Ding Kou Li Zhong Wan - 丁蔻李中囊 - Regulate The Middle Pills With Clove And Cardamon

English:	Regulate the Middle Pills with Clove and Cardamon
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Codonopsis	Dang Shen	15-24g	Tonifies the Middle Jiao and augments Qi. With Bai Zhu, for Spleen Qi Deficiency with anorexia, loose stools and vomiting.
Rz. Atractylodis Macrocephalae	Bai Zhu	12-15g	Strengthens the Spleen and dries Dampness.
Rz. Zingiberis	Gan Jiang	9-12g	Warms the Spleen and Stomach and eliminates interior Cold. With Zhi Gan Cao, for vomiting and epigastric pain due to Spleen and Stomach Deficiency Cold. With Bai Zhu, for diarrhea due to Spleen Deficiency.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	3-6g	Tonifies the Spleen, augments Qi, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels. With Dang Shen, for anorexia, fatigue and loose stools due to Spleen Deficiency.
Flos Caryophylli	Ding Xiang	3-6g	Warms the Middle Jiao, relieves pain, descends Qi, warms the Kidneys and assists Yang. With Bai Zhu, for Spleen Qi Deficiency. With Dang Shen, for hiccups due to Deficiency Cold. With Gan Jiang, Dang Shen, Bai Dou Kou and Bai Zhu, for diarrhea due to Deficiency Cold.
Fr. Amomi Rotundus	Bai Dou Kou	6-9g	Promotes the movement of Qi, aromatically transforms Dampness, strengthens the Stomach, warms the Middle Jiao, descends Qi and stops vomiting. With Ding Xiang, for belching due to Stomach Cold.

Formula Actions

• Warms and strengthens the Spleen and Stomach
• Harmonizes the Stomach
• Descends Qi

Syndromes

• Spleen and Stomach Qi and Yang Deficiency

Clinical Manifestations

Intermittent abdominal and gastric fullness and distention after eating Vomiting of partially undigested food about 12 hours after eating which relieves the discomfort The vomitus is relatively inoffensive with clearly identifiable food and possibly watery mucus-like material Waxy, pale complexion Anorexia Weight loss Emaciation

Loose stools or Diarrhea Fatigue Weakness Listlessness Increased desire to sleep Cold abdomen Cold extremities Intolerance of Cold T: Pale and swollen C: White P: Thready, deep and weak

Treats

Scleroderma Chronic gastritis Nausea/Vomiting Prolapse of the gastric mucosa Gastroptosis Diarrhea Weakness Abdominal Cold Emaciation

Hypo-acidity Gastric diverticulosis Post-gastrectomy syndrome Hypothyroidism Anorexia Fatigue Somnolence Cold extremities

Contraindications And Herb/Drug Interactions

Notes

• The dosages may be adjusted, depending on the degree of Cold.

Modifications

For more severe Cold:		For more Qi Deficiency symptoms with fewer Cold symptoms:
+ 6g Fr. Evodiae	Wu Zhu Yu
For severe regurgitation:		+12-15g Poria	Fu Ling
+ 9-12g Rz. Pinelliae Preparatum	Zhi Ban Xia	For edema or Fluid Retention:
+ 9-12g Rz. Alismatis	Ze Xie
+ 12-15g Flos Inulae	Xuan Fu Hua	+ 9-12g Sm. Plantaginis	Che Qian Zi
For severe fullness and distention:
+ 9-12g Cx. Magnoliae Officinalis	Hou Po
+ 9-12g Fr. Aurantii	Zhi Ke