Chinese medicine: 5 kinds of Chinese medicine commonly used for stomach cold and stomach pain, stomach distension, chronic gastritis.

1. Rizhong Pill

Source
Typhoid, both a classical formula, which can be used in soup and as a proprietary Chinese medicine.

Composition
Contains ginseng (or dang ginseng), dried ginger (or concocted ginger), roasted licorice, and atractylodes.

Functions
Warming the middle jiao and dispelling cold, tonifying qi and strengthening the spleen. Mainly used for deficiency cold in the middle jiao (spleen and stomach deficiency cold).
Symptoms include cold pain in the epigastrium and abdomen, gastric distention and fullness, dyspepsia, warmth and pressure, vomiting and diarrhea, lack of thirst, pale tongue with white fur, sunken and weak pulse. (Epigastrium: the stomach and abdomen, where the stomach, liver, spleen, small intestine, large intestine, bladder, uterus and adnexa are located.)

Cold pain, like to hold a warm thing to relieve

Applications
Modern pharmacological research shows that this formula has the effects of protecting the gastric mucosa, relieving spasm and analgesia, regulating nerves, immunity, endocrine and metabolism.
It is often used in acute and chronic gastroenteritis, gastric and duodenal ulcers, gastric dilatation, gastric prolapse, chronic colitis, chronic bronchitis and gynecological menorrhagia and functional uterine bleeding belonging to deficiency cold in the spleen and stomach.

Explanation of the formula
Ginseng tonifies Qi and strengthens the spleen, while dry ginger warms the middle and disperses cold.
Atractylodes macrocephala is an adjuvant to strengthen the spleen and dry dampness, helping ginseng to benefit qi and strengthen the spleen, and restoring the spleen’s power of control.
Roasted licorice benefits qi and tonifies the middle, harmonizing all medicines and acting as an adjuvant.
The four herbs work together, warming and tonifying the stomach, warming the middle and dispelling cold, tonifying Qi and strengthening the spleen.

Note for use
This formula is warm and dry in nature and is mainly used for deficiency-cold symptoms. It is contraindicated in cases of dampness and heat in the middle Jiao or yin deficiency in the spleen and stomach.

2. Liang Fu Wan

Source
It can be used in soup or as a Chinese medicine.

Ingredients
Gao Liang Jiang and Xiang Shen.

Functions
Promoting circulation of Qi and draining the liver, warming the stomach and relieving pain. Used for Qi stagnation and cold condensation.
Symptoms mostly include pain in the stomach and epigastrium, vomiting of acid, distention and fullness in the chest and abdomen, dysmenorrhea, fear of cold and preference for heat, and dysmenorrhea in women. (Waki: the part from the armpit to the end of the rib cage)

Area of flank pain

Applications
It is often added and reduced for chronic gastritis, gastric and duodenal ulcers, etc. belonging to Qi stagnation and cold condensation.

Explanation
Gao Liang Jiang is pungent and hot, warming the middle and dispersing cold to relieve pain, and washing with wine to increase the effect of dispersing cold.
Fragrant Rhizoma is used to relieve depression, move Qi and relieve pain, and is washed with vinegar to strengthen the power of moving Qi into the liver to relieve pain.
The combination of the two drugs, one disperses cold and stagnation, and the other disperses qi and relieves pain, so as to promote the flow of qi and remove liver, dispersing cold and relieving pain.

Note on use
The application of Liang Shen Wan is mainly for real evidence, therefore, it is not suitable for deficiency cold stomach pain.
Gao Liang Jiang is very hot and should not be used for fire-depressed type of stomachache.

3. Xiao Jian Zhong Tang

Source
It can be used in tonics. Proprietary Chinese medicine includes Xiao Jianzhong Compound (“Ministry Standard”).

Composition
Paeonia lactiflora, cinnamon stick, licorice, ginger, jujube, caramel.

