Dang Gui Jian Zhong Tang - 當歸健中湯 - Tonifying Dang Gui Decoction To Construct The Middle

English:	Tonifying Dang Gui Decoction to Construct the Middle
Also Known As:	Tangkuei Decoction to Construct the Middle Tangkuei, Cinnamon and Peony Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelica Sinensis	Dang Gui	4-9g	Nourishes, invigorates and harmonizes the Blood, disperses Cold, stops pain due to Blood Stasis, moistens the Intestines and unblocks the bowels. With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat. With Gan Cao, moderates spasms and relieves abdominal pain. With Yi Tang, Gui Zhi, Sheng Jiang and Bai Shao, for epigastric and abdominal pain.
Maltose	Yi Tang	18-30g	Strengthens the Spleen, tonifies Qi, tonifies the Middle Jiao and alleviates pain and coldness. With Dang Gui, for abdominal pain due to Blood Deficiency. With Gui Zhi, warms and tonifies the Middle Jiao. With Gui Zhi, Gan Cao and Bai Shao, for abdominal pain due to Cold from Middle Jiao Deficiency which is better with pressure and somewhat alleviated by eating With Gui Zhi, Gan Cao, Bai Shao and Dang Gui, for abdominal pain due to Cold from Middle Jiao Deficiency with concurrent Blood Deficiency.
Ram. Cinnamomi	Gui Zhi	4-9g	Warms the Middle Jiao, disperses Cold, releases the muscle layer, assists the Heart Yang, warms and facilitates the flow of Yang Qi in the chest, assists the Yang, adjusts the Ying and Wei and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels. With Bai Shao, warms and tonifies the Middle Jiao and harmonizes the Ying and the Wei. With Yi Tang, warms and tonifies the Middle Jiao.
(Cx. Rasus Cinnamomi)	(Rou Gui Xin)	(4-9g)	(Assists the Heart Yang and assists communication between the Heart and Kidneys - may substitute for Gui Zhi.)
Rx. Paeoniae Alba	Bai Shao	5-9g	Adjusts the Ying and Wei, Astringes Yin, Nourishes Blood, Relieves pain , Softens the Liver. With Gan Cao, regulates the relationship between the Liver and Spleen, nourishes sinews and treats epigastric, hypochondriac or flank pain and abdominal pain due to Disharmony between the Liver and Stomach. With Gui Zhi, harmonizes the Ying and the Wei. With Gui Zhi, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration. With Gui Zhi, Yi Tang, Da Zao, Gan Cao and Sheng Jiang, for severe epigastric or abdominal pain or cramps caused by the Liver overacting on the deficient, Cold Middle Jiao.
(Rx. Paeoniae Alba Preparata)	(Chao Bai Shao)	(18g)	(Nourishes Blood, harmonizes the collaterals, moderates the Spleen, relaxes the Liver and alleviates pain - may substitute for Bai Shao.)
Rx. Glycyrrhizae	Gan Cao	2-6g	Tonifies the Spleen, augments Qi, moderates spasms, alleviates pain and moderates and harmonizes the harsh properties of other herbs. With Bai Shao, moderates spasms and alleviates pain, for painful spasms of the leg or abdomen.
Rz. Zingiberis Recens	Sheng Jiang	3-9g	Warms the Middle, stops vomiting, adjusts the Ying and Wei and normalizes the flow of Qi at the center. With Da Zao, protects the Stomach Qi and reduces irritation of the gastrointestinal. tract by other herbs and adjusts the Ying and Wei. With Gui Zhi and Da Zao, harmonizes the Ying and Wei to drive out pathogens.
Fr. Jujube	Da Zao	3-5g	Tonifies the Spleen and Stomach, augments Qi, nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Warms and tonifies the Spleen and Stomach
• Relieves spasmodic pain

Syndromes

• Spasmodic pain due to Blood Deficiency

Clinical Manifestations

Postpartum emaciation and weakness Persistent, tight abdominal pain Abdominal pain with spasms or radiates to back and waist Cannot eat Shortness of breath Dyspnea Pale face Intermittent spasmodic abdominal pain which is better with Heat and pressure Epigastric pain Lusterless complexion Fidgeting Reduced appetite Maybe low-grade fever Palpitations Irritability Cold and sore extremities Nonspecific discomfort Dry mouth and throat Nocturnal emission Five Sole Heat Debilitated constitution in children

Enuresis in children Insomnia Fatigue Anemia Bleeding Abdominal weakness Epistaxis Habitual constipation Maybe warm extremities Night sweats Tired limbs Frequent urination Night crying Diarrhea in children Habitual headache in children Hernia pain in children Chronic constipation Purpura Asthma T: Pale C: White P: Weak and slow or Thready, wiry and even or Thready and weak

Treats

Gastric ulcer Gastric and intestinal spasms Duodenal ulcer Postpartum abdominal pain Aplastic anemia Postpartum fever Abdominal pain in women Peritonitis Uterine bleeding Chronic gastritis Inflammatory bowel disease Neurasthenia Chronic hepatitis Pernicious anemia Hypoglycemia Autonomic dystonia Chronic nephritis Migraines Enuresis in children Hemolytic jaundice Frequent urination Malnutrition with a low grade fever in children Hepatitis B Chronic pelvic inflammatory disease Purpura Lateral epicondylitis Dyspnea

Endometriosis Habitual constipation Sciatica Lumbago Nocturnal emissions Hernia Gangrene Renal calculi Tubercular Kidney Hemorrhoids Rectal prolapse Fever of unknown origin Depression Leukemia Gastric and intestinal spasm Asthma Tonsillitis Neuropalpitations Cholelithiasis Benign prostatic hypertrophy Hypotension Idiopathic thrombocytopenic purpura Debility and chronic illness in children Constant crying in children Insomnia Poor appetite Fatigue Postpartum abdominal pain

Contraindications And Herb/Drug Interactions

Notes

Modifications

For more severe Cold:		For relapse due to consumption of raw or cold food:
- Ram. Cinnamomi	Gui Zhi	+ More Ram Cinnamomi	Gui Zhi
+ Cx. Cinnamomi	Rou Gui	+ Rx. Linderae	Wu Yao
For concurrent Qi stagnation:		For diarrhea:
+ Rx. Aucklandiae	Mu Xiang	+ Rz. Atractylodes Macrocephalae	Bai Zhu
+ End. Corneum Gigeriae Galli	Ji Nei Jin	For roundworms:
For chronic pelvic inflammatory disease:		+ Less Rx. Paeoniae Alba	Bai Shao
+ 30g Rx. Astragali	Huang Qi
+ 5g Flos Carthami	Hong Hua	+ Fr. Mume	Wu Mei
For endometriosis with Blood stagnation:
+ Sm. Persicae	Tao Ren
+ Flos Carthami	Hong Hua