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Chinese Medicinal Material
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【Chinese Name】 |
溫脾湯
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【Phonetic】 |
Wen Pi Tang
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【English Name】 |
Spleen-Warming Decoction |
【Classification】 |
Purgative formulas |
【Source】 |
《Important Formulas Worth a Thousand Gold Pieces for Emergency》Bei Ji Qian Jin Yao Fang《備急千金要方》 |
【Combination】 |
Rhei Radix et Rhizoma (Da Huang) 5 liang (15g), Angelicae Sinensis Radix (Dang Gui) 3 liang (9g), Zingiberis Rhizoma (Gan Jiang) 3 liang (9g), Aconiti Lateralis Radix Praeparata (Fu Zi) 2 liang (6g), Ginseng Radix et Rhizoma (Ren Shen) 2 liang (6g), Natrii Sulfas (Mang Xiao) 2 liang (6g), Glycyrrhizae Radix et Rhizoma (Gan Cao) 2 liang (6g) |
【Method】 |
Prepare it as a decoction. |
【Action】 |
Expels cold accumulation through purgation, warms and supplements spleen yang. |
【Indication】 |
Wen Pi Tang is indicated for cold accumulation due to yang deficiency. Symptoms are abdominal pain and constipation, unstoppable colic around umbilicus, cold hands and feet, a white tongue coating with no thirst, and a deep wiry, slow pulse. |
【Pathogenesis】 |
This pattern is caused by spleen yang deficiency with internal obstruction due to cold accumulation. Constipation and colic around the umbilicus are caused by the obstruction of bowel qi due to excessive cold accumulation within the intestines. The hands and feet lack warmth, there is mental fatigue, and a lack of strength because of the loss of warmth and nourishment due to spleen yang deficiency. The white tongue coating, lack of thirst, and the slow, deep, wiry pulse are evidence of yang deficiency and cold accumulation. The proper therapeutic method is to remove the cold accumulation through purgation and warm and supplement spleen yang. |
【Application】 |
1. Essential pattern differentiation Wen Pi Tang serves as the common formula applicable to deficient spleen yang and interior retention of cold accumulation. This clinical pattern is marked by abdominal pain, constipation, cold hands and feet, white tongue coating. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs and symptoms of deficient cold of middle yang and interior retention of cold accumulation: acute simple ileus, incomplete ileus, or uremia. 3. Cautions and contraindications Wen Pi Tang is forbidden for use in patients with heat accumulation and interior excess or yin and blood deficiency. |
【Remark】 |
Ginseng (Panax ginseng) is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. |
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