Grind the ingredients into powder and prepare into pills. One dose is approximately 6-9g taken with warm water. It can also be prepared as a decoction by adjusting the medicinal quantities based on the original ratio.
Action
Promotes digestion and harmonizes the stomach.
Indication
This formula is indicated for food accumulation in the stomach cavity. The symptoms are fullness, distending pain in the abdomen and stomach cavity, belching, acid swallowing, aversion to food, vomiting, and diarrhea. The tongue coating is thick and greasy, and the pulse is slippery.
Pathogenesis
This is a pattern of food accumulation caused by an improper diet and overeating. Inhibition of the qi mechanism by food accumulation results in fullness and distending pain in the abdomen and stomach cavity. When the ascending and descending function of the spleen and stomach is impaired, diarrhea and vomiting may result. Diarrhea is caused by the clear yang failing to ascend and vomiting is due to turbid yin failing to descend. A thick, greasy tongue coating and a slippery pulse indicate food accumulation. The therapeutic principles used to remedy this pattern are to promote digestion and remove accumulation.
Application
1. Essential pattern differentiation Bao He Wan is a commonly used formula applicable for a variety of food accumulation patterns. This clinical pattern is marked by fullness in the abdomen and stomach, distention and pain in the abdomen and stomach cavity, belching, acid swallowing, thick and greasy tongue coating, slippery pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of food accumulation: acute and chronic gastritis and enteritis, dyspepsia, and infants with diarrhea. 3. Cautions and contraindications This formula is an aggressive formula that attacks and dispels; therefore, it should not be taken for long periods of time. Additionally, it should not be prescribed to treat food accumulation patterns due to spleen deficiency without proper modification.
Source
《Teachings of [Zhu] Dan-xi》Dan Xi Xin Fa《丹溪心法》
Harmony-Preserving PillFormulation composition herbal medicine