Ch4: Formulas that Regulate Stomach and Intestines Flashcards
What are the ingredients for Ban Xia Xie Xin Tang?
- Ban Xia (Pinellia) 9g
- Gan Jiang (dried ginger) 6g
- Huang Qin (Scutellaria) 6g
- Huan Lian (coptis) 3g
- Ren Shen (ginseng) 6g
- Da Zao 12 pc
- Gan Cao (licorice) 6g
What are the functions of Ban Xia Xie Xin Tang?
Disperse pi and dissipate masses through the combination of cold and warm medicinals.
What are the indications for Ban Xia Xie Xin Tang?
Pi (fullness and distention of stomach without pain) caused by the binding of cold and heat.
Note: As long as there is cold and heat binding in the middle jiao you can use this formula. Often these are cases where people suffer from chronic digestive problems for 10 - 20 years so they may have deficiency, cold and hot, spleen, stomach and liver problems (maybe other organs like kidney) all contributing.
One of the ways that Pi can be created is by mistakanely purging to treat Xiao Chai Hu Tang. If this was the case what is the pathogenesis for the heat and for the cold? Is this excess or deficient?
- Cold (deficient): caused by damaged yang qi in middle jiao
- Heat (excess): caused by exterior pathogen invading inward and transforming to heat
When cold in heat binds in the middle jiao to cause fullness without pain, what is happening and what signs do we see?
There is a disorder of qi properly ascending and descending in the middle jiao.
1) Stomach qi fails to descend, reversed rise of stomach qi: nausea and vomiting
2) Spleen qi fails to ascend, spleen qi sinking: diarrhea
3) Wind cold goes inside and transforms to heat: yellow tongue coating
Ban Xia herb actions
King herb
- Pungent, bitter and warm herbs to disperse qi and dissipate masses
- Stop vomiting
Gan Jiang (dried ginger) actions?
Deputy
- Pungent and hot in nature
- Warm middle jiao and dispel cold
Huang Qin (Scutellaria) and Huang Lian (coptis) actions?
Deputy herbs
- Bitter and cold herbs to clear heat and dry dampness
Ren Shen and Da Zao actions?
Assistants
- Tonify Qi
- Tonify Spleen
