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Li Zhong Wan 理中丸
Regulate the Middle Pill


Tradition:
TCM

Source / Author:
Discussion of Cold Induced Disorders (Shang Han Lun) C.220

Herb Name
Gan Jiang (dried Ginger)
Ren Shen
(Ginseng)
Bai Zhu
(White Atractylodes)
Zhi Gan Cao (Fried Licorice)

Latin
Zingiber officinale
Panax ginseng
Atractylodes macrocephala Glycyrrhiza uralensis honey-fried

Amount



9 grams ea.

Preparation:
Powder and form honey pills

Function:
Warms and strengthens the Spleen and Stomach

Use:
Nausea, poor appetite, abdominal pain, pale tongue with white coat, deep and weak pulse
1. Chronic Gastritis
2. Gastric or duodenal Ulcers
3. Chronic Colitis
4. Irritable Bowel Syndrome
5. It can also be used for Cold-type Bleeding: vomiting blood, Blood in the Stool or Uterine Bleeding with cold limbs, feeling cold, fatigue and a deep, weak pulse.


Dose:
6–9 grams, 2–3 times daily with warm water. It may be taken with Rice porridge

Cautions:
1. Not used in Heat conditions
2. Not used in Yin deficiency.


Modifications:
1. Unless acute or severe, Codonopsis Dang Shen usually replaces Ginseng in modern times with 2–3 times the dosage.
2. For severe Coldness of the Spleen and Stomach, or Spleen Yang deficiency, add prepared Aconitum Zhi Fu Zi. This results in Fu Zi Li Zhong Wan.

Similar Formulas:
Fu Zi Li Zhong Wan adds Aconitum (Fu Zi). It is more warming and used for more severe cases.

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