About zhong man fen xiao wan

Zhong Man Fen Xiao Wan, Separate and Reduce Fullness in the Middle Pill, is Hou Po, Zhi Zi, Jiang Huang, Huang Qin, Huang Lian, Gan Jiang, Ban Xia, Zhi Mu, Ze Xie, Zhu Ling, Fu Ling, Bai Zhu, Ren Shen, Zhi Gan Cao, Chen Pi and Sha Ren. The catalogue classes it among the formulas that clear Damp-Heat.

Herb

Amount

30 g

15 g

3 g

36 g

15 g

6 g

15 g

12 g

9 g

3 g

6 g

3 g

3 g

3 g

9 g

6 g

Actions and indications

Clears Heat and resolves Damp

Damp-Heat collecting in the Middle Burner on a background of weak Spleen Qi, giving drum-like distension
Fever, irritability, bitter taste, and thirst without wanting to drink
Scanty, dark yellow or reddish urine
Constipation, or diarrhoea with a foul smell
Tongue with a greasy yellow coat; pulse wiry and rapid

Regulates Qi and relieves distension

Hard, drum-like swelling of the abdomen and epigastrium, a stubborn firmness rather than soft bloating
Feeling of fullness, at times with bursting pain

Strengthens the Spleen

Underlying Spleen Qi deficiency that lets Damp-Heat build up

Modern uses

Ascites from liver cirrhosis
Liver cirrhosis from alcohol
Icteric infectious hepatitis
Hepatitis
Cholecystitis with jaundice
Trichomonas vaginitis with leukorrhagia
Endometritis with leukorrhagia
Irritable bowel syndrome
Dysentery
Abdominal fullness and distension
Chronic colitis
Constipation
Urinary tract infection
Tuberculous peritonitis with ascites
Gastralgia
Parasites
Liver cancer

Modifications

Spleen-Stomach Damp-Heat with jaundice: + yin chen, + da huang, + zhi zi, − ren shen, − gan jiang

Painful, rough urination: + bian xu, + hua shi, + qu mai

Dark purple vessels visible on the abdomen, dark purple tongue and choppy pulse: + san leng, + e zhu, + dan shen

Jaundice with Spleen and Stomach deficiency and stagnant Damp-Heat: + yin chen, − zhi gan cao, − chao zhi mu

Leukorrhagia from Spleen deficiency with Damp-Heat, Damp predominant: + bai zhu, + fu ling

Leukorrhagia from Spleen deficiency with Damp-Heat, alternative change: + yin chen, + zhi zi, + da huang, − zhi gan cao, − ren shen, − bai zhu, − gan jiang

Constipation: + da huang

Difficult or painful urination (combined with Liu Yi San): + che qian zi

Ascites: + zhi ke, + yin chen hao, + da huang, − zhi shi, − gan jiang, − ren shen

Ascites without jaundice: + zhi ke, + da huang, − zhi shi, − gan jiang, − ren shen

Ascites with diarrhoea: + zhi ke, + yin chen hao, − zhi shi, − gan jiang, − ren shen

Liver cancer: + che qian zi, + dong gua pi, − jiang huang, − gan jiang, − zhi mu, − bai zhu, − ren shen, − gan cao, − sha ren

Cautions

contraindication Only for distension from Damp-Heat; do not use unmodified for distension from Cold

contraindication Not for pure deficiency distension without Damp-Heat, where it can further injure Spleen Yang

pregnancy Contains Zhi Shi and Ban Xia; in pregnancy use only with professional guidance

caution A strong, many-herb formula with large amounts of bitter cold herbs; it needs professional prescribing and monitoring, especially if ascites or liver disease is suspected

Pinyin

zhong man fen xiao wan

English Name

Separate And Reduce Fullness in the Middle Pill

zhong man fen xiao wan

About zhong man fen xiao wan

Ingredients

Actions and indications

Clears Heat and resolves Damp

Regulates Qi and relieves distension

Strengthens the Spleen

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification