Zhi Shi Xiao Pi Wan (Immature Bitter Orange Pill to Reduce Focal Distension)

Immature Bitter Orange Pill to Reduce Focal Distension

Lan Shi Mi Cang, 1276

• Zhi Shi, Hou Po (reduce distension); Huang Lian (clear heat), Gan Jiang (warm)
• Ban Xia Qu, Ren Shen, Bai Zhu, Fu Ling, Mai Ya, Gan Cao

• Reduces focal distension and harmonises the Stomach
• Strengthens the Spleen; balances cold and heat

Chronic focal distension with Spleen deficiency: epigastric fullness and distension, reduced appetite, fatigue, and loose stools, with mixed cold-heat.

Tongue: greasy coat. Pulse: wiry and weak.

Adjust the warming/cooling and reducing/tonifying balance.

For focal distension with deficiency; for acute excess accumulation use stronger reducers.