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<record type="formula" updated="2026-09-18T16:35:54.493665+00:00">
  <source>Bencao Index</source>
  <source-url>https://bencaoindex.com/</source-url>
  <canonical>https://bencaoindex.com/formulas/da-jian-zhong-tang/</canonical>
  <licence>Free to use and republish with visible attribution and a link back to the source page. The catalogue is a reference work and is knowingly incomplete; nothing in it is medical advice.</licence>
  <attribution-html>&lt;a href=&quot;https://bencaoindex.com/formulas/da-jian-zhong-tang/&quot;&gt;Bencao Index&lt;/a&gt;</attribution-html>
  <names>
    <name type="pinyin">da jian zhong tang</name>
    <name type="english">Major Construct the Middle Decoction</name>
  </names>
  <category>Warm the Middle and Dispel Cold</category>
  <actions>
    <action>
      <summary>Warms and tonifies Middle Jiao Yang and expels severe Cold</summary>
      <indication>Yang deficiency of the Middle Jiao with Cold retained and rising upward; also Jue Yin Cold</indication>
      <indication>Intense cold felt in the chest, epigastrium and abdomen</indication>
      <indication>Cold limbs may be present</indication>
      <indication>Tongue pale or dark purple, with a greasy white, slippery or moist coat; pulse tight, thin and tight, slow and wiry, or deep and thin, or hidden in severe cases</indication>
    </action>
    <action>
      <summary>Directs rebellious Qi downward</summary>
      <indication>Vomiting so severe that eating is impossible, or brought on by any attempt to eat or drink</indication>
      <indication>Waves of movement or lumps under the abdominal skin that rise and subside, visible or palpable</indication>
      <indication>Borborygmus or sounds of fluid in the abdomen may be present</indication>
    </action>
    <action>
      <summary>Relieves pain</summary>
      <indication>Violent cramping pain of the epigastrium and abdomen, so bad the abdomen cannot bear to be touched</indication>
    </action>
    <action>
      <summary>Modern uses</summary>
      <indication>Gastric ulcer</indication>
      <indication>Duodenal ulcer</indication>
      <indication>Gastric spasms</indication>
      <indication>Chronic gastritis</indication>
      <indication>Gastroenteritis</indication>
      <indication>Indigestion</indication>
      <indication>Nausea and vomiting</indication>
      <indication>Chronic pancreatitis</indication>
      <indication>Chronic cholecystitis</indication>
      <indication>Cholelithiasis</indication>
      <indication>Jaundice</indication>
      <indication>Biliary ascariasis</indication>
      <indication>Roundworm infestation</indication>
      <indication>Urinary calculi</indication>
      <indication>Peritonitis</indication>
      <indication>Intestinal spasms</indication>
      <indication>Intestinal colic</indication>
      <indication>Intestinal flaccidity</indication>
      <indication>Slow intestinal motility</indication>
      <indication>Uncomplicated intestinal obstruction</indication>
      <indication>Obstructive bowel disease</indication>
      <indication>Postoperative ileus</indication>
      <indication>Acute appendicitis</indication>
      <indication>Hernia</indication>
      <indication>Severe constipation</indication>
      <indication>Constipation from morphine in cancer patients</indication>
      <indication>Breast cancer, alongside chemotherapy</indication>
      <indication>Cramping abdominal pain</indication>
      <indication>Headache</indication>
      <indication>Fatigue</indication>
      <indication>Weakness</indication>
    </action>
  </actions>
  <constituents>
    <herb>chuan jiao</herb>
    <herb>gan jiang</herb>
    <herb>ren shen</herb>
    <herb>yi tang</herb>
  </constituents>
</record>
