Immature Bitter Orange and Glomus-Dispersing Pill

Immature Bitter Orange and Glomus-Dispersing Pill

Zingiberis Rhizoma (Gan Jiang) 2 qian (6g), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 2 qian (6g), Hordei Fructus Germinatus (Mai Ya) 2 qian (6g), Poria (Fu Ling) 2 qian (6g), Atractylodis Macrocephalae Rhizoma (Bai Zhu) 2 qian (6g), Pinelliae Rhizoma (Ban Xia) 3 qian (9g), Ginseng Radix et Rhizoma (Ren Shen) 3 qian (9g), Magnoliae Officinalis Cortex (Zhi Hou Po liquid-fried) 4 qian (12g), Aurantii Fructus Immaturus(Zhi Shi) 5 qian (15g), Coptidis Rhizoma (Huang Lian) 5 qian (15g)

Grind the medicinals into a fine powder and prepare into pills. Take 6-9g with warm water twice daily. It may also be prepared as a decoction for oral ingestion by adjusting the medicinal quantities based on the original ratio.

Disperses and relieves fullness, fortifies the spleen and harmonizes the stomach.

Spleen deficiency and qi stagnation with cold and heat combined, characterized by fullness below the heart, no desire to eat or drink, tiredness, lack of strength, difficult defecation, greasy, slight yellow tongue coating, and a wiry pulse.

This pattern is caused by spleen and stomach deficiency, impaired ascending and descending of the spleen and stomach, combined cold and heat, qi obstruction, and dampness accumulation. Spleen deficiency results in a poor appetite with no desire to eat or drink. Tiredness and a lack of strength occur when qi and blood production is deficient and cannot supplement the body’s source of vitality. Food accumulation causes a failure to conduct and transmit and results in difficult defecation. Combined cold and heat complicated with qi stagnation results in fullness below the heart and a wiry pulse. A slight yellow and greasy tongue coating indicates heat that is generated due to food accumulation blocking qi movement. Generally, it is a mixed pattern of excess and deficiency caused by spleen deficiency and qi stagnation complicated by combined cold and heat. Characteristically, this pattern exhibits more deficiency than excess and more heat than cold. The proper therapeutic method is to move qi in order to disperse fullness, fortify the spleen to supplement deficiency, and harmonize cold and heat.

1. Essential pattern differentiation Zhi Shi Xiao Pi Wan serves as a common formula applicable to fullness below the heart caused by spleen deficiency with qi stagnation and combined cold and heat. This clinical pattern is marked by fullness below the heart, aversion to food, tiredness, slightly yellow, greasy tongue coating. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of spleen deficiency with qi stagnation and combined cold and heat: chronic gastritis, chronic bronchitis and gastrointestinal neurosis. 3. Cautions and contraindications This formula focuses on moving and dispersing, thus it should be used cautiously for cases of fullness in a pattern of more deficiency than excess.

1. Officinal Magnolia ( Magnolia officinalis ) is listed as "Endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. 2. Ginseng ( Panax ginseng ) is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls.