Xiao Jian Zhong Tang小建中湯
Minor Construct the Middle (Burner) Decoction
Also known asMinor Decoction for Restoring the Normal Function of the Middle Burner · Minor fortify the Center Decoction · Minor Cinnamon and Peony Combination
- Medicinals
- 6
Composition
Tonifies the Spleen and Middle Jiao Qi, alleviates pain, disperses Cold and moderates spasmodic abdominal pain.
warms and tonifies the Middle Jiao.- Gui Zhi, Bai Shao, Sheng Jiang
Warms the Middle Jiao, disperses Cold, releases the exterior and adjusts the Ying and Wei.
- Bai Shao
- Zhi Gan Cao
Tonifies the Spleen and augments *Qi, moistens the Lungs, resolves Phlegm, stops cough, moderates spasms, alleviates pain and harmonizes the Middle Jiao.*
Releases the exterior, disperses Cold, warms the middle and adjusts the Ying and Wei.
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.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.Strengthens the Spleen, tonifies Qi and protects and harmonizes the Middle Jiao.
Actions
- Heats and fortifies the Middle Jiao
- Restores Qi
- Eases cramp-like pain in the abdomen
- Expels Cold
- Strengthens a child's overall constitution
- Clears pathogenic factors at the exterior
Patterns treated
- Deficiency Cold of the Spleen and Stomach
- Cramping abdominal pain stemming from consumptive disorders
- Consumptive illness resulting from combined Yin-Yang Deficiency
- Consumptive illness triggered by a high fever
- Blood Deficiency that leaves the Heart unnourished
Manifestations
- Cramping abdominal pain that comes and goes and eases with warmth and pressure
- Pain in the upper abdomen
- A dull, faded facial complexion
- Restless fidgeting
- A diminished desire to eat
- Possibly a mild fever
- A pounding or racing heartbeat
- A tendency toward being easily annoyed
- Limbs that are cold and ache
- A vague, hard-to-pin-down discomfort
- Parched sensations in the mouth and throat
- Involuntary seminal discharge at night
- A hot sensation in the five soles
- A weakened bodily condition in children
- Bedwetting in children
- Trouble sleeping
- Bleeding from the nose
- Recurrent, longstanding constipation
- Possibly warm limbs
- Sweating that occurs during sleep
- A heavy, weary feeling in the limbs
- Urinating more often than usual
- Possibly a reduced volume of urine
- Crying that occurs at night
- Loose, watery stools in children
- Recurring headaches in children
- Painful hernia in children
- Longstanding difficulty passing stool
- Small purple bruise-like skin spots
- Labored, wheezing breath
- Tongue body
- Pale in color
- Coating
- White in color
- Pulse
- Thready and wiry, even in rhythm — or, alternatively, thready and weak
Indications
- Persistent inflammation of the stomach lining
- An ulcer of the stomach
- An ulcer of the duodenum
- Chronic inflammatory bowel disorder
- Nervous exhaustion
- Persistent liver inflammation
- Anemia of the pernicious type
- Abnormally low blood sugar
- Dysfunction of the autonomic nervous system
- Persistent kidney inflammation
- Migraine headaches
- Childhood bedwetting
- Jaundice caused by red blood cell breakdown
- Urinating more often than normal
- Childhood malnutrition accompanied by a mild fever
- Hepatitis B infection
- Difficulty falling or staying asleep
- Dysenteric illness
- Inflammation of the intestines
- Pain occurring after childbirth
- Difficulty conceiving
- Underactive thyroid function
- Pain in the abdomen
- Reduced urine output
- Yellowing of the skin and eyes
- Queasiness
- Cold lodged in the abdomen
- Loose, watery stools
- General bodily weakness
- Dilation of the stomach
- Inflammation of the stomach and intestines
- Prolapse of the rectum
- Involuntary emissions during sleep
- Excessively dry skin
- Liver cirrhosis
- Fever with no identifiable cause
- A mild, persistent fever
- Depressive mood
- Leukemic blood disease
- Anemia due to bone marrow failure
- Fever following childbirth
- Spasms of the stomach and intestines
