Ding Xiang Shi Di Tang - 丁香柿蒂湯 - Clove And Persimmon Calyx Decoction

English:	Clove and Persimmon Calyx Decoction
Also Known As:	Decoction of Caryophylli and Calyx Kaki Clove and Kaki Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Flos Caryophylli	Ding Xiang	3-10g	Warms the Middle Jiao, relieves pain, descends Qi, warms the Kidneys and assists Yang. With Shi Di, stops hiccup and reduces vomiting due to Stomach Cold and treats hiccup due to a combination of Heat and Cold. With Shi Di and Ren Shen, for hiccup due to Deficiency Cold.
Calyx Kaki	Shi Di	6-10g	Descends Qi and stops hiccups. With Ding Xiang and Sheng Jiang, for hiccups and vomiting due to Stomach Cold.
Rx. Ginseng	Ren Shen	3-6g	Tonifies Spleen and Stomach Qi.
Rz. Zingiberis Recens	Sheng Jiang	6-12g	Normalizes the flow of Qi at the center, Reduces the toxicity of other herbs, Stops vomiting, Warms the Middle.

Formula Actions

• Tonifies Qi
• Warms the Middle Jiao
• Descends rebellious Qi
• Stops hiccup

Syndromes

• Stomach Deficiency Cold
• Spleen and Stomach Yang Deficiency
• Rebellious Stomach Qi due to Stomach Deficiency-Cold (Secondary source)

Clinical Manifestations

Constant deep, weak, hiccup with a low tone Belching Sallow or pale complexion Anorexia (maybe with vomiting) Four limbs feel tired, cold and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Focal distention of the chest

Pain in the epigastrium with cold sensations (pain is relieved by warmth) A stifling sensation in the epigastrium Cold limbs Feeling chilled Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak or Deep and slow

Treats

Hiccup Morning sickness Nausea/Vomiting Abdominal fullness and distention Fatigue

Post-operative spasms of the diaphragm Belching Gastritis Anorexia Edema

Contraindications And Herb/Drug Interactions

Notes

Modifications

For a stronger effect:		For more severe Cold with Phlegm due to Qi Stagnation:
+ Per. Citri Reticulatae	Chen Pi
+ Caulis Bambusae in Taeniam	Zhu Ru	+ Rz. Alpiniae Officinarum	Gao Liang Jiang
For continuous vomiting:		+ Lignum Aquilariae Resinatum	Chen Xiang
+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Poria	Fu Ling
For Heat:		Or
+ Rz. Coptidis	Huang Lian	+ Exocarpium Citri Reticulatae	Ju Hong
+ Caulis Bambusae in Taeniam	Zhu Ru
+ Lignum Aquilariae Resinatum	Chen Xiang
For Qi and Phlegm Stagnation:
+ Per. Citri Reticulatae	Chen Pi	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Rz. Pinelliae Preparatum	Zhi Ban Xia
Formore Cold:
For Stomach Cold without Deficiency:		+ Cx. Cinnamomi	Rou Gui
- Rx. Ginseng	Ren Shen	+ Fr. Evodiae	Wu Zhu Yu
For less severe Cold:		For nausea and vomiting:
- Rz. Zingiberis Recens	Sheng Jiang	+ Fr. Aurantii	Zhi Ke
For gastritis:		+ Rx. Bupleuri	Chai Hu
- Rx. Ginseng	Ren Shen
+ 12g Rx. Codonopsis	Dang Shen
+ 9g Poria	Fu Ling
+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 3g Rx. Glycyrrhizae	Gan Cao