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Neijing
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Knowledge baseFormulas

Hua Gan Jian Jia Wei化肝煎加味

Modified Transform the Liver Decoction

Medicinals
9

Composition

  • Mu Dan PiCx. Moutan9–12 g

    Clears Heat, cools and harmonizes the Blood, invigorates the Blood, dispels Blood Stasis and clears Liver Fire.

  • Zhi ZiFr. Gardeniae9–12 g

    Clears Heat, reduces Fire and eliminates irritability.

    for Irregular menstruation, headache, red eyes and thirst due to Liver Qi Heat from Stagnation.
  • Bai ShaoRx. Paeoniae Alba9–12 g

    Nourishes the Blood, softens the Liver, calms Liver Yang and Liver Wind and alleviates pain.

    for epigastric distention and indigestion due to a simultaneous invasion of Hot and Cold pathogenic influences into the Stomach.
  • Fo ShouFr. Citri Sarcodactylis9–12 g

    Spreads and regulates Liver *Qi, harmonizes the Stomach, dries Dampness and strengthens the Spleen*.

  • Ba Yue ZhaFr. Akebiae9–12 g

    Dredges the Liver, regulates Qi, controls pain and expels Phlegm.

  • Xiang Yuan PiPer. Citri Medica9–12 g

    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.*

    for acid regurgitation.
  • Zhi Ban XiaRz. Pinelliae Preparatum9–12 g

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

  • Huang LianRz. Coptidis6–9 g

    Clears Heat, drains Dampness and drains Stomach Fire.

    for Cold and Heat in the Middle Jiao with abdominal fullness, nausea and vomiting.
  • Wu Zhu YuFr. Evodiae2–3 g

    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.

    for vomiting, belching, epigastric pain and regurgitation of sour fluids from a Heat induced disharmony between the Liver and Stomach.
    for Liver/Spleen disharmony with Stomach pain, acid regurgitation, abdominal pain and dysenteric diarrhea.

Actions

  • Purges Heat affecting the Stomach and Liver
  • Brings the Stomach into harmony
  • Directs Stomach Qi downward

Patterns treated

Heat affecting the Stomach and Liver

Manifestations

  • Acid reflux and heartburn that keep recurring or persist relentlessly, worsened by coffee, chocolate, and alcohol or by stress
  • Sleep may be disrupted between 1 and 2 am by reflux and discomfort
  • Belching that tastes sour or bitter
  • Discomfort or a burning feeling in the epigastrium
  • A vague, gnawing sensation of hunger
  • Malodorous stools
  • Mouth dryness
  • A desire to drink
  • Irritable mood
  • Being easily angered
Tongue body
Red, with reddened edges
Coating
Yellow-hued
Pulse
A pulse that is wiry and/or slippery, and possibly rapid as well

Indications

  • Reflux of stomach acid
  • Gastritis, whether acute or chronic
  • Gallstones
  • After-effects of excess drinking
  • Long-term hepatitis
  • Inflammation of the gallbladder
  • Alcohol dependence

Modifications