Xiao Jian Zhong Tang - 小建中湯 - Minor Construct The Middle Burner Decoction

English:	Minor Construct the Middle (Burner) Decoction
Also Known As:	Minor Decoction for Restoring the Normal Function of the Middle Burner Minor fortify the Center Decoction Minor Cinnamon and Peony Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Maltosum	Yi Tang	18-30g	Alleviates pain, Disperses Cold and moderates spasmodic abdominal pain, Tonifies the Spleen and Middle Jiao Qi. With Gui Zhi, warms and tonifies the Middle Jiao. With Gui Zhi and Gan Cao, for Cold abdominal pain due to Middle Jiao Deficiency. With Gui Zhi, Bai Shao, Sheng Jiang and Zhi Gan Cao, for abdominal pain that is better with pressure and somewhat alleviated by eating. due to Cold from Middle Jiao Deficiency.
Ram. Cinnamomi	Gui Zhi	4-9g	Warms the Middle Jiao, disperses Cold, releases the exterior and adjusts the Ying and Wei. With Bai Shao, harmonizes the Ying and Wei. With Zhi Gan Cao, for palpitations and shortness of breath due to injured Yang of the chest.
Rx. Paeoniae Alba	Bai Shao	6-18g	Harmonizes, protects Yin, nourishes Blood, Softens the Liver and alleviates pain. With Gan Cao, stops spasmodic abdominal pain. With Gui Zhi, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	3-6g	Tonifies the Spleen and augments Qi, moistens the Lungs, resolves Phlegm, stops cough, moderates spasms, alleviates pain and harmonizes the Middle Jiao.
Rz. Zingiberis Recens	Sheng Jiang	2-9g	Releases the exterior, disperses Cold, warms the middle and adjusts the Ying and Wei. With Da Zao, harmonizes and protects Ying Qi and alleviates epigastric pain, nausea and vomiting, protects the Stomach Qi and reduces irritation of the gastrointestinal. tract by other herbs. With Gui Zhi, strongly induces sweating for treatment of External Wind-Cold with chills, fever, body aches and anhidrosis and warms and dispels thin mucus in the Stomach with nausea, hiccup, Stomach pain, acid reflux or vomiting of clear fluid.
Fr. Jujube	Da Zao	3-5g	Strengthens the Spleen, tonifies Qi and protects and harmonizes the Middle Jiao.

Formula Actions

• Warms and tonifies the Middle Jiao
• Replenishes Qi
• Relieves spasmodic abdominal pain
• Dispels Cold
• Improves the constitution in children
• Resolves exterior conditions

Syndromes

• Spleen and Stomach Deficiency Cold
• Spasmodic abdominal pain due to consumptive conditions
• Consumptive diseases due to Yin and Yang Deficiency
• Consumptive diseases due to high fever
• Blood Deficiency which cannot nourish the Heart
• Spleen Yang deficiency with Cold causing abdominal pain (Secondary source)

Clinical Manifestations

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 Epistaxis

Habitual constipation Maybe warm extremities Night sweats Tired limbs Frequent urination Maybe scanty urination Night crying Diarrhea in children Habitual headache in children Hernia pain in children Chronic constipation Purpura Asthma T: Pale C: White P: Thready, wiry and even or Thready and weak

Treats

Chronic gastritis Gastric ulcer Duodenal ulcer 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 Insomnia Dysentery Enteritis Postpartum pain Infertility Hypothyroidism Abdominal pain Oliguria Jaundice Nausea Abdominal Cold Diarrhea Weakness Gastrectasis Gastroenteritis Rectal prolapse Nocturnal emissions Dry skin Cirrhosis of the Liver

Fever of unknown origin Low-grade fever Depression Leukemia Aplastic anemia Postpartum fever Gastric and intestinal spasm Asthma Tonsillitis Neuropalpitations Cholelithiasis Cholecystitis Benign prostatic hypertrophy Hypotension Idiopathic thrombocytopenic purpura Debility and chronic illness in children Constant crying in children Chronic constipation Habitual constipation Headache Epistaxis Irritable bowel syndrome Endometriosis Raynaud's disease Vaginal discharge Frequent urination Vomiting Anorexia Palpitations Fatigue Edema Night sweats Gastroptosis Indigestion Chemotherapy for breast cancer

Contraindications And Herb/Drug Interactions

Notes

• Huang Qi Jian Zhong Tang: this formula plus Huang Qi (18-30g), for severe Qi deficiency.
• Dang Gui Jian Zhong Tang: this formula plus Dang Gui (12-18g), for severe Blood deficiency.