Xiao Jian Zhong Tang

Functions
Warming the middle Jiao, tonifying the deficiency, harmonizing the interior and relieving urgency. Used for deficiency cold in the middle Jiao and disharmony of the liver and spleen.
Symptoms include pain in the abdomen, preferring warmth and pressure; pain decreases with warm pressure; pale tongue with white fur and thin pulse; or soreness in the extremities, extreme heat in the hands and feet, dry throat and mouth; or palpitations, restlessness, and a dull complexion without luster.

Applications
Mostly used in modern times for gastric and duodenal ulcers, chronic gastritis, neurasthenia, aplastic anemia, chronic hepatitis, and hemolytic jaundice belonging to the evidence of deficiency cold in the middle jiao and disharmony of the liver and spleen. It can also be applied in functional fever and leukemia which belong to deficiency heat due to imbalance of yin and yang.

Explanation of formula
Syrup, also called maltose syrup, is made by fermenting and saccharifying corn, barley, wheat and other grains, and is a traditional Chinese medicine and food, which is also the origin of the idiom “sweet as syrup”. It is also a traditional Chinese medicine and food.

Gui Zhi is warm and fluent to help Yang; Bai Shao is sour, nourishes the blood, relieves urgency and pain.

Ginger warms the stomach and disperses cold, jujube nourishes the spleen and benefits the qi, roasted licorice benefits the qi and the middle, helps syrup to warm the middle and nourish the deficiency, together as an adjuvant.

The combination of all the herbs, the middle qi is healthy, the source of chemistry is sufficient, the liver and spleen are adjusted, yin and yang are harmonized, then the evidence of deficiency labor and urgency will be removed, so it is called “Jianzhong”.

Notes on use
(1) A friendly reminder: many modern hospitals and Chinese medicine stores can not buy syrup, but this medicine is very important, you can buy online, key words maltose or syrup, find a regular business to buy.
(2) This formula is contraindicated for yin deficiency and fire. It should not be used for vomiting and fullness of the stomach and abdomen.

4. Radix Polygala Pill

Source
Tai Ping Hui Min and Pill Bureau Formula, available in soup and also in Chinese medicine.

Ingredients
Dried ginger (or concocted ginger), ginseng (or dang ginseng), atractylodes macrocephala, roasted licorice, and fenugreek.

Functions
Warming Yang and dispelling cold, benefiting Qi and strengthening the spleen. Used for deficiency of cold in the spleen and stomach, or deficiency of yang in the spleen and kidney.
Symptoms commonly include cold pain in the epigastrium and abdomen, diarrhea with clear grain (clear excretion with undigested food), nausea and vomiting, coldness in the extremities, or cholera with vomiting and diarrhea with excessive water loss, resulting in spasm of the lower legs and inability to straighten them.

Applications
Commonly used in treating gastric and duodenal ulcers, gastrointestinal dysfunction, acute gastroenteritis, colitis, functional uterine bleeding, allergic purpura, etc. belonging to deficiency of cold in the spleen and stomach, or evidence of deficiency of yang in the spleen and kidney.

Explanation
Radix et Rhizoma Pseudostellariae is pungent and hot, good at tonifying fire and helping Yang, dispersing cold and relieving pain.
Dried ginger is pungent, hot and dry, good at warming spleen yang, helping Radix Aconiti to warm yang and spleen, dispersing cold and stopping diarrhea.

Ginseng is good at tonifying the middle and benefiting the qi.

Atractylodes Macrocephala is bitter and dry, good for benefiting Qi and strengthening the spleen, drying dampness and stopping diarrhea.
Glycyrrhiza glabra is good at tonifying the middle, relieving pain, and harmonizing all medicines.
The whole formula, in combination, disperses cold, tonifies deficiency, warms Yang, dispels cold, benefits Qi and strengthens the spleen.

Notes for use
(1) Contains Radix et Rhizoma Polygoni, so use with caution when pregnant.
(2) Use with caution in acute gastroenteritis, diarrhea with irregular bowel movements and burning in the anus.
(3) Not recommended for patients with cold and fever.

5. Xiang Sha Yang Gastric Granules / Xiang Sha Yang Gastric Pills

Source
Chinese Pharmacopoeia, can be added or subtracted into soup, also available in Chinese patent medicine.

