HERB FORMULAS

HUANG QI JIAN ZHONG TANG - 黃耆建中湯 - ASTRAGALUS PILL TO CONSTRUCT THE MIDDLE

English: Astragalus Decoction to Construct the Middle
Also Known As: Astragalus Combination
Astragalus Build the Center Decoction
Decoction of Astragalus seu Hedysari for Warming the Middle Jiao

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Astragali Huang Qi 10-30g Replenishes Qi, stops perspiration, consolidates Wei, strengthens the Spleen and raises Spleen Yang.
With Gui Zhi, for Qi, Blood, Ying and Wei Deficiencies.
Maltosum Yi Tang 18-30g Tonifies Spleen and Stomach, alleviates Cold pain and moderates spasmodic abdominal pain.
With Gui Zhi, warms and tonifies the Middle Jiao.
With Gui Zhi and Gan Cao, for Middle Jiao Deficiency Cold with abdominal pain.
With and Huang Qi, for spleen Deficiency.
With Huang Qi, for abdominal pain due to Qi Deficiency.
Ram. Cinnamomi Gui Zhi 4-10g Warms the Middle Jiao, disperses Cold, releases the exterior, adjusts the Ying and Wei and warms the channels and collaterals to relieve pain .
 With Bai Shao, harmonizes the Ying and Wei and warms and tonifies the Middle Jiao.
Rx. Paeoniae Alba Bai Shao 6-20g Nourishes Blood, regulates menstruation and adjusts the Ying and Wei.
 With Gan Cao, stops spasmodic abdominal pain.
With Yi Tang, Gui Zhi, Sheng Jiang and Gan Cao, for abdominal pain due to Cold from Middle Jiao Deficiency which is better with pressure and somewhat alleviated by eating.
With Huang Qi, Gui Zhi, Sheng Jiang and Da Zao for Bi syndrome.
With Gui Zhi, Yi Tang, Da Zao, Gan Cao and Sheng Jiang, for severe epigastric or abdominal pain or cramps caused by the Liver overacting on the Deficient, Cold Middle Jiao.
Rx. Glycyrrhizae Gan Cao 3-6g Tonifies the Spleen, tonifies Qi, moderates spasms. and moderates and harmonizes the properties of other herbs.
Rz. Zingiberis Recens Sheng Jiang 2-10g Releases the exterior, disperses Cold, warms the Middle, stops vomiting and adjusts the Ying and Wei.
 With Da Zao, harmonizes and protects the Ying and Wei.
Fr. Zizyphi Jujube Da Zao 3-5g Strengthens the Spleen, tonifies Qi and moderates and harmonizes the harsh properties of other herbs.
With Sheng Jiang, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen.

FORMULA ACTIONS

  • Warms and tonifies the Spleen and Stomach
  • Replenishes Qi
  • Harmonizes the Interior
  • Alleviates pain

SYNDROMES

  • Stomach Qi Deficiency
  • Spleen Yang Deficiency
  • Deficiency Cold of the Middle Jiao with severe Qi Deficiency
  • Wei Qi Deficiency

CLINICAL MANIFESTATIONS

  • Spontaneous perspiration
  • Shortness of breath
  • Occasional fevers
  • Dyspnea
  • Abdominal pain and spasms due to Cold
  • Pain is better with warmth and pressure
  • Pale face or a sallow, dull complexion
  • Fatigue
  • Fidgeting
  • Lethargy
  • Dry mouth
  • Aversion to Cold
  • Frequent, clear urination
  • Constipation
  • Cold extremities
  • Dry throat
  • Hematemesis
  • Irritability
  • Carbuncles
  • Palpitations
  • Hemorrhoids
  • Fever with a preference for hot drinks
  • Dry skin
  • T: Pale
  • C: White
  • P: Minute, thready and weak or Deep and slow or Floating, large and weak

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Eliminate sweet flavor for vomiting from roundworms.
  • Contraindicated for those with Heat from Yin Deficiency.
  • 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 Rou Gui + Rx. Linderae Wu Yao
For concurrent Qi Stagnation:
For diarrhea:
+ Rx. Aucklandiae Mu Xiang + Rz. Atractylodis Macrocephalae

Bai Zhu
+ End. Corneum Gigeriae Galli Ji Nei Jin
For roundworms:
For shortness of breath and chest fullness due to Thin Mucus:
+ Less Rx. Paeoniae Alba

