Today, I present the study notes on the Qizhi Weitong Chongji (气滞胃痛冲剂), a type of regulating qi Chinese patent medicine, as taught by Teacher Pan Yi.
Qizhi Weitong Chongji (气滞胃痛冲剂) can be used as a substitute for Chai Hu Shu Gan San (柴胡疏肝散).
Ingredients: Chai Hu (柴胡), Zhi Ke (枳壳), Bai Shao (白芍), Gan Cao (甘草) / Yan Hu Suo (延胡索), Xiang Fu (香附), etc.
Chai Hu, Zhi Ke, Bai Shao, Gan Cao — Si Ni San (四逆散).
Yan Hu Suo — Similar to Chuan Xiong (川芎), it promotes qi circulation, invigorates blood, and alleviates pain. Although its qi-moving ability is not as strong as Chuan Xiong, its pain-relieving effect is stronger, making it a valuable pain-relief herb in TCM.
Xiang Fu — The general commander of qi disorders, particularly in gynecology.
If liver qi invades the stomach, this medicine is the first choice. However, if it is not due to liver qi invading the stomach, it can partially replace Chai Hu Shu Gan San, serving as an enhanced version of Si Ni San.
Functions: Regulates the liver and stomach, alleviates pain and bloating.
Indications: Liver qi stagnation and liver qi invading the stomach syndrome.
(A typical case of liver qi invading the stomach is when emotional stress leads to stomach pain, and belching provides relief.)
Symptoms: Distension and discomfort in the hypochondrium, depression, abdominal pain or fullness, belching, and hiccups.
Distension and discomfort in the hypochondrium, depression — indicates liver qi stagnation.
Abdominal pain — indicates either spleen or stomach involvement.
Fullness — refers to a sensation of obstruction; distension does not imply obstruction. Fullness feels like something is blocking, but nothing is visible during an endoscopy, leading to a subjective feeling of blockage.
Belching and hiccups — indicate stomach qi rebelling.
This formula is commonly used for chronic gastritis, peptic ulcers, chronic non-jaundiced hepatitis, and cases of depression associated with excess.
(It can be used to treat liver qi invading the stomach and can also extend to liver qi stagnation.)
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