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Li Zhong Tang #2191M

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Pin Ying Name: Li Zhong Tang

English Name: Regulate The Middle Decoction

Chinese Name: 理中湯

Herbs & Actions
Pharmaceutical Latin Pin Yin Dosage Actions
Rz. Zingiberis Gan Jiang 3-9g

Warms the Spleen and Stomach and eliminates interior Cold.

With Gan Cao, for vomiting and epigastric pain due to Spleen and Stomach Deficiency Cold. With Bai Zhu, for diarrhea due to Spleen Deficiency.

Rx. Ginseng Ren Shen 3-15g

Reinforces Yang, strongly tonifies Yuan Qi and harmonizes the Middle Jiao.

With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.

Rz. Atractylodis Macrocephalae Bai Zhu 3-9g

Strengthens the Spleen and dries Dampness.

With Ren Shen, tonifies the Spleen and Stomach. With Ren Shen and Gan Jiang, for Middle Jiao Deficiency Cold with abdominal pain, distention, vomiting and diarrhea.

Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-9g

Augments the Qi of the Middle Jiao and harmonizes.

Formula Actions
  • Warms the Middle Jiao
  • Dispels Cold
  • Strengthens the Spleen and Stomach
  • Tonifies Qi
  • Spleen Yang Deficiency
  • Stomach Cold
  • Small Intestine Deficiency Cold
  • Middle Jiao Yang Deficiency
  • Tai Yin Shi (Spleen and Kidney Yang Deficiency - P: Slow and tight)
  • Tai Yin Xu (abdominal pain)
  • Sudden turmoil disorder (marked by absence of thirst)
  • Painful Obstruction in chest due to Upper Jiao Yang Deficiency
  • Cold in chest during recovery from chronic illness (causes spitting of fluids)
  • Loss of Blood due to Spleen Yang Deficiency
  • Chronic childhood convulsions
Clinical Manifestations
  • Diarrhea with watery stools
  • Nausea and vomiting
  • No thirst
  • Anorexia
  • Abdominal and/or epigastric fullness (likes pressure)
  • Abdominal pain
  • Gastrointestinal weakness
  • Pale face
  • Frequent urination
  • Tends toward fatigue
  • May have cold limbs
  • May have headache with fever
  • Body aches
  • Epistaxis
  • Hematemesis
  • Shortness of breath
  • Lassitude
  • Epigastric pain
  • All Blood from bleeding is pale
  • Maybe scanty urine with edema
  • Edema
  • Insomnia
  • Hemoptysis
  • Intestinal bleeding
  • Chronic bleeding
  • Hemafecia
  • Uterine bleeding
  • Rectal bleeding
  • Profuse menstrual flow
  • Chest fullness and pain
  • Hypochondriac pain that shoots toward the Heart
  • Intolerance of Cold
  • Rigid focal distention in the Heart region
  • Excessive production or drooling of foamy saliva
  • Emaciation
  • T: Pale, may be moist
  • C: White or None
  • P: Deep, weak and slow or Deep and thready or Big and weak
  • Acute or chronic gastritis
  • Acute or chronic gastroenteritis
  • Gastric weakness
  • Gastric or duodenal ulcers
  • Gastroptosis
  • Irritable bowel syndrome
  • Chronic colitis
  • Candidiasis
  • Chronic bronchitis
  • Obstruction of the chest
  • Oral herpes
  • Functional uterine bleeding
  • Gastrectasis
  • Cholera
  • Fright in children with vomiting
  • Anemia
  • Excessive salivation
  • Stomatitis
  • Enteritis
  • Nephropathy
  • Obesity
  • Headache
  • Hypothyroidism
  • Abdominal fullness and distention
  • Menorrhagia
  • Crohn's disease
  • Oliguria
  • Neonatal jaundice
  • Thrush
  • Breast cancer
  • Myasthenia gravis
  • Neurasthenia
  • Polycystic Kidneys
  • Stroke
  • Chronic glomerulonephritis
  • Knee pain
  • Celiac disease
  • Fatigue
  • Edema
  • Nausea/Vomiting
  • Epistaxis
  • Diarrhea
  • Tapeworm
  • Dyspepsia
  • Mild labor pains
  • Intoxication
  • Diabetes
  • Shoulder ache
  • Hemoptysis
  • Chilled feet
  • Intestinal bleeding
  • Hemorrhoidal bleeding
  • Vaginal discharge
  • Sneezing of a common cold
  • Chronic childhood convulsions
  • Angina pectoris
  • Sudden turmoil disorder
  • Bacterial dysentery
  • Male infertility
  • Acid reflux
  • Insomnia
  • Hiccups
  • Endometriosis
  • Ulcerative colitis
  • Stomach cancer
  • Polyuria
  • Asthma
  • Alzheimer's disease
  • Stomatitis
  • Morning sickness
  • Abdominal pain
  • Renal tuberculosis
  • Diabetic nephropathy
  • Hepatitis C
  • Low back pain
  • Anorexia
  • Weakness
  • Hematemesis
  • Dyspnea
  • Contraindicated for those with External Wind Invasion with fever.
  • Contraindicated for those with Yin Deficiency.
  • Use with caution during pregnancy.
  • For those with sudden turmoil disorder, stop when diarrhea and vomiting have stopped.