Stomach-Calming Powder

Stomach-Calming PowderFormula Image

Stomach-Calming Powder
ChiefCang Zhu
    • acrid, aromatic, bitter, warm, and fragrant
    • enters the middle jiao
    • dries dampness and fortifies the spleen
Combination of the chief and the deputy moves qi to remove dampness and dries dampness to promote transformation and transportation of the spleen.
DeputyHou Po
    • aromatic and bitter
    • effective for moving qi to relieve fullness
    • dispels dampness
Combination of the chief and the deputy moves qi to remove dampness and dries dampness to promote transformation and transportation of the spleen.
AssistantChen Pi
    • rectifies qi and harmonizes the stomach
    • dries dampness and awakens the spleen
    • improves the power of cang zhu and hou po
EnvoyGan Cao
    • harmonizes the medicinals in the formula
    • boosts qi, fortifies the spleen, and harmonizes the center
EnvoySheng Jiang
    • warms and dissipates water and dampness
    • harmonizes the stomach and direct counterflow downward
This combination harmonizes the spleen and stomach.
EnvoyDa Zao
    • supplements the spleen and boosts qi
    • improves the power of gan cao to bank up earth to control water
This combination harmonizes the spleen and stomach.

Stomach-Calming PowderPrescription Information

Name
Stomach-Calming Powder
Chinese Name

平胃散

Classification

Dampclearing formulas

Combination
Atractylodis Rhizoma (Cang Zhu) 4 liang (120g), Magnoliae Officinalis Cortex (Hou Po processed with ginger juice) 3 liang (90g), Citri Reticulatae Pericarpium (Chen Pi) 2 liang (60g), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 1 liang (30g)
Method
Grind the medicinals into powder. One dose is approximately 4-6g. The powder is to be taken with a decoction of sheng jiang and da zao. It can also be prepared as a decoction.
Action
Dries dampness and activates the spleen, moves qi and harmonizes the stomach.
Indication
This is a pattern caused by dampness accumulation in the spleen and stomach. Spleen pertains to the earth of taiyin, is localized in middle jiao, and governs transportation and transformation. It is adverse to humidity and prefers dryness. When dampness accumulation blocks the middle jiao, the result is failure of transportation and transformation marked by abdominal distension and fullness, poor appetite and tastelessness. Additionally, the stomach qi might fail to descend. Counterflow of the stomach qi leads to nausea, vomiting, belching, and acid swallowing. Dampness is a yin pathogen that is heavy and lingering by its nature. Therefore, dampness accumulation in the body leads to heavy sensation in the limbs, lassitude, and somnolence. Dampness entering the intestine results in diarrhea. The therapeutic principles are to dry dampness and to activate the spleen as the primary function and move qi and harmonize the stomach as the secondary function. The ability to remove dampness is increased when qi moves smoothly.
Pathogenesis
This pattern is due to externally contracted wind-cold causing the lung qi to fail to diffuse. The invasion of the exterior by external wind-cold obstructs the wei yang, blocks and congests the striae and interstices, constrains ying yin, and obstructs the channels. The result is aversion to cold, fever, absence of sweating, headache, and generalized pain. The lung governs the qi and belongs to wei, which is connected with the skin and body hair at the body’s exterior. The regular diffusion and descent of lung qi is affected when the exterior of the body is restrained by wind-cold. The body’s exterior is linked internally with the lung. Therefore, the tension of the body’s exterior constrains the lung qi within. The constrained lung qi ascends counter-flow to induce labored breathing. Thin and white tongue coating and a superficial, tight pulse are indications of an exterior fettered by wind-cold. The treatment is to induce sweating to release the exterior and diffuse the lung to calm labored breathing.
Application
1. Essential pattern differentiation Ping Wei San is a basic formula applicable to the pattern of dampness stagnation in the spleen and stomach. This clinical pattern is marked by abdominal distension and fullness, thick and greasy tongue coating. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of dampness stagnation in spleen and stomach: chronic gastritis, functional disorders of gastrointestinal tract, gastric and duodenal ulcer. 3. Cautions and contraindications This formula is not applicable for patients with yin deficiency, qi stagnation, or deficiency of the spleen and stomach because it is acrid, bitter, warm, and dry.
Additonal formulae
1. Bu Huan Jin Zheng Qi San (Precious Than Gold Qi-Correcting Powder 不換金正氣散)
Remark
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.
Source
《Concise Formulas to Aid Majorities》Jian Yao Ji Zhong Fang《簡要濟眾方》

Stomach-Calming PowderFormulation composition herbal medicine

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