Minor Pinellia Decoction

Minor Pinellia DecoctionFormula Image

Minor Pinellia Decoction
ChiefBan Xia
    • dries dampness, dissolves phlegm and removes rheum
    • harmonizes the center, directs counterflow downward and arrests vomiting
This combination is commonly used to dispel phlegm, dissolve rheum, harmonize the stomach, direct counterflow downward, and arrest vomiting.
Deputy&AssistantSheng Jiang
    • directs counterflow downward and arrests vomiting, it is the saint medicinal for treating vomiting
    • warms the stomach and dissipates rheum
    • controls toxicity of ban xia
This combination is commonly used to dispel phlegm, dissolve rheum, harmonize the stomach, direct counterflow downward, and arrest vomiting.

Minor Pinellia DecoctionPrescription Information

Name
Minor Pinellia Decoction
Chinese Name

小半夏汤

Classification

Qi-regulating formulas

Combination
Pinelliae Rhizoma (Ban Xia) 1 sheng (20g), Zingiberis Rhizoma Recens (Sheng Jiang) 0.5 jin (10g)
Method
Prepare it as a decoction.
Action
Dissolves phlegm, dissipates rheum, harmonizes the stomach, and directs counterflow downward.
Indication
Xiao Ban Xia Tang is indicated for vomiting due to phlegm-rheum. The symptoms are vomiting phlegm-drool, lack of thirst, retching, hiccup, indigestion, and normal urination. The coating is white and glossy.
Pathogenesis
This pattern is due to phlegm-rheum lodged below the heart and rising counterflow stomach qi. Phlegm-rheum stays in the stomach, the stomach qi cannot descend so it rises to cause vomiting. Vomiting damages body fluids and leads to thirst. Thirst indicates the pooled water is relieved after vomiting. However, in this situation, there is a lack of thirst after vomiting because the thoracic rheum still stays lodged below the heart. The treatment is to dissolve phlegm, dissipate rheum, harmonize the stomach, and direct counterflow downward.
Application
1. Essential pattern differentiation Xiao Ban Xia Tang is a fundamental formula used to treat vomiting due to phlegm-rheum. This clinical pattern is marked by vomiting with fever and no thirst, white and glossy tongue coating. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of vomiting due to phlegm-rheum: gastritis, gastrointestinal reaction due to inner ear disease, vertigo, and ill-effects from chemotherapy. 3. Cautions and contraindications This formula is warm and drying, so it is not applicable for patients suffering vomiting due to patterns of wind-heat or yin deficiency with internal heat.
Additonal formulae
Da Ban Xia Tang (Major Pinellia Decoction 大半夏湯)
Source
《Essentials from the Golden Cabinet》Jin Gui Yao Lue《金匱要略》

Minor Pinellia DecoctionFormulation composition herbal medicine

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