Ingredients
Atractylodes Macrocephalae, Mucuna Pruriens, Sand, Cardamom, Patchouli, Pericarpium Citri Reticulatae, Ginger, Aromatic Herb, Poria, Citrus Aurantium, Ginger, Licorice, Ginger, Jujube.

Functions
Warming the middle of the body and harmonizing the stomach. Used for deficiency of stomach yang, dampness and qi stagnation.
Symptoms include vague pain in the stomach, obstructive feeling in the stomach, vomiting and acidity. Or feeling of emptiness in the stomach, hunger but not hunger, spicy but not spicy, pain but not pain, indescribable discomfort (called cacophony in Chinese medicine). Poor appetite and tiredness of the limbs.

Acid reflux

Applications
Commonly used in acute gastritis, chronic gastritis, atrophic gastritis, functional dyspepsia, gastric and duodenal ulcer, gastrointestinal dysfunction, etc. belonging to deficiency of stomach yang and dampness blocking qi stagnation.

Explanation
Atractylodes macrocephala is sweet, warm, bitter and dry, benefiting Qi, strengthening the spleen and drying dampness. Mu Xiang is bitter, draining and warming, promoting the flow of Qi and relieving pain.
Sharen aromatically resolves dampness, warms the middle and moves Qi to relieve pain. The combination of the three herbs warms the middle and stomach, moves Qi to relieve pain, and is the ruling herb.
Cardamom is pungent and aromatic, warming and stopping vomiting.
Huo Xiang resolves dampness and stops vomiting, Chen Pi regulates Qi and harmonizes the middle, and Jiang Hou Pu dries dampness and moves Qi to remove fullness.
Fragrant herb dredges the liver and relieves depression, moving qi and relieving pain, vinegar system to enhance the power of moving qi and relieving pain.
Poria strengthens the spleen and relieves dampness, fried Citrus aurantium breaks the gas and eliminates gangrene, ginger and half a summer hard and warm, dry dampness and stomach, lowering rebellion and stopping vomiting.
Ginger warms and stops vomiting. Licorice and jujube tonify the middle and benefit the qi and harmonize the medicines.
The whole formula warms the middle and disperses cold, harmonizes the stomach and relieves pain.

Note for use
(1) Pregnant women should use with caution.
(2) The whole formula is mainly warm, so it should not be used by those with stomach Yin deficiency and damp-heat in the spleen and stomach.

Summary: Typical differences between the 5 medicines

1. The main point of differentiation for the evidence of deficiency cold in the spleen and stomach is the The main point of differentiation for the evidence of deficiency cold in the spleen and stomach is the tendency to warmth and pressure in the abdomen and stomach, and this point is met by Rizhong Wan, Lianzhi Rizhong Wan and Xiaojianzhong Tang, but not by Liangfu Wan, and the effect of Xiang Sha Yangzhi Granules on this symptom is not obvious.
2. At the same time, the evidence of deficiency cold in the spleen and stomach may sometimes include diarrhea, loose stools, and even undigested food. This is consistent with both Rizhong Pill and Fengshui Rizhong Pill, and Liangfen Pill, Xiaojianzhong Tang, and Xiang Sha Nourishing Stomach Granules are not effective for this symptom.
3. The composition and efficacy of Rizhong Pill are similar, but Rizhong Pill is more suitable than Rizhong Pill for people who have more obvious cold symptoms, or even cold symptoms such as awe and cold limbs.
4. The difference between Liangshuixianwan is that it is more often used for actual symptoms with qi stagnation, with symptoms such as stomach distension and pain, chest tightness, dysmenorrhea and menstrual pain in women.
5. Xiao Jian Zhong Tang is more often used for abdominal pain, which is deficiency pain, and is derived from Gui Zhi Tang, and can also be used for external deficiency heat or internal deficiency heat.
6. Xiang Sha Nourishing Stomach Granules are often used in cases of vague pain in the stomach, chest congestion and bloating, vomiting and acidity, etc., which belong to the condition of dampness. It can also be used for noisy symptoms.