- Asthmatic breathing difficulty
- Inflammation of the tonsils
- Palpitations of nervous origin
- Gallstones
- Inflammation of the gallbladder
- Non-cancerous enlargement of the prostate
- Abnormally low blood pressure
- Purpura from an unexplained drop in platelets
- Weakness and long-term illness in children
- Persistent crying in children
- Long-standing constipation
- Recurrent, ongoing constipation
- Head pain
- Nosebleeds
- IBS-type bowel dysfunction
- Endometrial tissue growth outside the uterus
- Raynaud's circulatory disorder
- Discharge from the vagina
- Urinating with unusual frequency
- Episodes of vomiting
- Loss of appetite
- A racing or irregular heartbeat
- Persistent tiredness
- Fluid retention causing swelling
- Excessive sweating during sleep
- Downward displacement of the stomach
- Poor digestion
- Undergoing chemotherapy treatment for breast cancer
Modifications
For a more pronounced Cold pattern
When Qi Stagnation is also present
When diarrhea is present
- +Bai Zhu
For tiredness stemming from Qi Deficiency
- +Huang Qi
- +Ren Shen
for a sallow complexion accompanied by tiredness
For long-standing weakness and Deficiency affecting women
For weakness after childbirth with abdominal pain and spasms, or for severe Blood Deficiency
For unprompted sweating, a mild fever and recurrent colds
When Cold is lodged in the abdomen
- +Gan Jiang
For intense Cold-type abdominal pain
For pronounced Qi Deficiency
For abdominal pain accompanied by Blood Deficiency
For abdominal pain with clearly marked Qi Deficiency
For disorders of the digestive tract
- −Sheng Jiang
- +Gan Jiang
- +Dang Shen
- +Bai Zhu
- +Fo Shou
For gastritis featuring nighttime pain and a purplish tongue with dark spots
- +Yan Hu Suo
- +Chi Shao
- +Dan Shen
For gastritis accompanied by a peptic ulcer
For gastritis presenting with nausea and vomiting
For gastritis marked by frequent belching
For gastritis accompanied by palpitations
For recurrent, ongoing constipation
For cases of Hepatitis B
For Hepatitis B accompanied by Qi Deficiency
For jaundice arising from Spleen Qi and Blood Deficiency
For jaundice from Spleen Qi and Blood Deficiency, with pronounced Qi Deficiency
For jaundice from Spleen Qi and Blood Deficiency, with abdominal distention
For a relapse triggered by eating raw or cold food
For cases of roundworm infestation
For fullness in the abdomen or nausea arising after taking this formula
For tiredness stemming from Blood Deficiency
For irritability arising from Lung Deficiency
- +Mai Men Dong
- +Wu Wei Zi
For long-standing weakness and Deficiency affecting men
- +Si Jun Zi Tangformula
For shortness of breath and unprompted sweating, or for pronounced Qi Deficiency
For generalized abdominal pain and weakness following childbirth
For Cold-type abdominal pain with nausea, vomiting and acid reflux
For Spleen Yang Deficiency that leads to Dampness Accumulation, marked by heaviness, fullness and distention of the Stomach and abdomen, a poor appetite, tiredness and a glossy white tongue coating
For the Middle Jiao Yang losing its movement and producing Qi Stagnation, with abdominal distention, borborygmus and flatulence
For gastritis accompanied by acid reflux
For gastritis involving H. pylori infection
For gastritis with Qi Deficiency and overall weakness
For gastritis with a peptic ulcer and pronounced acid reflux
For gastritis marked by distention of the chest and abdomen
For gastritis accompanied by loose stools
- +Gua Lou
- +Wu Zhu Yu
- +Xie Bai
- +Bai Zhu
For Hepatitis B accompanied by Damp-Heat
For Hepatitis B accompanied by Yin Deficiency
For jaundice from Spleen Qi and Blood Deficiency, with pronounced Blood Deficiency
For jaundice from Spleen Qi and Blood Deficiency, with Damp Accumulation
Cautions
- Not to be used in cases of Heat arising from Yin Deficiency.
- Omit the sweet-flavored ingredient when vomiting or roundworms are present.
- Adjust the formula if abdominal distention is present.