extremities
  • Night sweats
  • Tired limbs
  • Frequent urination
  • Maybe scanty urination
  • Night crying
  • Diarrhea in children
  • Habitual headache in children
  • Hernia pain in children
  • Chronic constipation
  • Purpura
  • Asthma
  • T: Pale
  • C: White
  • P: Thready, wiry and even or Thready and weak

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Heat from Yin Deficiency.
  • Eliminate sweet flavor for vomiting or roundworms.
  • Modify for abdominal distention.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For more severe Cold: For relapse due to consumption of raw or cold food:
- Ram. Cinnamomi Gui Zhi + More Ram Cinnamomi Gui Zhi
+ Cx. Cinnamomi
 + Rx. Linderae Wu Yao
For concurrent Qi Stagnation:
For roundworms:
+ Rx. Aucklandiae
+ Less Maltosum Yi Tang
+ End. Corneum Gigeriae Galli Ji Nei Jin + Less Rx. Paeoniae Alba Bai Shao
For diarrhea:
+ Fr. Mume
+ Rz. Atractylodis Macrocephalae Bai Zhu
For abdominal fullness or nausea after taking this formula:
For fatigue due to Qi Deficiency:
+ Per. Citri Reticulatae
+ Rx. Astragali
+ Fr. Amomi Sha Ren
+ Rx. Ginseng Ren Shen
For fatigue due to Blood Deficiency:
for a sallow complexion with fatigue + Rx. Angelicae Sinensis Dang Gui
- Maltosum Yi Tang + Rz. Chuanxiong Chuan Xiong
+ Rx. Astragali
For irritability due to Lung Deficiency:
+ Rx. Ginseng Ren Shen + Rx. Ophiopogonis Mai Men Dong
+ Rx. Angelicae Sinensis Dang Gui + Fr. Schisandrae Wu Wei Zi
For chronic weakness and Deficiency in women:
For chronic weakness and Deficiency in men:
+ Four-Substance Decoction
Si Wu Tang
+ Four Gentlemen Decoction
Si Jun Zi Tang
For postpartum weakness with abdominal pain and spasms or severe Blood Deficiency:
For dyspnea and spontaneous perspiration or severe Qi Deficiency:
+ Rx. Angelicae Sinensis Dang Gui
+ Rx. Astragali
For spontaneous sweating, low grade fever and frequent colds:
For postpartum diffuse abdominal pain and weakness:
+ 18-30g Honey-fried Rx. Astragali Zhi Huang Qi
+ 9-12g Rx. Angelicae Sinensis
For abdominal Cold:
+ 15-20g Rz. Zingiberis Recens
+ Rz. Zingiberis Gan Jiang
For severe abdominal Cold pain:
For abdominal Cold pain with nausea, vomiting and acid regurgitation:
+ 9g Rz. Alpiniae Officinarum Gao Liang Jiang
+ 3-5g Fr. Evodiae
+ 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
For Spleen Yang Deficiency causing Dampness Accumulation with heaviness, fullness and distention of the Stomach and abdomen, reduced appetite, fatigue and a glossy, white tongue coat:
For severe Qi Deficiency:
+ 9g Rice bran stir-fried Rx. Codonopsis
- Minor Construct the Middle (Burner) Decoction
Xiao Jian Zhong Tang
+ 12g Honey stir-fried Rx. Astragali
+ Magnolia Bark Decoction for Warming the Middle
Hou Po Wen Zhong Tang
For abdominal pain with Blood Deficiency:
+ 9g Rx. Angelicae Sinensis Dang Gui
For Middle Jiao Yang failing to move causing Qi Stagnation with abdominal distention, borborygmus and flatulence:
For abdominal pain with obvious Qi Deficiency:
+ 15g Rx. Astragali Huang Qi
- Minor Construct the Middle (Burner) Decoction
Xiao Jian Zhong Tang
For gastrointestinal disorders:
- Rz. Zingiberis Recens Sheng Jiang
+ Aquilaria Decoction
Chen Xiang Tang
+ 5g Rz. Zingiberis Gan Jiang
+ 10g Rx. Codonopsis Dang Shen
For gastritis with acid reflux:
+ 10g Rz. Atractylodis Macrocephalae Bai Zhu
- Maltosum
+ Fr. Evodiae
+ 10g Fr. Citri Sarcodactylis Fo Shou
+ Endoconcha Sepiae
+ Concha Ostreae
For gastritis with pain at night and a purplish tongue dark spots:
