Pinellia Decoction to Drain the Epigastrium
Chinese Prescription: Ban Xia Xie Xin Tang
English Translation: Pinellia Decoction to Drain the Epigastrium
Formula Type: Harmonize the Stomach and Intestines
Actions: Harmonizes the Stomach, directs rebellious qi downward, disperses clumping, & eliminates focal distention.
Indications: Epigastric focal distention, fullness, & tightness with very slight or no pain, dry heaves or frank vomiting, borborygmus with diarrhea, reduced appetite, a thin, yellow, & greasy tongue coating that may be red at the tip, & a wiry, rapid pulse.
Contraindications: This formula is indicated for focal distention caused by clumping of constrained heat & fluids in the epigastrium. Where such distention is due to qi stagnation or harbored food, this formula will not be effective.
Pinyin | English | Suggested Dosage |
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view: Ban Xia |
Pinellia | 9 -12g |
view: Gan Jiang |
Dried Ginger | 9g |
view: Huang Qin |
Scutellaria Baicalensis | 9g |
view: Huang Lian |
Coptis / Goldthread | 3g |
view: Ren Shen |
Panax Ginseng | 9g |
view: Da Zao (Hong / Hei) |
Red or Black Date | 12 pieces |
view: Zhi Gan Cao |
Honey-fried Licorice | 9g |
Ban Xia / Pinellia (Prepared) | |||
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Taste: Acrid • Temperature: Warm • Category: Transform Phlegm & Stop Coughing • Sub Category: Warm & Transform Phlegm Cold | |||
Dosage4.5-12g |
Actions1. Dries dampness, transforms phlegm, & causes rebellious qi to descend: for cough with copious sputum, as in conditions of phlegm-cold in the Lungs. Especially effective in transforming phlegm due to dampness of the Spleen.2. Harmonizes the Stomach & stops vomiting: for lingering phlegm-dampness in the Stomach that rebels upward, causing nausea & vomiting. 3. Dissipates nodules & reduces distention: for nodules, pressure, distention, or pain due to phlegm lingering in the chest, phlegm nodules in the neck (such as those of goiter & scrofula), or obstructions caused by phlegm anywhere in the body. Also for focal distention in the chest & epigastrium. |
MeridiansLung, Spleen, Stomach |
CautionsContraindicated in all cases of bleeding, cough due to yin deficiency, or depleted fluids. Use with caution in all cases with heat. May be incompatible with wu tou. Toxic: overdosage symptoms include feeling of burning & numbness in the throat, lips, queasy stomach & nausea, & a feeling of pressure in the chest. For recovery, administer raw ginger orally. |
Gan Jiang / Ginger Root, dried | |||
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Taste: Acrid • Temperature: Hot • Category: Warm Interior & Expel Cold • Sub Category: | |||
Dosage3-12g |
Actions1. Warms the middle & expels cold: for warming the Spleen & Stomach both in conditions of excess due to externally contracted cold, as well as cold from deficiency due to insufficiency of the yang qi.2. Rescues devastated yang & expels interior cold: for devastated yang with such signs as a very weak pulse & cold limbs. 3. Warms the Lungs & transforms phlegm: for Lung cold with expectoration of thin, watery, or white sputum. 4. Warms the channels & stops bleeding: for cold from deficiency that may present with hemorrhage of various types, especially uterine bleeding. It is used in treating hemorrhage only if the bleeding is chronic & pale in color, & is accompanied by cold limbs, ashen white face, & a soggy, thin pulse. |
MeridiansHeart, Lung, Spleen, Stomach |
CautionsContraindicated in cases of yin deficiency with heat signs, or the reckless movement of hot blood. Use with caution during pregnancy. |
Huang Qin / Scute or Baical Skullcap Root | |||
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Taste: Bitter • Temperature: Cold • Category: Clear Heat • Sub Category: Drain Damp | |||
Dosage6-15g |
Actions1. Clears heat & drains fire, especially from the upper burner: for heat patterns with high fever, irritability, thirst, cough, & expectoration of thick, yellow sputum, or hot sores & swellings. In treating the latter it can be applied topically or taken internally.2. Clears heat & dries dampness: a major herb for damp-heat in the Stomach or Intestines, which manifests as diarrhea or dyenteric disorder; damp warm-febrile disease, which presents with fever, stifling senstaion in the chest, & thirst but inability to drink; or for damp-heat in the lower burner with painful urinary dysfunction. Used as a an auxiliary herb for damp-heat jaundice. |
MeridiansGallbladder, Large Intestine, Lung, Stomach |
CautionsContraindicated in cases of heat from deficiency in the Lungs, cold diarrhea o any other condition with cold in the middle burner, & restless fetus due to cold in the blood. May counteract mu dan pi & li lu. |
Huang Lian / Coptis Rhizome | |||
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Taste: Bitter • Temperature: Cold • Category: Clear Heat • Sub Category: Drain Damp | |||
Dosage1.5-9g |
Actions1. Drains fire & relieves toxicity for heat with blazing fire with such symptoms as high fever, irritability, disorientation, delirium, red tongue, & a rapid full pulse. Also for exessive heat with toxicity with such symptoms as painful, red eyes & sore throat & for boils, carbuncles, & abscesses.2. Clears heat & drains dampness: for damp-heat in the Stomach or Intestines that presents with diarrhea or dysenteric disorder. Also for vomiting &/or acid regurgitation due to Stomach heat. 3. Clears Heart fire: for irritability & insomnia due to lack of communication between the Heart & Kidneys. 4. Clears heat & stops bleeding: for nosebleed, or blood in the urine, stool, or vomit due to reckless moevement of the blood. 5. Drains Stomach fire: for digestive dysfunction with bad breath & belching with a putrid odor. 6. Clears heat topically: used topically for red & painful eyes & ulcerations of the tongue & mouth. |
