*Major Construct the Middle Decoction (da jian zhong tang)
Chief: Chuan Jiao
Deputy: Gan Jiang
Assistant: Ren Shen, Yi Tang
Pattern: Weakness and deficiency of the middle burner Yang (the root), and Yin Cold in the interior (the manifestation).
Indications: Excruciating epigastric and abdominal pain to the point that the patient cannot tolerate being touched, a strong sensation of Cold in the epigastrium, vomiting to the point of being unable to eat, a white, slippery tongue coating, and a thin and tight or slow and wiry (or in especially severe cases, hidden) pulse. There may also be borborygmus.
Cautions and contraindications: This formula is contraindicated in cases with internal clumping, damp-heat, or Yin and blood deficiency.
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