Bai Shao
+ More Rz. Zingiberis Sheng Jiang + Fr. Pruni Mume Wu Mei
For abdominal fullness:
For Lung Deficiency where the Lungs' clearing and clarifying function is impaired:
- Fr. Jujube Da Zao + Rz. Pinelliae Preparatum

Zhi Ban Xia

+ 4.5g Poria Fu Ling
For generalized weakness following an illness:
For generalized weakness in postpartum women:
+ Four Gentlemen Decoction
Si Jun Zi Tang
+ Four Substance Decoction
Si Wu Tang
For generalized weakness following a Wind-Cold Invasion:
For abdominal fullness:
+ Jade Windscreen Powder
Yu Ping Feng San
+ Cx. Magnoliae Officinalis Hou Po
For vomiting of clear fluids:
+ Fr. Amomi Sha Ren + Fr. Evodiae Wu Zhu Yu
+ Rx. Aucklandiae Mu Xiang + Rz. Pinelliae Preparatum Zhi Ban Xia
For edema:
+ Rz. Zingiberis Gan Jiang
+ Rz. Atractylodis Macrocephalae Bai Zhu
For allergic rhinitis:
+ Poria Fu Ling + Sm. Armeniacae Xing Ren
+ Rz. Alismatis Ze Xie + Rx. Glycyrrhizae Gan Cao
For allergic rhinitis with Heat:
+ Rx. Morindae Ba Ji Tian
+ Sm. Armeniacae Xing Ren
For dysmenorrhea due to Qi and Blood Deficiencies:
+ Rx. Glycyrrhizae Gan Cao + 12g Rx. Angelicae Sinensis Dang Gui
+ Rx. Scutellariae Huang Qin + 15g Rx. Codonopsis Dang Shen
For peptic ulcer:
For peptic ulcer with severe pain:
+ Endoconcha Sepiae Hai Piao Xiao + Endoconcha Sepiae Hai Piao Xiao
+ Rz. Bletillae Bai Ji + Rz. Bletillae Bai Ji
For peptic ulcer with fullness and distention in the chest and abdomen:
+ Rz. Corydalis Yan Hu Suo
For peptic ulcer with acid reflux:
+ Endoconcha Sepiae Hai Piao Xiao + Endoconcha Sepiae Hai Piao Xiao
+ Rz. Bletillae Bai Ji + Rz. Bletillae Bai Ji
+ Fr. Aurantii Zhi Ke + Concha Arcae Wa Leng Zi
+ Per. Citri Reticulatae Chen Pi + Fr. Hordei Germinatus Mai Ya
For peptic ulcer with bleeding:
For gastric and duodenal ulcer with acid reflux:
+ Endoconcha Sepiae Hai Piao Xiao + Rz. Coptidis Huang Lian
+ Rz. Bletillae Bai Ji + Fr. Evodiae Wu Zhu Yu
+ Rx. Notoginseng San Qi
For gastric and duodenal ulcer with constipation:
For gastric and duodenal ulcer with Food Stagnation:
+ Fol. Sennae Fan Xie Ye
For antral gastritis:
+ Charred Fr. Crataegi Shan Zha Tan - Maltosum Yi Tang
+ Charred Massa Medicata Fermentata Shen Qu Tan + Rx. Salviae Miltiorrhizae Dan Shen
+ Charred Fr. Hordei Germinatus Mai Ya Tan + Sm. Persicae Tao Ren
+ Rz. Corydalis Yan Hu Suo
For antral gastritis with Stomach Yin Deficiency:
For antral gastritis with Disharmony between the Liver and Stomach:
- Maltosum Yi Tang
- Rz. Zingiberis Gan Jiang - Maltosum Yi Tang
- Ram. Cinnamomi Gui Zhi + Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Salviae Miltiorrhizae Dan Shen
+ Sm. Persicae Tao Ren
+ Sm. Persicae Tao Ren + Rz. Corydalis Yan Hu Suo
+ Rz. Corydalis Yan Hu Suo + Rx. Bupleuri Chai Hu
+ Rx. Ophiopogonis Mai Men Dong + Rz. Cyperi Xiang Fu
+ Rx. Glehniae/ Adenophorae Sha Shen
For antral gastritis with Middle Jiao Phlegm Accumulation:
For antral gastritis with Food Stagnation:
- Maltosum Yi Tang
- Maltosum Yi Tang + Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Salviae Miltiorrhizae Dan Shen
+ Sm. Persicae Tao Ren + Sm. Persicae Tao Ren
+ Rz. Corydalis Yan Hu Suo + Rz. Corydalis Yan Hu Suo
+ Fr. Crataegi Shan Zha + Rz. Pinelliae Preparatum Zhi Ban Xia
+ Massa Medicata Fermentata Shen Qu
+ Per. Citri Reticulatae Chen Pi
For atrophic gastritis with Spleen and Stomach Deficiency Cold:
