HERB FORMULAS

PING CHEN TANG - 平陈汤 - CALM THE STOMACH PLUS CITRUS AND PINELLIA DECOCTION

English: Calm the Stomach plus Citrus and Pinellia Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Atractylodis Cang Zhu 12-15g Strongly dries Dampness and tonifies the Spleen.
With Hou Po, for Dampness obstructing Spleen Yang with epigastric fullness, abdominal and epigastric distention, nausea, vomiting, anorexia, loss of taste and a thick, greasy tongue coat.
Cx. Magnoliae Officinalis Hou Po 9-12g Promotes the movement of Qi in the Middle Jiao, resolves Stagnation, descends Rebellious Qi, dries Dampness and transforms Phlegm.
With Zhi Ban Xia and Fu Ling, for Phlegm Obstructing the Qi, leading to coughing, vomiting or a sense of something stuck in the throat.
With Cang Zhu and Chen Pi, for Dampness Accumulation with Qi Stagnation including epigastric fullness and distention, acid regurgitation, distasteful belching, nausea and vomiting
Rz. Pinelliae Pre4paratum Zhi Ban Xia 9-12g Dries Dampness, transforms Phlegm, descends Rebellious Qi, stops vomiting and reduces Stagnation.
With Chen Pi, for a productive cough and a stifling sensation in the chest due to Phlegm-Damp Obstruction or Spleen Qi Deficiency.
With Fu Ling, expels Phlegm and stops nausea and vomiting, hiccups, coughs with clear, profuse Phlegm and loose, watery stools.
With Hou Po, for Phlegm-Dampness with Qi Stagnation.
Per. Citri Reticulatae Chen Pi 9-12g Regulates Qi, adjusts the Middle, relieves the diaphragm, Descends Qi, dries Dampness and transforms Phlegm.
With Zhi Ban Xia, Fu Ling and Hou Po, enhances the Phlegm transforming and Spleen strengthening properties of the formula.
With Cang Zhi and Fu Ling, for a thick white tongue coat with no desire to drink.
With Zhi Ban Xia and Fu Ling, for a cough due to accumulation of Dampness and Phlegm.
Poria Fu Ling 12-15g Promotes urination, leaches out Dampness, strengthens the Spleen and harmonizes the Middle Jiao.
With Zhi Ban Xia and Chen Pi, for nausea, vomiting, chest fullness and distention and anorexia due to congested fluids.
Rx. Glycyrrhizae Gan Cao 3-6g Tonifies the Spleen, augments Qi, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

FORMULA ACTIONS

  • Dries Dampness
  • Transforms Phlegm
  • Regulates Qi
  • Harmonizes the Middle Jiao

SYNDROMES

  • Phlegm-Damp

CLINICAL MANIFESTATIONS

  • Cough with copious, dilute, white frothy or lumpy sputum
  • Chest and epigastric congestion
  • Maybe lumps in the abdomen and/or chest
  • Vomiting frothy fluid
  • Palpitations
  • Headache triggered by strong smells
  • Pain and full feeling in chest
  • Dyspnea - worse lying down
  • Asthma
  • Throat rattle
  • Maybe anorexia
  • Loss of the sense of taste
  • Lassitude
  • Belching
  • Sluggishness
  • Poor concentration
  • Nausea / vomiting
  • Dizziness / vertigo
  • Foggy-headedness
  • Acid reflux
  • Abdominal and epigastric distention
  • Shortness of breath
  • Wheezing
  • Acute attack of panting with high pitched sound and rapid exhalation
  • Facial edema
  • Greasy skin
  • Weak extremities
  • Fatigue
  • Lethargy
  • T: Pale
  • C: Thick, white and greasy or sticky
  • P: Slippery or Soft

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For Food Stagnation and constipation: For severe Phlegm-Damp:
+ 9-12g Sm. Raphani Lai Fu Zi + 12-15g. Hb. Agastaches Huo Xiang
+ 9-12g Per. Arecae Da Fu Pi
+ 9-12g Fr. Aurantii Immaturus Zhi Shi + 9-12g Hb. Eupatorii Pei Lan
For foggy-headedness and poor concentration:
+ 9-12g Dry-fried Fr. Hordei Germinatus Chao Mai Ya + 6-9g Rx. Polygalae Yuan Zhi
+ 6-9g Rz. Acori Tatarinowii Shi Chang Pu
+ 15-30g Dry-fried Fr. Oryzae Germinatus Chao Gu Ya
With Heat:
With Cold: + 6-9g Rx. Scutellariae Huang Qin
+ 3g Cx. Cinnamomi Rou Gui + 6-9g Fr. Gardeniae Zhi Zi
+ 6-9 Rz. Zingiberis Gan Jiang + 9-12g Caulis Bambusae in Taeniam Zhu Ru
For obesity:
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu + 15-24g Sm. Coicis Yi Yi Ren
For obesity with an aversion to Cold:
+ 6g Fr. Aurantii Zhi Ke + 9g Rz. Atractylodis Macrocephalae Bai Zhu
+ 9g Fr. Crataegi Shan Zha
+ 9g Sm. Raphani Lai Fu Zi + 6g Fr. Aurantii Zhi Ke
+ 9g Fol Nelumbinis He Ye + 9g Fr. Crataegi Shan Zha
For obesity with yellow Phlegm and an aversion to Heat: + 9g Sm. Raphani Lai Fu Zi
+ 9g Fol Nelumbinis He Ye
+ 6g Fr. Aurantii Zhi Ke + 6g Rz. Zingiberis Gan Jiang
+ 9g Fr. Crataegi Shan Zha + 9g Stir-fried Ram. Cinnamomi Gui Zhi
+ 9g Sm. Raphani Lai Fu Zi
+ 9g Fol Nelumbinis He Ye For obesity with inhibited urination:
+ 9g Caulis Bambusae in Taeniam Zhu Ru + 9g Rz. Atractylodis Macrocephalae Bai Zhu
+ 6g Rx. Scutellariae Huang Qin + 6g Fr. Aurantii Zhi Ke
+ 6g Talcum Hua Shi + 9g Fr. Crataegi Shan Zha
For obesity with constipation: + 9g Sm. Raphani Lai Fu Zi
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu + 9g Fol Nelumbinis He Ye
+ 6g Fr. Aurantii Zhi Ke + 9g Rz. Alismatis Ze Xie
+ 9g Fr. Crataegi Shan Zha + 9g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 9g Sm. Raphani Lai Fu Zi
+ 9g Fol Nelumbinis He Ye For obesity with somnolence:
+ 3-9g Fol. Sennae Fan Xie Ye + 9g Rz. Atractylodis Macrocephalae Bai Zhu
    + 6g Fr. Aurantii Zhi Ke
    + 9g Fr. Crataegi Shan Zha
    + 9g Sm. Raphani Lai Fu Zi
    + 9g Fol Nelumbinis He Ye
    + 9g Rx. Acori Tatarinowii Shi Chang Pu