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 roundworms:
+ Rx. Aucklandiae	Mu Xiang	+ Less Maltosum	Yi Tang
+ End. Corneum Gigeriae Galli	Ji Nei Jin	+ Less Rx. Paeoniae Alba	Bai Shao
For diarrhea:		+ Fr. Mume	Wu Mei
+ Rz. Atractylodis Macrocephalae	Bai Zhu	For abdominal fullness or nausea after taking this formula:
For fatigue due to Qi Deficiency:		+ Per. Citri Reticulatae	Chen Pi
+ Rx. Astragali	Huang Qi	+ Fr. Amomi	Sha Ren
+ Rx. Ginseng	Ren Shen	For fatigue due to Blood Deficiency:
For a sallow complexion with fatigue		+ Rx. Angelicae Sinensis	Dang Gui
- Maltosum	Yi Tang	+ Rz. Chuanxiong	Chuan Xiong
+ Rx. Astragali	Huang Qi	For irritability due to Lung Deficiency:
+ Rx. Ginseng	Ren Shen	+ Rx. Ophiopogonis	Mai Men Dong
+ Rx. Angelicae Sinensis	Dang Gui	+ Fr. Schisandrae	Wu Wei Zi
For chronic weakness and Deficiency in women:		For chronic weakness and Deficiency in men:
+ Four-Substance Decoction Si Wu Tang		+ Four Gentlemen Decoction Si Jun Zi Tang
For postpartum weakness with abdominal pain and spasms or severe Blood Deficiency:		For dyspnea and spontaneous perspiration or severe Qi Deficiency:
+ Rx. Angelicae Sinensis	Dang Gui	+ Rx. Astragali	Huang Qi
For spontaneous sweating, low grade fever and frequent colds:		For postpartum diffuse abdominal pain and weakness:
+ 18-30g Honey-fried Rx. Astragali	Zhi Huang Qi	+ 9-12g Rx. Angelicae Sinensis	Dang Gui
For abdominal Cold:		+ 15-20g Rz. Zingiberis Recens	Sheng Jiang
+ Rz. Zingiberis	Gan Jiang
For severe abdominal Cold pain:		For abdominal Cold pain with nausea, vomiting and acid regurgitation:
+ 9g Rz. Alpiniae Officinarum	Gao Liang Jiang
+ 3-5g Fr. Evodiae	Wu Zhu Yu
+ 6g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	For Spleen Yang Deficiency causing Dampness Accumulation with heaviness, fullness and distention of the Stomach and abdomen, reduced appetite, fatigue and a glossy, white tongue coat:
For severe Qi Deficiency:
+ 9g Rice bran stir-fried Rx. Codonopsis	Dang Shen
- Minor Construct the Middle (Burner) Decoction Xiao Jian Zhong Tang
+ 12g Honey stir-fried Rx. Astragali	Huang Qi
+ Magnolia Bark Decoction for Warming the Middle Hou Po Wen Zhong Tang
For abdominal pain with Blood Deficiency:
+ 9g Rx. Angelicae Sinensis	Dang Gui	For Middle Jiao Yang failing to move causing Qi Stagnation with abdominal distention, borborygmus and flatulence:
For abdominal pain with obvious Qi Deficiency:
+ 15g Rx. Astragali	Huang Qi	- Minor Construct the Middle (Burner) Decoction Xiao Jian Zhong Tang
For gastrointestinal disorders:
- Rz. Zingiberis Recens	Sheng Jiang	+ Aquilaria Decoction Chen Xiang Tang
+ 5g Rz. Zingiberis	Gan Jiang
+ 10g Rx. Codonopsis	Dang Shen	For gastritis with acid reflux:
+ 10g Rz. Atractylodis Macrocephalae	Bai Zhu	- Maltosum	Yi Tang
+ Fr. Evodiae	Wu Zhu Yu
+ 10g Fr. Citri Sarcodactylis	Fo Shou	+ Endoconcha Sepiae	Hai Piao Xiao
+ Concha Ostreae	Mu Li
For gastritis with pain at night and a purplish tongue dark spots:		For gastritis with H. pylori:
+ Rx. et Rz. Rhei	Da Huang
+ Rz. Corydalis	Yan Hu Suo	+ Pollen Typhae	Pu Huang
+ Rx. Paeoniae Rubra	Chi Shao	For gastritis with Qi Deficiency and generalized weakness :
+ Rx. Salviae Miltiorrhizae	Dan Shen
+ 10g Rz. Atractylodis Macrocephalae	Bai Zhu
For gastritis with a peptic ulcer:
+ Fr. Trichosanthis	Gua Lou	+ Rx. Astragali	Huang Qi
+ Fr. Evodiae	Wu Zhu Yu	+ Poria	Fu Ling
+ Bul. Allii	Xie Bai	For gastritis with a peptic ulcer with severe acid reflux:
