Harmonize: Regulate Intestines

Question 1

• Indication: Pi syndrome due to ST/intestine dysharmony - underlying SP/ST xu allows cold to sink deeper resulting in qi stagnation then heat causing clumping (heat/cold constraint)
• Sx: Epigastric focal distention, fullness/tightmess with little or no pain, dry heaves or frank vomiting, borborygmi w/ diarrhea and reduced appetite
• Fx: Harmonize ST, guide rebellious qi down, disperse clumping, eliminate distention
• T: Thin, yellow, greasy coating
• P: Wiry, rapid
• Ingredients:
  Ban Xia (King) 12g - descends rebellious qi
  Huang Lian 3g - descends MJ
  Huang Qin 9g - descends UJ
  Gan Jiang 9g
  Ren Shen 9g
  Da Zao 4pcs
  Zhi Gan Cao 9g
• Xiao Chai Hu Tang w/o Chai Hu + Huang Lian and Sheng Jiang instead of Gan Jiang

A Formula

Answer 1

Ban Xia Xie Xin Tang (Pinellia Decoction to Drain the Epigastrium)

Question 2

• Indication: 1) Pi syndrome due to ST cold accumulation 2) Hu Huo - fox delusion syndrome
• Sx: 1) epigastric focal distention, fullness/tightness, dry heaves/nausea, loud borborygmi, diarrhea w/ indigestive food in stool and irritability 2) throat or oral white mucous
• Fx: tonify the qi to harmonize ST, dissapate clumping, stop nausea
• T: Pale w/ yellow, greasy coating
• P: Wiry, rapid w/o force
• Ingredients:
  Zhi Gan Cao (King) 12g
  Huang Qin 9g
  Gan Jiang 9g
  Ban Xia 12g
  Huang Lian 3gg
  Ren Shen 9g
  Da Zao 12pcs
• same ingredients as Ban Xie Xie Xin Tang w/ increased dose of Zhi Gan Cao (12g instead of 9g)

Answer 2

Gan Cao Xie Xin Tang (Licorice Decoction to Drain the Epigastrium)