Licorice Decoction to Drain the Epigastrium

Harmonize the Stomach & Intestines

Kampo Name: Kanzoshashinto

Actions: Harmonizes the Stomach, directs rebellious qi downward, disperses clumping, and eliminates focal distention.

Pattern:

  • Focal distention due to improper purging of an exterior or half-exterior, half-interior condition in a patient with underlying Stomach deficiency (more severe deficiency than with Ban Xia Xie Xin Tang).
  • Spleen and Stomach deficiency with Heat.

Pathology: Symptoms of Heat in the chest due to Heat in the Small Intestine. Cold causes blockage in the Stomach and Large Intestine with epigastric focal distention. Heat in the chest causes insomnia, irritability, choking sensation in the throat, discomfort in the rectal area, and mental instability.

Ban Xia 9g
Gan Jiang 9g
Huang Qin 9g
Huang Lian 3g
Ren Shen 9g
Da Zao 12 pieces
Gan Cao 15g

Indications: Epigastric focal distention, fullness and tightness with very slight or no pain, dry heaves or frank vomiting, borborygmus with diarrhea, reduced appetite.

Tongue: a thin, yellow, and greasy tongue coating

Pulse: wiry, rapid. Left cun and right guan are deficient with pressure.

Abdomen: epigastric distention. A feeling of heat below the Heart.

Kampo Dosage

Ban Xia 5g
Gan Jiang 3g
Huang Qin 3g
Huang Lian 1g
Ren Shen 3g
Da Zao 4g
Gan Cao 4g

Formula Comparison:

  • Xiao Jian Zhong Tang treats lack of fluid and SP/ST deficiency leading to heat in Stomach and Intestines.

Acupuncture Treatment:

  • SP/ST deficiency with Heat: PC7, SP3
  • Mental problems: PC6, SP4
  • Discomfort in rectal area: PC5, SP5
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