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Neijing
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Knowledge baseFormulas

Bu Huan Jin Zheng Qi San不換金正氣散

Rectify the Qi Powder Worth More than Gold

Medicinals
8

Composition

  • Hou PoCx. Magnoliae Officinalis3–10 g

    Promotes the movement of Qi downward, dries Dampness and transforms Phlegm.

    for Dampness Accumulation with Qi Stagnation.
  • Cang ZhuRz. Atractylodis3–10 g

    Strongly dries Dampness, tonifies the Spleen and clears Dampness from the Lower *Jiao*.

    for Dampness obstructing Spleen Yang with epigastric fullness, abdominal and epigastric distention, nausea, vomiting, anorexia, loss of taste and a thick, greasy tongue coat.
    for epigastric fullness, fatigue and discomfort, anorexia, vomiting and/or diarrhea with a turbid, greasy tongue due to Dampness Obstructing the Middle Jiao.
    for chronic accumulation of Dampness in the Spleen with hypochondriac pain, acid reflux and anorexia.
  • Huo XiangHb. Agastaches/ Pogostemonis3–10 g

    Aromatically transforms Dampness, releases the exterior and transforms turbidity.

    for nausea and vomiting.
    for nausea and vomiting, fullness and distention of the chest, epigastrium, and abdomen, anorexia and diarrhea with a turbid, greasy tongue coat due to turbid Dampness Obstructing the Middle Jiao.
    • Zhi Ban Xia, Hou Po
    Cang Zhu, for Summerheat and Dampness Stagnation in the Middle Jiao.*
  • Zhi Ban XiaRz. Pinelliae Preparatum3–14 g

    Dries Dampness, transforms Phlegm, descends Rebellious Qi and stops vomiting.

  • Chen PiPer. Citri Reticulatae3–9 g

    Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness and transforms Phlegm.

    for Cold-Dampness Obstructing the Middle with nausea and hiccup.
  • Gan CaoRx. Glycyrrhizae2–15 g

    Tonifies the Spleen, augments *Qi and moderates and harmonizes the harsh properties of other herbs.*

  • Da ZaoFr. Jujube10–30 g

    Tonifies the Spleen and Stomach, augments *Qi and moderates and harmonizes the harsh properties of other herbs*.

    alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen.
  • Sheng JiangRz. Zingiberis Recens1–10 g

    Warms the Middle, stops vomiting and reduces the toxicity of other herbs.

    for vomiting due to many causes including Stomach Cold.

Actions

  • Moves Qi
  • Removes Dampness by drying
  • Resolves Turbidity
  • Directs Qi downward
  • Brings the Stomach into harmony
  • Halts vomiting

Patterns treated

  • Obstruction of the Middle Jiao by Damp-Turbidity, together with an Exterior invasion of Wind-Cold
  • The Spleen and Stomach Are Affected by Phlegm-Damp
  • A disorder of sudden turmoil

Manifestations

  • Episodes of vomiting
  • A distended, full sensation in the abdomen
  • Feverishness together with chills
  • Loose stools containing mucus
  • Pain in the head
  • Stool that is black and tarry (melaena)
Tongue body
The tongue body is Pink in color
Coating
The coating is thick, white and greasy in texture
Pulse
The pulse may be Soft, or Floating together with Tight and Soft, or simply Weak

Indications

  • Gastric flu
  • A dysenteric disorder
  • Sudden-onset gastroenteritis
  • Poor appetite
  • Burping
  • A plague-type illness
  • Head pain
  • Fullness and distention of the abdomen
  • A nervous stomach disorder
  • Nausea and vomiting caused by food poisoning
  • Poor digestion
  • Reflux of stomach acid
  • An ordinary cold
  • A cholera infection
  • Nausea and vomiting
  • Loose, watery stools

Modifications

Cautions

  • Not to be used in cases of Yin Deficiency
  • Not to be used when the Spleen and Stomach are weak.
  • Exercise caution in cases of Blood deficiency.
  • Exercise caution when the patient is pregnant.
  • Raw, Cold, oily and greasy foods should not be eaten while this decoction is being taken.

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