HERB FORMULAS

DANG GUI JIAN ZHONG TANG - 當歸健中湯 - TONIFYING DANG GUI DECOCTION TO CONSTRUCT THE MIDDLE

English: Tonifying Dang Gui Decoction to Construct the Middle
Also Known As: Tangkuei Decoction to Construct the Middle
Tangkuei, Cinnamon and Peony Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Angelica Sinensis Dang Gui 4-9g Nourishes, invigorates and harmonizes the Blood, disperses Cold, stops pain due to Blood Stasis, moistens the Intestines and unblocks the bowels.
With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat.
With Gan Cao, moderates spasms and relieves abdominal pain.
With Yi Tang, Gui Zhi, Sheng Jiang and Bai Shao, for epigastric and abdominal pain.
Maltose Yi Tang 18-30g Strengthens the Spleen, tonifies Qi, tonifies the Middle Jiao and alleviates pain and coldness.
With Dang Gui, for abdominal pain due to Blood Deficiency.
With Gui Zhi, warms and tonifies the Middle Jiao.
With Gui Zhi, Gan Cao and Bai Shao, for abdominal pain due to Cold from Middle Jiao Deficiency which is better with pressure and somewhat alleviated by eating
With Gui Zhi, Gan Cao, Bai Shao and Dang Gui, for abdominal pain due to Cold from Middle Jiao Deficiency with concurrent Blood Deficiency.
Ram. Cinnamomi Gui Zhi 4-9g Warms the Middle Jiao, disperses Cold, releases the muscle layer, assists the Heart Yang, warms and facilitates the flow of Yang Qi in the chest, assists the Yang, adjusts the Ying and Wei and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels.
With Bai Shao, warms and tonifies the Middle Jiao and harmonizes the Ying and the Wei.
 With Yi Tang, warms and tonifies the Middle Jiao.
(Cx. Rasus Cinnamomi) (Rou Gui Xin) (4-9g) (Assists the Heart Yang and assists communication between the Heart and Kidneys - may substitute for Gui Zhi.)
Rx. Paeoniae Alba Bai Shao 5-9g Nourishes Blood, astringes Yin, adjusts the Ying and Wei, softens the Liver and relieves pain .
With Gan Cao, regulates the relationship between the Liver and Spleen, nourishes sinews and treats epigastric, hypochondriac or flank pain and abdominal pain due to Disharmony between the Liver and Stomach.
With Gui Zhi, harmonizes the Ying and the Wei.
With Gui Zhi, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration.
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. Paeoniae Alba Preparata) (Chao Bai Shao) (18g) (Nourishes Blood, harmonizes the collaterals,  moderates the Spleen, relaxes the Liver and alleviates pain - may substitute for Bai Shao.)
Rx. Glycyrrhizae Gan Cao 2-6g Tonifies the Spleen, augments Qi, moderates spasms, alleviates pain and moderates and harmonizes the harsh properties of other herbs.
With Bai Shao, moderates spasms and alleviates pain, for painful spasms of the leg or abdomen.
Rz. Zingiberis Recens Sheng Jiang 3-9g Warms the Middle, stops vomiting, adjusts the Ying and Wei and normalizes the flow of Qi at the center.
With Da Zao, protects the Stomach Qi and reduces irritation of the gastrointestinal. tract by other herbs and adjusts the Ying and Wei.
 With Gui Zhi and Da Zao, harmonizes the Ying and Wei to drive out pathogens.
Fr. Jujube Da Zao 3-5g Tonifies the Spleen and Stomach, augments Qi, nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Warms and tonifies the Spleen and Stomach
  • Relieves spasmodic pain

SYNDROMES

  • Spasmodic pain due to Blood Deficiency

CLINICAL MANIFESTATIONS

  • Postpartum emaciation and weakness
  • Persistent, tight abdominal pain
  • Abdominal pain with spasms or radiates to back and waist
  • Cannot eat
  • Shortness of breath
  • Dyspnea
  • Pale face
  • 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
  • Fatigue
  • Anemia
  • Bleeding
  • Abdominal weakness
  • Epistaxis
  • Habitual constipation
  • Maybe warm extremities
  • Night sweats
  • Tired limbs
  • Frequent urination
  • Night crying
  • Diarrhea in children
  • Habitual headache in children
  • Hernia pain in children
  • Chronic constipation
  • Purpura
  • Asthma
  • T: Pale
  • C: White
  • P: Weak and slow or Thready, wiry and even or Thready and weak

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Heat from Yin Deficiency.
  • Eliminate the sweet flavor for those with vomiting from 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 Rou Gui + Rx. Linderae Wu Yao
For concurrent Qi stagnation:
For diarrhea:
+ Rx. Aucklandiae Mu Xiang + Rz. Atractylodes Macrocephalae Bai Zhu
+ End. Corneum Gigeriae Galli Ji Nei Jin
For roundworms:
For chronic pelvic inflammatory disease:
+ Less Rx. Paeoniae Alba Bai Shao
+ 30g Rx. Astragali Huang Qi
+ 5g Flos Carthami Hong Hua + Fr. Mume Wu Mei
For endometriosis with Blood stagnation:
   
+ Sm. Persicae Tao Ren    
+ Flos Carthami Hong Hua