For gastritis with nausea and vomiting:
+ Fr. Trichosanthis	Gua Lou	- Maltosum	Yi Tang
+ Fr. Evodiae	Wu Zhu Yu	- Fr. Jujube	Da Zao
+ Bul. Allii	Xie Bai	+ Fr. Trichosanthis	Gua Lou
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Fr. Evodiae	Wu Zhu Yu
+ Bul. Allii	Xie Bai
For gastritis with frequent belching:		+ Rz. Coptidis	Huang Lian
+ Fr. Trichosanthis	Gua Lou	+ Concha Ostreae	Mu Li
+ Fr. Evodiae	Wu Zhu Yu	For gastritis with chest and abdominal distention:
+ Bul. Allii	Xie Bai
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	- Fr. Jujube	Da Zao
+ Fr. Trichosanthis	Gua Lou
+ Flos Inulae	Xuan Fu Hua	+ Fr. Evodiae	Wu Zhu Yu
+ Haematitum	Dai Zhe Shi	+ Bul. Allii	Xie Bai
For gastritis with palpitations:		+ Cx. Magnoliae Officinalis	Hou Po
+ Fr. Trichosanthis	Gua Lou
+ Fr. Evodiae	Wu Zhu Yu	+ Fr. Aurantii	Zhi Ke
+ Bul. Allii	Xie Bai	For gastritis with loose stools:
+ Poria	Fu Ling	+ Fr. Trichosanthis	Gua Lou
For habitual constipation:		+ Fr. Evodiae	Wu Zhu Yu
- Rz. Zingiberis Recens	Sheng Jiang	+ Bul. Allii	Xie Bai
For hepatitis B:		+ Rz. Atractylodis Macrocephalae	Bai Zhu
+ Fr. Amomi	Sha Ren
+ Endothelium Corneum Gigeriae Galli	Ji Nei Jin	For hepatitis B with Damp-Heat:
+ Fr. Amomi	Sha Ren
+ Charred Fr. Crataegi	Shan Zha Tan	+ Endothelium Corneum Gigeriae Galli	Ji Nei Jin
+ Charred Massa Medicata Fermentata	Shen Qu Tan
+ Charred Fr. Crataegi	Shan Zha Tan
+ Charred Fr. Hordei Germinatus	Mai Ya Tan	+ Charred Massa Medicata Fermentata	Shen Qu Tan
For hepatitis B with Qi Deficiency:		+ Charred Fr. Hordei Germinatus	Mai Ya Tan
+ Fr. Amomi	Sha Ren
+ Endothelium Corneum Gigeriae Galli	Ji Nei Jin	+ Hb. Artemisiae Scopariae	Yin Chen
+ Charred Fr. Crataegi	Shan Zha Tan	+ Rz. Atractylodis	Cang Zhu
+ Charred Massa Medicata Fermentata	Shen Qu Tan	+ Hb. Taraxaci	Pu Gong Ying
+ Hb. Sedi	Chui Pen Cao
+ Charred Fr. Hordei Germinatus	Mai Ya Tan	For hepatitis B with Yin Deficiency:
+ Fr. Amomi	Sha Ren
+ Rx. Codonopsis	Dang Shen	+ Endothelium Corneum Gigeriae Galli	Ji Nei Jin
+ Rz. Dioscoreae	Shan Yao
+ Rz. Atractylodis Macrocephalae	Bai Zhu	+ Charred Fr. Crataegi	Shan Zha Tan
+ Charred Massa Medicata Fermentata	Shen Qu Tan
+ Rx. Astragali	Huang Qi
For jaundice due to Spleen Qi and Blood Deficiency:		+ Charred Fr. Hordei Germinatus	Mai Ya Tan
+ 30g Hb. Artemisiae Scopariae	Yin Chen Hao
+ Rx. Glehniae	Bei Sha Shen
+ Rx. Ophiopogonis	Mai Men Dong
+ 9g Rx. Codonopsis	Dang Shen	+ Fr. Lycii	Gou Qi Zi
+ 6g Rx. Bupleuri	Chai Hu	+ Hb. Epimedii	Yin Yang Huo
For jaundice due to Spleen Qi and Blood Deficiency with severe Qi Deficiency:		For jaundice due to Spleen Qi and Blood Deficiency with severe Blood Deficiency:
+ 30g Hb. Artemisiae Scopariae	Yin Chen Hao	+ 30g Hb. Artemisiae Scopariae	Yin Chen Hao
+ 9g Rx. Codonopsis	Dang Shen	+ 9g Rx. Codonopsis	Dang Shen
+ 6g Rx. Bupleuri	Chai Hu	+ 6g Rx. Bupleuri	Chai Hu
+ 15g Rx. Astragali	Huang Qi	+ 9g Rx. Angelicae Sinensis	Dang Gui
For jaundice due to Spleen Qi and Blood Deficiency with abdominal distention:
For jaundice due to Spleen Qi and Blood Deficiency with Damp Accumulation:
+ 30g Hb. Artemisiae Scopariae	Yin Chen Hao
- Maltosum	Yi Tang
+ 9g Rx. Codonopsis	Dang Shen	+ 30g Hb. Artemisiae Scopariae	Yin Chen Hao
+ 6g Rx. Bupleuri	Chai Hu
+ 9g Cx. Magnoliae Officinalis	Hou Po	+ 9g Rx. Codonopsis	Dang Shen
+ 6g Rx. Bupleuri	Chai Hu
+ 6g Per. Citri Reticulatae	Chen Pi	+ 12g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 9g Poria	Fu Ling