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Unripe Bitter Orange and White Atractylodes Decoction
枳朮汤 〔枳朮湯〕 zhǐ zhú tāng
Source: Jīn Guì Yào Lüè 金匮要略
Ingredients
- Zhǐ shí (枳实 Aurantii Fructus Immaturus, unripe bitter orange) 6g
- Bái zhú (白朮 Atractylodis Macrocephalae Rhizoma, white atractylodes [root]) 2g
Actions: Disperses glomus and eliminates rheum.
Indications: Hardness below the heart as large as a plate
Method: Decoct with water.
Dosage: 5–9g 1–2 times a day.
Rationale: The hardness below the heart mentioned in the Jīn Guì Yào Lüè is usually taken to include subjective fullness. The condition is most common in middle-aged women and sedentary workers. The two ingredients fortify the spleen and eliminate stagnation. If the formula causes hiccup or farting after ingestion, speedy relief can be expected.
Variations: The formula can be enhanced by adding Guā lóu (瓜蒌 Trichosanthis Fructus, trichosanthes [fruit]) and Shān zhā (山楂 Crataegi Fructus, crataegus [fruit]), provided there is no vomiting of sour fluid. Wū yào (乌药 Linderae Radix, lindera [root]) and Bīng láng (槟榔 Arecae Semen, areca [nut]) can be added if there is also abdominal distension.
Similar: Zhǐ zhú wán (枳朮丸 Unripe Bitter Orange and White Atractylodes Pill)
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