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Knowledge baseFormulas

Jia Wei Ping Wei San加味平胃散

Modified Calm the Stomach Powder

Also known asModified Magnolia and Ginger Formula · Modified Powder for Regulating the Function of the Stomach · Modified The Stomach Neutralizing Powder

Medicinals
11

Composition

  • Cang ZhuRz. Atractylodis4–15 g

    Dispels Lower Jiao Dampness and strengthens the transporting function of the Spleen.

    dries Dampness and tonifies the Spleen.
    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.
  • Mai YaFr. Hordei Germinatus9–30 g

    Reduces Food Stagnation, improves digestion, strengthens the Stomach and facilitates the smooth flow of Liver *Qi.*

  • Hou PoCx. Magnoliae Officinalis3–12 g

    Circulates Qi, dispels Dampness, disperses fullness and warms and invigorates the Spleen.

    • Chen Pi
    revives the Spleen and increases the appetite.
    for Dampness obstructing Spleen Yang with epigastric fullness, abdominal and epigastric distention, nausea, vomiting, anorexia, loss of taste and a thick, greasy tongue coat.
    i, for Stomach Excess.
    for epigastric and abdominal bloating due to Dampness Obstructing the Qi.
  • Chen PiPer. Citri Reticulatae3–12 g

    Regulates Qi, transforms Dampness and assists Hou Po in descending Qi and eliminating distention.

    for vomiting and hiccups due to Disharmony of the Stomach Qi and Cold-Dampness Obstructing the Middle with nausea and hiccup.
    for chest, epigastric and abdominal pain, distention and discomfort due to Dampness and Qi Obstruction.
    for flank pain and chest and abdominal distention due to Liver Qi Stagnation.
    for Dampness obstructing the Spleen's transforming and transporting functions with reduced intake of food and diarrhea; belching, nausea, and a stifling sensation in the epigastrium due to Disharmony of the Stomach Qi and vomiting of unadulterated or scanty but viscous fluids.
  • Qing PiPer. Citri Reticulatae Viride3–10 g

    Spreads Liver Qi, breaks up Stagnant *Qi, dissipates accumulations, reduces Food Stagnation, dries Dampness and transforms Phlegm.*

    for pain and distention of the flanks due to Liver Qi Stagnation.
  • Chuan XiongRz. Chuanxiong3–10 g

    Invigorates the Blood, promotes the movement of *Qi and alleviates pain.*

    for Qi Stagnation combined with Blood Stasis.
  • Sha RenFr. Amomi3–7 g

    Promotes the movement of Qi, aromatically transforms Dampness, strengthens the Spleen,stops vomiting, warms the Middle and stops diarrhea.

    for Cold-Damp induced diarrhea and dysentery.
    for Constrained Dampness with Qi Stagnation leading to distention and fullness in the epigastrium and abdomen.
  • Xiang FuRz. Cyperi6–14 g

    Spreads and regulates Liver *Qi and alleviates pain*.

    for indigestion, pain and distention in the flanks and abdomen, nausea, vomiting, and acid regurgitation.
  • Gan CaoRx. Glycyrrhizae1–6 g

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

  • Da ZaoFr. Zizyphi Jujube1–5 g

    Strengthens the Spleen, tonifies Qi and moderates and harmonizes the harsh properties of other herbs.

  • Sheng JiangRz. Zingiberis Recens1–3 g

    Disperses Cold, warms the Middle and stops vomiting.

    alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen, protects Stomach Qi and reduces irritation of the gastrointestinal. tract by other herbs.

Actions

  • Fortifies the function of the Spleen and Stomach
  • Brings the Middle Jiao into balance
  • Clears food stagnation from the digestive tract

Patterns treated

  • Dampness accumulating and stagnating in the Spleen and Stomach
  • Accumulated, stagnant food

Manifestations

  • Poor digestion of food
  • A feeling of tightness or pressure in the chest
  • Pain felt in the belly region
  • A queasy, nauseated feeling
  • Throwing up
  • Loose, watery stools
  • Abdominal fullness and bloating occurring after childbirth
  • Bloating and fullness in the abdomen accompanied by nausea and vomiting
Tongue body
Swollen in shape and pale in color
Coating
A thick white coating with a greasy quality
Pulse
A pulse quality that is slippery and even, or alternatively slow, or moderate

Indications

  • Dyspepsia
  • Queasiness with vomiting
  • Ulcers of the stomach and duodenum
  • Discomfort and pain in the abdominal region
  • Nervous stomach dysfunction
  • Halitosis
  • Prolapse of the stomach
  • Peristaltic movement that is reduced or absent
  • A bloated, distended abdomen
  • Loose bowel movements
  • Excessive body weight

Modifications

  • When Food Stagnation is more pronounced

  • When Phlegm Accumulation presents with fullness and a sense of oppression

Cautions

  • Substantial modification is needed in patients with Yin or Blood Deficiency.
  • Caution is warranted in pregnancy.

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