ChinaMed Reflux and Dyspepsia Formula 78c

This is an empirically derived formula designed to treat reflux oesophagitis and non-ulcer dyspepsia. The pathodynamics of these conditions involve Stomach Heat (or Damp-Heat), Qi stagnation (with Stomach Qi counterflow and Spleen-Stomach disharmony) and generally some degree of Liver constraint.

The underlying causes include dietary factors, emotional strain, and age related decline of the health Qi (notably the Spleen-Stomach). Inappropriate diet, such as excessive intake of fried, oily, rich foods and alcohol generate Heat or Damp-Heat in the Stomach. Prolonged or intense emotional strain (e.g. stress, anger, unfulfilled desires, etc.) causes Liver Qi constraint with resultant Qi stagnation in the middle Jiao, and/or Liver Qi invasion of the Spleen-Stomach. According to the Nei Jing, at around 35 years in women and 40 years in men the health Qi begins to decline manifesting in a marked decline of Stomach function, amongst other things. These factors together make middle aged people particularly vulnerable to these two disorders.

In order to focus the treatment on the actual disease process, the formula is directed primarily towards clearing Heat and regulating the Qi in the Spleen and Stomach, with only a minimal number of ingredients to tonify the Spleen-Stomach and soothe the Liver. Therefore, patients that present with pronounced Liver constraint or Spleen-Stomach Qi deficiency should also receive treatment with an additional formula as discussed above.

TCM ACTIONS
Regulates the Qi and harmonises the middle Jiao (Spleen & Stomach), redirects the Stomach Qi downward, clears Stomach Heat, clears Damp-Heat.

TCM SYNDROMES

• Stomach Heat (or Stomach Damp-Heat)
• Qi stagnation
• Spleen-Stomach disharmony (with Stomach Qi counterflow)

INDICATIONS
Non-ulcer dyspepsia, reflux oesophagitis.

SIGNS & SYMPTOMS
(Key clinical features in bold)

• Reflux with burning sensation ('heartburn')
• Epigastric distending pain
• Symptoms aggravated by eating and bending forwards
• Nausea
• Loss of appetite
• Red or red tipped tongue with a greasy coat that may also be yellow
• Pulse is wiry and may also be rapid.

 

Ingredients

 

Each capsule contains:

Taraxacum mongolicum (Dandelion) herb equiv. to dry 337.5mg Citrus aurantium (Bitter Orange) fruit equiv. to dry 202.5mg Bupleurum falcatum (Bupleurum) root equiv. to dry 202.5mg Paeonia lactiflora (White Peony) root equiv. to dry 202.5mg Citrus medica fruit equiv. to dry 202.5mg Ziziphus jujuba (Zizyphus) fruit equiv. to dry 202.5mg Phyllostachys nigra stem wood equiv. to dry 202.5mg Citrus reticulata (Citrus peel) fruit peel equiv. to dry 112.5mg Tetradium ruticarpum fruit equiv. to dry 67.5mg Coptis chinensis (Goldthread) rhizome equiv. to dry 67.5mg

 

Cautions

• Avoid acidic, spicy or fatty foods, alcoholic drinks, overeating, fried foods.
• Caution in patients on antithyroid drugs.

 

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