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<record type="formula" updated="2026-09-18T16:34:32.50563+00:00">
  <source>Bencao Index</source>
  <source-url>https://bencaoindex.com/</source-url>
  <canonical>https://bencaoindex.com/formulas/zhong-man-fen-xiao-wan/</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/zhong-man-fen-xiao-wan/&quot;&gt;Bencao Index&lt;/a&gt;</attribution-html>
  <names>
    <name type="pinyin">zhong man fen xiao wan</name>
    <name type="english">Separate And Reduce Fullness in the Middle Pill</name>
  </names>
  <category>Clear Damp Heat</category>
  <actions>
    <action>
      <summary>Clears Heat and resolves Damp</summary>
      <indication>Damp-Heat collecting in the Middle Burner on a background of weak Spleen Qi, giving drum-like distension</indication>
      <indication>Fever, irritability, bitter taste, and thirst without wanting to drink</indication>
      <indication>Scanty, dark yellow or reddish urine</indication>
      <indication>Constipation, or diarrhoea with a foul smell</indication>
      <indication>Tongue with a greasy yellow coat; pulse wiry and rapid</indication>
    </action>
    <action>
      <summary>Regulates Qi and relieves distension</summary>
      <indication>Hard, drum-like swelling of the abdomen and epigastrium, a stubborn firmness rather than soft bloating</indication>
      <indication>Feeling of fullness, at times with bursting pain</indication>
    </action>
    <action>
      <summary>Strengthens the Spleen</summary>
      <indication>Underlying Spleen Qi deficiency that lets Damp-Heat build up</indication>
    </action>
    <action>
      <summary>Modern uses</summary>
      <indication>Ascites from liver cirrhosis</indication>
      <indication>Liver cirrhosis from alcohol</indication>
      <indication>Icteric infectious hepatitis</indication>
      <indication>Hepatitis</indication>
      <indication>Cholecystitis with jaundice</indication>
      <indication>Trichomonas vaginitis with leukorrhagia</indication>
      <indication>Endometritis with leukorrhagia</indication>
      <indication>Irritable bowel syndrome</indication>
      <indication>Dysentery</indication>
      <indication>Abdominal fullness and distension</indication>
      <indication>Chronic colitis</indication>
      <indication>Constipation</indication>
      <indication>Urinary tract infection</indication>
      <indication>Tuberculous peritonitis with ascites</indication>
      <indication>Gastralgia</indication>
      <indication>Parasites</indication>
      <indication>Liver cancer</indication>
    </action>
  </actions>
  <constituents>
    <herb>hou po</herb>
    <herb>zhi zi</herb>
    <herb>jiang huang</herb>
    <herb>huang qin</herb>
    <herb>huang lian</herb>
    <herb>gan jiang</herb>
    <herb>ban xia</herb>
    <herb>zhi mu</herb>
    <herb>ze xie</herb>
    <herb>zhu ling</herb>
    <herb>fu ling</herb>
    <herb>bai zhu</herb>
    <herb>ren shen</herb>
    <herb>zhi gan cao</herb>
    <herb>chen pi</herb>
    <herb>sha ren</herb>
  </constituents>
</record>