For atrophic gastritis with Liver Qi Stagnation:
+ Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Codonopsis Dang Shen
For atrophic gastritis with Spleen and Stomach Yin Deficiency:
+ Fr. Toosendan Chuan Lian Zi
For anorexia:
+ Bul. Lilii Bai He + Dry-fried Fr. Oryzae Germinatus Chao Gu Ya
For constipation:
+ Fr. Ligustri Lucidi Nu Zhen Zi + Fr. Amomi Sha Ren
+ Rx. Angelicae Sinensis Dang Gui
For constipation with Qi Deficiency:
For constipation with Blood Deficiency:
+ Fr. Ligustri Lucidi Nu Zhen Zi
+ Fr. Ligustri Lucidi Nu Zhen Zi + Rx. Angelicae Sinensis Dang Gui
+ More Rx. Angelicae Sinensis Dang Gui + More Rx. Astragali Huang Qi
For constipation with Yang Deficiency:
For constipation in geriatric patients with sore and weak low back and knees:
+ Fr. Ligustri Lucidi Nu Zhen Zi
+ Rx. Angelicae Sinensis Dang Gui
+ Fr. Ligustri Lucidi Nu Zhen Zi + Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Rx. Angelicae Sinensis Dang Gui
+ Hb. Cistanches Rou Cong Rong + Rz. Zingiberis Preparata Pao Jiang
+ Fr. Lycii Gou Qi Zi
+ Rx. Achyranthis Bidentatae Niu Xi
For constipation with chloasma on the face:
+ Fr. Ligustri Lucidi Nu Zhen Zi
For irritable bowel syndrome with Qi Stagnation:
+ Rx. Angelicae Sinensis Dang Gui
+ Fr. Schisandrae Wu Wei Zi
+ Fr. Amomi Sha Ren
For irritable bowel syndrome with loose stools due to Cold-Dampness:
+ Sm. Raphani Lai Fu Zi
For irritable bowel syndrome with Food Stagnation, anorexia and belching:
+ Hb. Agastaches Huo Xiang
+ Rz. Atractylodis Cang Zhu
+ Fr. Amomi Sha Ren + Hb. Eupatorii Pei Lan
+ Fr. Oryzae Germinatus Gu Ya
For irritable bowel syndrome with Liver Qi Stagnation and hypochondriac pain:
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ Rx. Bupleuri Chai Hu
For irritable bowel syndrome with sore and weak low back and knees:
+ Fr. Citri Sarcodactylis Fo Shou
For otitis media with profuse, sticky ear discharge:
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Rx. Gentianae Long Dan Cao
+ Fr. Psoraliae Bu Gu Zhi + Sm. Plantaginis Che Qian Zi
For otitis media with foul smelling ear discharge:
+ Flos Lonicerae Jin Yin Hua
For otitis media with foul profuse, watery ear discharge:
+ Rz. Coptidis Huang Lian
+ Hb. Patriniae Bai Jiang Cao + Rx. Angelicae Sinensis Dang Gui
For otitis media with a severe headache:
+ Sm. Coicis Yi Yi Ren
+ Rz. Chuanxiong Chuan Xiong + Rz. Atractylodis Macrocephalae Bai Zhu
+ Fr. Viticis Man Jing Zi
+ Rx. Angelicae Dahuricae Bai Zhi + Flos Lonicerae (large dose) Jin Yin Hua
+ Hb. Eupatorii Pei Lan
For otitis media with nausea and dizziness:
For leukopenia:
+ Rx. Saposhnikoviae Fang Feng
+ Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
+ Fr. Tribuli Bai Ji Li
+ Caulis Bambusae in Taeniam Zhu Ru
For leukopenia with dizziness and fatigue:
+ Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
+ Rz. Pinelliae Preparatum Zhi Ban Xia
+ Rz. Atractylodis Macrocephalae Bai Zhu
For leukopenia with fatigue and weak extremities:
+ Rx. Angelicae Sinensis Dang Gui
+ Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
For leukopenia with insomnia and palpitations:
+ Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
+ Rx. Codonopsis Dang Shen
+ Poria Fu Ling
+ Rx. Acori Tatarinowii Shi Chang Pu
For leukopenia with frequent recurrences of infection:
