Hua Gan Jian Jia Wei - 化肝煎加味 - Modified Transform The Liver Decoction

English:	Modified Transform the Liver Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Cx. Moutan	Mu Dan Pi	9-12g	Clears Heat, Clears Liver Fire, Cools and harmonizes the Blood, Dispels Blood Stasis, Invigorates the Blood.
Fr. Gardeniae	Zhi Zi	9-12g	Clears Heat, reduces Fire and eliminates irritability. With Mu Dan Pi, for Irregular menstruation, headache, red eyes and thirst due to Liver Qi Heat from Stagnation.
Rx. Paeoniae Alba	Bai Shao	9-12g	Nourishes the Blood, softens the Liver, calms Liver Yang and Liver Wind and alleviates pain. With Huang Lian, for epigastric distention and indigestion due to a simultaneous invasion of Hot and Cold pathogenic influences into the Stomach.
Fr. Citri Sarcodactylis	Fo Shou	9-12g	Spreads and regulates Liver Qi, harmonizes the Stomach, dries Dampness and strengthens the Spleen.
Fr. Akebiae	Ba Yue Zha	9-12g	Controls pain and expels Phlegm, Dredges the Liver, Regulates Qi.
Per. Citri Medica	Xiang Yuan Pi	9-12g	Promotes the movement of Qi, awakens the Spleen, eases the Middle, dredges and regulates Liver Qi, descends and drains to reduce Phlegm and stops pain. With Huang Lian, for acid regurgitation.
Rz. Pinelliae Preparatum	Zhi Ban Xia	9-12g	Descends Rebellious Qi, Dries Dampness, Stops vomiting and harmonizes the Stomach, Transforms Phlegm.
Rz. Coptidis	Huang Lian	6-9g	Clears Heat, drains Dampness and drains Stomach Fire. With Zhi Ban Xia, for Cold and Heat in the Middle Jiao with abdominal fullness, nausea and vomiting.
Fr. Evodiae	Wu Zhu Yu	2-3g	Warms the Middle Jiao, disperses Cold, promotes the movement of Qi, relieves Stagnation in the Liver channel, spreads the Liver, descends rebellious Qi, stops vomiting and alleviates pain. With Huang Lian, for vomiting, belching, epigastric pain and regurgitation of sour fluids from a Heat induced disharmony between the Liver and Stomach. With Bai Shao and Huang Lian, for Liver/Spleen disharmony with Stomach pain, acid regurgitation, abdominal pain and dysenteric diarrhea.

Formula Actions

• Clears Heat from the Stomach and Liver
• Harmonizes the Stomach
• Descends Stomach Qi

Syndromes

• Stomach and Liver Heat

Clinical Manifestations

Recurrent or relentless acid reflux and heartburn, aggravated by coffee, chocolate and alcohol or stress The patient may wake in the middle of the night (1-2 am) with discomfort and reflux Sour or bitter belching Epigastric discomfort or burning sensation Indeterminate, gnawing hunger

Foul stools Dry mouth Thirst Irritability Quick temper T: Red with red edges C: Yellow P: Wiry and/or slippery, maybe rapid

Treats

Acid reflux Acute or chronic gastritis Cholelithiasis Hangover

Chronic hepatitis Cholecystitis Alcoholism

Contraindications And Herb/Drug Interactions

Notes

Modifications

For a stronger antacid effect:		For Excess Heat with a red neck, flushing, red eyes and irritability:
+ 15g Endoconcha Sepia	Hai Piao Xiao
+ 30g Hb. Taraxaci	Pu Gong Ying
+15g Calcined Concha Arcae	Duan Wan Leng Zi	For constipation:
+ 6-9g Rx. et Rz. Rhei	Da Huang
+ 9-12g Fr. Aurantii Immaturus	Zhi Shi