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 Chinese Medicinal Material
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| 【Chinese Name】 |
一貫煎
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| 【Phonetic】 |
Yi Guan Jian
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| 【English Name】 |
Effective Integration Decoction |
| 【Classification】 |
Tonic formulas |
| 【Source】 |
《Supplement to ‘Classified Case Records of Famous Physicians’》Xu Ming Yi Lei An《續名醫類案》 |
| 【Combination】 |
Glehniae Radix (Bei Sha Shen) 9g, Ophiopogonis Radix (Mai Dong) 9g, Angelicae Sinensis Radix (Dang Gui Shen) 9g, Rehmanniae Radix (Sheng Di Huang) 18-30g, Lycii Fructus (Gou Qi Zi) 9-18g, Toosendan Fructus (Chuan Lian Zi) 4.5g |
| 【Method】 |
Prepare the formula as a decoction. |
| 【Action】 |
Enriches yin and soothes the liver. |
| 【Indication】 |
Yi Guan Jian is appropriate for patterns of liver-kidney yin deficiency with liver qi constraint characterized by pain in the chest, abdomen, and hypochondriac regions, acid regurgitation, bitter taste, dry mouth and throat, a dry, red tongue, and a thready, weak or weak, wiry pulse. This formula is also applied for shan qi (hernia). |
| 【Pathogenesis】 |
The liver stores the blood and governs the free flow of qi. It is yin in form but yang in function. Wood prefers to be unconstrained and hates to be depressed. Liver-kidney yin and blood deficiency fail to supplement the liver and cause liver constraint, which harms the stomach. The symptoms include pain of the chest, abdomen, and hypochondriac regions, acid swallowing, and bitter taste. Long-term liver-qi constraint causes shan qi and masses. Yin deficiency fails to ascend and leads to symptoms of dry mouth and throat, and a dry, red tongue. Yin and blood deficiency leads to insufficient blood in the vessels and cause the pulse to be thready and weak or deficient and wiry. The treatment principle is to supplement yin and blood and to soften and soothe the liver. |
| 【Application】 |
1. Essential pattern differentiation
Yi Guan Jian serves as a common formula used for abdominal and hypochondriac pain due to yin deficiency and qi stagnation. This clinical pattern is marked by chest pain, hypochondriac pain, acid swallowing, bitter taste, dry, red tongue, weak, wiry pulse.
2. Modern applications
This formula may be used in the following biomedically defined disorders when the patient shows signs of yin deficiency and qi stagnation: chronic hepatitis, chronic gastritis, gastric ulcer, duodenal ulcer, intercostal neuralgia, and neurosis.
3. Cautions and contraindications
This formula is focused on supplementation. It circulates the invisible qi. However, it is unable to eliminate the visible evils. The enriching and cloying medicinals in this formula are not suitable for application in cases of phlegm and fluid retention with a white, greasy coating and a deep, wiry pulse. |
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