+ Rx. Polygalae Yuan Zhi
For endometriosis or dysmenorrhea with Blood stagnation:
+ Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
+ Sm. Persicae Tao Ren + More Rx. Astragali Huang Qi
+ Flos Carthami Hong Hua + Rz. Coptidis (large dose) Huang Lian
For jaundice due to Qi and Blood Deficiency:
For jaundice due to Qi and Blood Deficiency with severe Qi Deficiency:
+ 9g Rx. Angelicae Sinensis Dang Gui
+ 30g Rx. Codonopsis Dang Shen
+ 30g Rx. Rehmanniae Preparata Shu Di Huang
For jaundice due to Qi and Blood Deficiency with Yang Deficiency and Cold:
+ 15g Rx. Polygoni Multiflori Preparata Zhi He Shou Wu + 6-9g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
For jaundice due to Qi and Blood Deficiency with severe generalized pruritis:
For jaundice due to Blood Stagnation:
+ 9g Fol. Artemisiae Argyi Ai Ye + 30g Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Fr. Xanthii Cang Er Zi + 10g Rx. Angelicae Sinensis Dang Gui
+ 15g Fr. Kochiae Di Fu Zi
For severe epigastric pain:
+ 6g Rz. Chuanxiong Chuan Xiong
+ 15g Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ 9-12g Rz. Alpiniae Officinarum Gao Liang Jiang
+ 9-12g Rz. Cyperi Xiang Fu
For epigastric pain with Phlegm-Damp or vomiting of watery Fluids:
For epigastric pain with acid reflux or heartburn:
- Maltosum Yi Tang + 9-12g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 3g Fr. Evodiae Wu Zhu Yu
+ 15g Endoconcha Sepiae Hai Piao Xiao + 9-12g Per. Citri Reticulatae Chen Pi
For epigastric pain with Food stagnation:
+ 12-15g Poria Fu Ling
+ 9-12g Fr. Aurantii Immaturus Zhi Shi
For epigastric pain with black, tarry stools or occult Blood in the stools:
+ 15g Massa Medicata Fermentata Shen Qu + 6-9g Rz. Zingiberis Gan Jiang
+ 9-12g charred Rx. Sanguisorbae Di Yu Tan
+ 15-30g Fr. Hordei Germinatus Mai Ya
+ 9-15g Rz. Bletillae Bai Ji
For a peptic ulcer due to Spleen and Stomach Deficiency Cold:
or
+ Yellow Earth Decoction
Huang Tu Tang
- Maltosum Yi Tang
+ 30g Endoconcha Sepiae Hai Piao Xiao
For chronic gastritis due to Spleen and Stomach Deficiency Cold:
+ 30g Rx. Angelicae Dahuricae Bai Zhi - Maltosum Yi Tang
+ 9g Rx. Aucklandiae Mu Xiang
For chronic gastritis due to Spleen and Stomach Deficiency Cold with anorexia and belching with a fetid odor:
 + 10g Fr. Amomi Sha Ren
For chronic gastritis due to Spleen and Stomach Deficiency Cold with acid regurgitation:
- Maltosum Yi Tang - Maltosum Yi Tang
+ 9g Rx. Aucklandiae Mu Xiang + 9g Rx. Aucklandiae Mu Xiang
+ 10g Fr. Amomi Sha Ren + 10g Fr. Amomi Sha Ren
+ 10g Massa Medicata Fermentata Shen Qu + 30g Concha Arcae Wa Leng Zi
For chronic gastritis due to Spleen and Stomach Deficiency Cold with Cold predominant:
+ 10g Fr. Hordei Germinatus Mai Ya - Maltosum Yi Tang
+ 9g Rx. Aucklandiae Mu Xiang
For leukopenia due to Spleen Qi Deficiency:
+ 10g Fr. Amomi Sha Ren
+ Four Gentlemen Decoction
Si Jun Zi Tang
 + 10g Rx. Codonopsis Dang Shen
+ 10g Rz. Atractylodis Macrocephalae Bai Zhu
- Maltosum Yi Tang
- Rx. Glycyrrhizae Gan Cao + 10g Poria Fu Ling
- Rz. Zingiberis Recens Sheng Jiang
For leukopenia due to Spleen and Kidney Yang Deficiency:
+ 10g Sm. Dolichorus Bai Bian Dou
+ 10g Rz. Dioscoreae Shan Yao
+ Nourish the Right Decoction
You Gui Wan
+ 10g Fr. Amomi Sha Ren
+ 10g Endothelium Corneum Gigeriae Galli Ji Nei Jin + 1.8g Cornu Cervi Pantotrichum Lu Rong