MeridiansHeart, Large Intestine, Liver, Stomach |
CautionsContraindicated in cases of yin deficiency, nausea or vomiting due to Stomach cold from deficiency, & diarrhea due to Spleen or Kidney deficiency. Long-term use is discouraged as it can injure the Spleen & Stomach. This herb may antagonize ju hua, xuan shen, bai xian pi, & jiang can, & may counteract kuan dong hua & niu xi. Some also say that it should not be taken with pork. |
Ren Shen / Panax Ginseng | |||
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Taste: Sweet, Slightly Bitter • Temperature: Slightly Warm • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage1-9g, up to 30 grams (hemorrhagic shock) |
ActionsRen Shen / Panax Ginseng is used in treating patterns of qi, yang & yin deficiency.1. Strongly tonifies the basal qi: for extreme collapse of the qi or abandoned conditions that manifest in shallow respiration, shortness of breath, cold limbs, profuse sweating, & a minute or weak pulse. The herb is used alone for this condition after severe loss of blood. 2. Tonifies the Lungs & augments the qi: for wheezing, shortness of breath, & labored breathing with exertion caused by Lung qi deficiency. There is usually also a concurrent failure of the Kidneys to grasp the qi. 3. Strengthens the Spleen & tonifies the Stomach: for lethargy, lack of appetite, chest & abdominal distention, chronic diarrhea, & in severe cases, prolapse of the stomach, uterus, or rectum. 4. Generates fluids & stops thirst: for wasting & thirsting disorders, as well as in cases when the qi & fluids have been injured by high fever & profuse sweating. 5. Benefits the Heart qi & calms the spirit: for palpitations with anxiety, insomnia, forgetfulness, & restlessness due to qi & blood deficiency. Notes: Red Ginseng is more warming than White Ginseng. American Ginseng is considered cool and is better suited for those patients having a tendency towards heat signs. |
MeridiansLung, Spleen |
CautionsContraindicated in cases of yin deficiency with heat signs, heat excess, or in the absence of significant qi deficiency. Contraindicated for hypertensive patient with ascendant Liver yang, & in cases of very high blood pressure (systolic over 180mmHg). Overdose can lead to headache, insomnia, palpitations, & a rise in blood pressure. The traditional antidote is mung bean soup. This herb may antagonize wu ling zhi & may be incompatible with li lu. Patients taking this herb are advised to abstain from drinking tea & eating tunips, as this may reduce the effect of the herb. |
Da Zao (Hong / Hei) / Red or Black Jujube Date | |||
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Taste: Sweet • Temperature: Neutral • Category: Tonic / Harmonize • Sub Category: Tonify Qi | |||
Dosage3-12 pieces (10-30 grams) |
Actions1. Tonifies the Spleen & augments the qi: for weakness, shortness of breath, lassitude, reduced appetite, & loose stools due to Spleen & Stomach deficiency.2. Nourishes the blood & calms the spirit: for wan appearance, irritability, & severe emotional lability due to restless organ disorder. 3. Moderates & harmonizes the harsh properties of other herbs. |
MeridiansSpleen, Stomach |
CautionsSince hong zao aids dampness, generates heat, & may readily induce fullness in the middle burner, it is contraindicated in cases of excess dampness, food stagnation, intestinal parasites, or damp-phlegm disorders with such symptoms as epigastric distention & bloating. |
Zhi Gan Cao / Licorice Root, honey-baked | |||
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Taste: Sweet • Temperature: Warm • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage2-12g |
Actions1. Tonifies the Spleen & augments the qi: commonly used for Spleen deficiency with shortness of breath, lassitude, & loose stools. Also for qi or blood deficiency patterns with an irregular or intermittent pulse & /or palpitations.2. Moistens the Lungs & stops coughing: for coughing & wheezing. Because of its neutral properties, it can be used for either heat or cold in the Lungs. 3. Clears heat & relieves fire toxicity: used raw for carbuncles, sores, or sore throat due to fire toxin. For this purpose, it can be taken internally or applied topically. 4. Moderates spasms & alleviates pain: for painful spasms of the abdomen or legs. 5. Moderates & harmonizes the characteristics of other herbs: by virtue of its sweet, neutral, & moderating properties, this herb moderates hot & cold herbs, & mitigates the violent properties of other herbs. Since it is said to enter all 12 primary channels, it can lead & conduct other herbs into the channels. 6. Used as an antidote for a variety of toxic substances, both internally & topically. 7. The raw root clears heat & relieves toxicity, the honey-fried tonifies the middle & moderates spasms. |
MeridiansAll 12 channels (principally the Heart, Lung, Spleen, & Stomach) |
CautionsContraindicated in cases of excess dampness, nausea, or vomiting. May be in compatible with jing da ji, yuan hua, gan sui, & hai zao, & may antagonize yuan zhi. The toxicity of gan cao is very low, but if taken long-term it may cause hypertension &/or edema. Glycyrrhetinic acid has been reported to cause a reduction in the activity of the thyroid & a reducation in the basal metabolic rate. |