For gastritis with H. pylori:
+ Rx. et Rz. Rhei
+ Rz. Corydalis
+ Pollen Typhae
+ Rx. Paeoniae Rubra
For gastritis with Qi Deficiency and generalized weakness :
+ Rx. Salviae Miltiorrhizae
+ 10g Rz. Atractylodis Macrocephalae Bai Zhu
For gastritis with a peptic ulcer:
+ Fr. Trichosanthis
+ Rx. Astragali
+ Fr. Evodiae
+ Poria
+ Bul. Allii
For gastritis with a peptic ulcer with severe acid reflux:
For gastritis with nausea and vomiting:
+ Fr. Trichosanthis
- Maltosum Yi Tang
+ Fr. Evodiae
- Fr. Jujube Da Zao
+ Bul. Allii
+ Fr. Trichosanthis
+ Rz. Pinelliae Preparatum
+ Fr. Evodiae
+ Bul. Allii
For gastritis with frequent belching:
+ Rz. Coptidis
+ Fr. Trichosanthis
+ Concha Ostreae
+ Fr. Evodiae
For gastritis with chest and abdominal distention:
+ Bul. Allii
+ Rz. Pinelliae Preparatum
- Fr. Jujube Da Zao
+ Fr. Trichosanthis
+ Flos Inulae Xuan Fu Hua
+ Fr. Evodiae
+ Haematitum Dai Zhe Shi
+ Bul. Allii
For gastritis with palpitations:
+ Cx. Magnoliae Officinalis
+ Fr. Trichosanthis
+ Fr. Evodiae
+ Fr. Aurantii
+ Bul. Allii
For gastritis with loose stools:
+ Poria Fu Ling
+ Fr. Trichosanthis
For habitual constipation:
+ Fr. Evodiae
- Rz. Zingiberis Recens Sheng Jiang
+ Bul. Allii
For hepatitis B:
+ Rz. Atractylodis Macrocephalae Bai Zhu
+ Fr. Amomi Sha Ren
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin
For hepatitis B with Damp-Heat:
+ Fr. Amomi Sha Ren
+ Charred Fr. Crataegi Shan Zha Tan + Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ Charred Massa Medicata Fermentata Shen Qu Tan
+ Charred Fr. Crataegi Shan Zha Tan
+ Charred Fr. Hordei Germinatus Mai Ya Tan + Charred Massa Medicata Fermentata Shen Qu Tan
For hepatitis B with Qi Deficiency:
+ Charred Fr. Hordei Germinatus Mai Ya Tan
+ Fr. Amomi Sha Ren
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ Hb. Artemisiae Scopariae
+ Charred Fr. Crataegi Shan Zha Tan
+ Rz. Atractylodis
+ Charred Massa Medicata Fermentata Shen Qu Tan
+ Hb. Taraxaci
+ Hb. Sedi
+ Charred Fr. Hordei Germinatus Mai Ya Tan
For hepatitis B with Yin Deficiency:
+ Fr. Amomi Sha Ren
+ Rx. Codonopsis
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ Rz. Dioscoreae
+ Rz. Atractylodis Macrocephalae Bai Zhu + Charred Fr. Crataegi Shan Zha Tan
+ Charred Massa Medicata Fermentata Shen Qu Tan
+ Rx. Astragali
For jaundice due to Spleen Qi and Blood Deficiency:
+ Charred Fr. Hordei Germinatus Mai Ya Tan
+ 30g Hb. Artemisiae Scopariae Yin Chen Hao
+ Rx. Glehniae
+ Rx. Ophiopogonis
+ 9g Rx. Codonopsis Dang Shen
+ Fr. Lycii
+ 6g Rx. Bupleuri Chai Hu
+ Hb. Epimedii
For jaundice due to Spleen Qi and Blood Deficiency with severe Qi Deficiency:
For jaundice due to Spleen Qi and Blood Deficiency with severe Blood Deficiency:
+ 30g Hb. Artemisiae Scopariae Yin Chen Hao + 30g Hb. Artemisiae Scopariae Yin Chen Hao
+ 9g Rx. Codonopsis Dang Shen + 9g Rx. Codonopsis Dang Shen
+ 6g Rx. Bupleuri Chai Hu + 6g Rx. Bupleuri Chai Hu
+ 15g Rx. Astragali Huang Qi + 9g Rx. Angelicae Sinensis Dang Gui
For jaundice due to Spleen Qi and Blood Deficiency with abdominal distention:
For jaundice due to Spleen Qi and Blood Deficiency with Damp Accumulation:
+ 30g Hb. Artemisiae Scopariae Yin Chen Hao
- Maltosum Yi Tang
+ 9g Rx. Codonopsis Dang Shen + 30g Hb. Artemisiae Scopariae Yin Chen Hao
+ 6g Rx. Bupleuri Chai Hu
+ 9g Cx. Magnoliae Officinalis Hou Po + 9g Rx. Codonopsis Dang Shen
+ 6g Rx. Bupleuri Chai Hu
+ 6g Per. Citri Reticulatae Chen Pi + 12g Rz. Atractylodis Macrocephalae Bai Zhu
+ 9g Poria Fu Ling