Warm Interior Cold: Warm MJ

Question 1

• Indication: MJ deficiency cold syndrome
• Sx: Diarrhea w/ watery stool, nausea/vomiting, no thirst, loss of appetite, abdominal pain
• Fx: Warm the middle, dispel cold, tonify qi, strengthen SP
• T: Pale w/ white coating
• P: Submerged, thing
• Ingredients:
  Gan Jiang (King) 9g
  Ren Shen 9g
  Bai Zhu 9g
  Zhi Gan Cao 9g
• taken with rice porridge to warm ST

A Formula

Answer 1

Li Zhong Wan (Regulate the Middle Pill)

Question 2

• Indication: 1) ST deficiency cold syndrome 2) Jue yin HA syndrome 3) Shao yin vomiting and diarrhea
• Sx: 1) vomiting immediately after eating, acid regurgitation w or w/o epigastric pain, intermediate gnawing hunger (Cao Za) 2) Dry heaves or spitting of clear fluids w/ verex HA 3) vomiting and diarrhea, cold hands/feet, unbearable irritability that makes the paitient “want to die”
• Fx: Warm the middle, tonify LV/ST, guide rebellious qi downward, stops vomiting
• T: White, slippery coating
• P: Thin, slow or thin, wiry
• Ingredients:
  Wu Zhu Yu (King) 9g
  Ren Shen 9g
  Sheng Jiang 18g
  Da Zao 4pcs

A Formula

Answer 2

Wu Zhu Yu Tang

Question 3

• Indication: 1) Spasmodic pain due to xu lao (chronic fatigue) syndrome 2) Palpatations due to xu lao syndrome 3) Low-grade fever due to xu lao syndrome
• Sx: 1) Intermittent, spasmodic abdominal pain that is relieved by warmth/pressure 2) Palpitation w/ empty sensation, upset and lusterless complexion 3) Sore extremeties w/ non-specific discomfort, hands/feet low-grade heat, dy mouth/throat
• Fx: Warm the middle, tonifies MJ, moderate spasmodic pain
• T: Pale, white coating
• P: Thin, wiry, moderate
• Ingredients:
  Yi Tang (King) 30g
  Gui Zhi 9g
  Bai Shao 18g
  Sheng Jiang 9g
  Da Zao 4pcs
  Zhi Gan Cao 6g
• Gui Zhi Tang + Yi Tang

A Formula

Answer 3

Xiao Jiang Zhong Tang (Minor Construct the Middle Decoction)

Question 4

• Indication: Weak MJ yang + interior excess yin-cold syndrome (severe)
• Sx: Severe cold pain in the chest/epigastrum/abdomen where the patient cannot tolerate being touched, unable to eat due to vomiting, cold extremeties, possible borborygmi
• Fx: Warm the middle, tonifies MJ, guides rebellious qi downward, alleviates pain
• T: White, slippery coating
• P: Thin, tight or Slow, wiry
• Ingredients:
  Chuan Jiao (King) 6g
  Gan Jiang 12g
  Ren Shen 6g
  Yi Tang 6g
• taken w/ rice porridge / only used in EXCESS cold

A Formula

Answer 4

Da Jiang Zhong Tang (Major Construct the Middle Decoction)