Ju pi zhu ru tang
ju pi 48 zhu ru 48 ren shen 3 sheng jiang 24 da zao 18 zhi gan cao 15
For heaving and reversal, ju pi zhu ru tang governs.
Few signs are mentioned here, but according to the formula, other accompanied signs should involve vexation, restlessness, vexing heat in the palms and soles, shortness of breath, dryness in the mouth, a reddish tongue, and rapid deficient pulses.
The pattern would involve stomach deficiency with heat, and deficiency heat stirring the diaphragm manifests with hiccough. Stomach heat can also lead to bleeding of gums and sores in the mouth or on the tongue.
Treatment here includes qi nourishing, heat clearing, stomach harmonizing, and counter flow qi down bearing methods, and ju pi zhu ru tang is the selected formula.
Why is ban xia not used? The pattern here is one of immaterial heat accumulation rather than material damp heat accumulation. It treats heat in the yang ming stomach and tai yin dryness due to vomiting.
It contains the formula sheng jiang gan cao tang which is the for treating tai yin. Sheng jiang, da zao, zhi gan cao, and ren shen support yang ming, tai yin, shao yin in function and nourish yin.
Sheng jiang gan cao tang treats lung wasting with cough and incessant salivation, dry throat and thirst.
Chen pi, Citri reticulatae pericarpium is pungent dispersing of the liver blood and the ministerial fire in the san jiao. It is pungent dispersing of cold and dampness in the stomach domain, spleen and lung. It is bitter draining of dampness and phlegm in the stomach domain, spleen and lung.
Pungent dispersing is used to move the middle burner qi while transforming phlegm.
Chen pi or ju pi is bitter and dries dampness and descends the stomach with pungent dispersing for stagnation. It moves the middle burner qi and frees stagnation. It descends Metal and clears accumulations of phlegm in the yang ming stomach.
Zhu ru, Bambusae caulis in taeniam is cool and sweet, it cools heat and dissolves phlegm and descends yang ming stomach qi. It clears non material stomach fire. It clears heat and phlegm without drying fluids. Drying fluids would make it worse since the lack of fluids caused the heat to build up.
Sheng jiang, Zingiberis rhizoma recens is pungent dispersing of the liver and pericardium blood and the ministerial fire in the san jiao. Sheng jiang is pungent dispersing of dampness and cold in the stomach domain, spleen and lung. Sheng jiang is pungent connecting of the tai yin with the tai yang. It supports raising of the clear qi to the chest and the 100 vessels.
Da zao, Jujubae fructus is sweet tonifying and moderating. It tonifies and nourishes the stomach domain, spleen, lungs, and heart. It directly nourishes the shao yin heart.
Ren shen, da zao and zhi gan cao tonify and nourish the heart. Da zao calms excessive movement of Wood wind.
Zhi gan cao, Glycyrrhizae radix prep is sweet tonifying and nourishing of all organs but especially the heart.
Zhi gan cao is sweet and mildly warm tonifying and nourishing of yin fluids. It nourishes yin fluids in the tai yin and shao yin. It calms wind in the jue yin.
It balances the pungent chen pi and sheng jiang with its sweet moderation and nourishing.
Ren shen, Ginseng radix is sweet tonifying and nourishing of the spleen, lungs, heart, and kidney. It nourishes yin fluids and therefore is the foremost qi and yin tonic.
It raises the original qi and gathering qi. It strengthens righteous qi and righteous qi is also called true qi and is a combination of original qi and gathering qi. All are dependent on the qi of shao yin and tai yin. Which in turn are dependent on the jue yin and shao yang for the ministerial fire in all three burners.