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Chinese Medicinal Material
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【Chinese Name】 |
暖肝煎
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【Phonetic】 |
Nuan Gan Jian
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【English Name】 |
Liver-Warming Decoction |
【Classification】 |
Qi-regulating formulas |
【Source】 |
《The Complete Works of [Zhang] Jing-yue》Jing Yue Quan Shu《景嶽全書》 |
【Combination】 |
Angelicae Sinensis Radix (Dang Gui) 2 qian (6g), Lycii Fructus (Gou Qi Zi) 3 qian (9g), Poria (Fu Ling) 2 qian (6g), Foeniculi Fructus (Xiao Hu) 2 qian (6g), Cinnamomi Cortex (Rou Gui) 1 qian (3g), Linderae Radix (Wu Yao) 2 qian (6g), Aquilariae Lignum Resinatum (Chen Xiang) 1 qian (3g) |
【Method】 |
Add 3-5 slices of sheng jiang, and prepare as a decoction. |
【Action】 |
Warms and supplements the liver and kidney, moves qi and relieves pain. |
【Indication】 |
Nuan Gan Jian is indicated for patterns of liver and kidney insufficiency with cold coagulation in the liver channel. Symptoms include cold pain in the testis, lower abdominal pain, fear of cold, and a preference for warmth. The tongue is pale with a white coating, and the pulse is deep and slow. |
【Pathogenesis】 |
This formula treats a pattern of liver and kidney insufficiency, lodged cold in the liver channel, and obstruction of qi. Cold is a yin pathogen that characteristically induces contraction. When the liver and kidney are insufficient, cold can easily lodge in the liver channel to cause disharmony and block its qi. The symptoms therefore manifest as cold pain in the testis, lower abdominal pain, and shan qi pain. The treatment is to supplement the liver and kidney, dissipate cold coagulation, and move qi stagnation. |
【Application】 |
1. Essential pattern differentiation Nuan Gan Jian is commonly indicated for pain of the lower abdomen or testicular pain due to the liver and kidney insufficiency, congealing cold, and qi stagnation. This clinical pattern is marked by testicular pain or lower abdominal pain, fear of cold with a preference to warmth, pale tongue and white coating, deep, slow pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of liver and kidney insufficiency, congealed cold, and qi stagnation: varicocele, orchitis, epididymitis, hydrocele, and inguinal hernia. 3. Cautions and contraindications This formula is contraindicated for patients with heat, redness, swelling and pain of the scrotum caused by damp-heat pouring downwards. |
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