Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

Lian Li Tang - 连李汤 - Decoction To Regulate The Middle With Coptis

English:	Decoction (Pill) to Regulate the Middle with Coptis
Also Known As:

Herbs And Actions

Pharmaceutical Latin	*Pin Yin*	Dosage	Actions
Rz. Zingiberis	Gan Jiang	3-9g	Warms the Spleen and Stomach and eliminates interior Cold. With Gan Cao, for vomiting and epigastric pain due to Spleen and Stomach Deficiency Cold. With Bai Zhu, for diarrhea due to Spleen Deficiency.
Rx. Ginseng	Ren Shen	3-15g	*Reinforces Yang, strongly tonifies Yuan Qi* and harmonizes the Middle Jiao.** With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
Rz. Atractylodis Macrocephalae	Bai Zhu	3-9g	Strengthens the Spleen and dries Dampness. With Ren Shen, tonifies the Spleen and Stomach. With Ren Shen and Gan Jiang, for Middle Jiao Deficiency Cold with abdominal pain, distention, vomiting and diarrhea.
Fried Rx. Glycyrrhizae	Zhi Gan Cao	3-9g	*Augments the Qi of the Middle Jiao* and harmonizes.**
Rz. Coptidis	*Huang Lian*	1.5-10g	Clears Heat, Drains Dampness, Drains Stomach Fire, Resolves Fire toxicity, Stops bleeding.

Formula Actions

Warms the Middle Jiao
Dispels Cold
Clears Heat
Strengthens the Spleen and Stomach
Tonifies Qi

Syndromes

Spleen Yang Deficiency with Dampness in the Lower Jiao and Dryness in the Upper Jiao

Clinical Manifestations

Diarrhea with watery stools
Nausea and vomiting of sour fluids
Thirst
Anorexia
Abdominal and/or epigastric fullness (likes pressure)
Abdominal pain
Gastrointestinal weakness
Pale face
Reduced urination
Tends toward fatigue
May have cold limbs
May have headache with fever
Body aches
Epistaxis
Hematemesis
Shortness of breath
Lassitude
Epigastric pain
All Blood from bleeding is pale
Mouth ulcers

Edema
Insomnia
Hemoptysis
Intestinal bleeding
Chronic bleeding
Hemafecia
Uterine bleeding
Rectal bleeding
Profuse menstrual flow
Chest fullness and pain
Hypochondriac pain that shoots toward the Heart
Intolerance of Cold
Rigid focal distention in the Heart region
Excessive production or drooling of foamy saliva
Emaciation
T: Pale, may be moist
C: White or None
P: Deep, weak and slow or Deep and thready or Big and weak

Treats

Acute or chronic gastritis
Acute and chronic gastroenteritis
Gastric weakness
Gastric or duodenal ulcers
Gastroptosis
Irritable bowel syndrome
Chronic colitis
Chronic bronchitis
Obstruction of the chest
Oral herpes
Functional uterine bleeding
Gastrectasis
Cholera
Fright in children with vomiting
Anemia
Excessive salivation
Stomatitis
Enteritis
Nephropathy
Obesity
Headache
Hypothyroidism
Abdominal fullness and distention
Menorrhagia
Crohn's disease
Abdominal pain
Hemafecia
Hematemesis
Dyspnea

Epistaxis
Diarrhea
Tapeworm
Dyspepsia
Mild labor pains
Intoxication
Diabetes
Shoulder ache
Hemoptysis
Chilled feet
Intestinal bleeding
Hemorrhoidal bleeding
Vaginal discharge
Sneezing of a common cold
Chronic childhood convulsions
Angina pectoris
Sudden turmoil disorder
Bacterial dysentery
Male infertility
Acid reflux
Insomnia
Hiccups
Endometriosis
Ulcerative colitis
Stomach cancer
Anorexia
Fatigue
Edema

Contraindications And Herb/Drug Interactions

CONTRAINDICATIONS

Contraindicated for those with External Wind Invasion with fever.
Contraindicated for those withYin Deficiency.
Use with caution during pregnancy.
For those with sudden turmoil disorder, stop when diarrhea and vomiting have stopped.

HERB/DRUG INTERACTIONS

Notes

Modifications

For Stomach cancer with more Dampness:		For Stomach cancer with more Cold:
+ 9g Polyporus	Zhu Ling	+ 9g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ 9g Rz. Alismatis	Ze Xie
*When Yang* begins to revive, nourish Yin and Blood:**		+ 6g Cx. Cinnamomi	Gui Zhi
+ 6g Fr. Amomi	Sha Ren
+ 1.5g Rx. Ginseng	Ren Shen	+ 9g Rz. Pinelliae	Sheng Ban Xia
+ 18g Rz. Dioscoreae	Shan Yao	+ 9g Flos Caryophylli	Ding Xiang
+ 10g Sm. Nelumbinis	Lian Zi	+ 10g Fr. Alpiniae Oxyphyllae	Yi Zhi Ren
+ 6g Fr. Mume	Wu Mei
+ 4g Fr. Jujube	Da Zao
+ 15g Sm. Oryzae Glutinosae	Nuo Mi
+ 3g Rx. Glycyrrhizae	Gan Cao
+ 10g Rx. Angelicae Sinensis	Dang Gui
+ 10g Rx. Paeoniae Alba	Bai Shao

For educational reference only; not a substitute for care from a qualified practitioner.