(Xiao Er Jiang Zhi Tang)
This
formula is Hao Hong-wen and Wang Su-mei from the Pediatrics Department of the
Beijing Chinese Medicine & Pharmacology University’s Dong Fang Hospital. It is
for the treatment of simple pediatric obesity. Our version is a 7:1 extract in a
liquid glycerin base.
RX
Dan Nan Xing (bile-processed Rhizoma Arisaematis) 54.5 mg
Hu Zhang (Rhizoma Polygoni Cuspidati) 36.5 mg
Jue Ming Zi (Semen Cassiae) 36.5 mg
Shan Zha (Fructus Crataegi) 36.5 mg
E Zhu (Rhizoma Zedoariae) 18 mg
Chen Pi (Pericarpium Citri Reticulatae) 18 mg
INDICATIONS
Simple pediatric obesity presenting a pattern of phlegm heat brewing and
obstructing. (Note, the word “obstruction” implies liver depression qi
stagnation and possible blood stasis.)
SIGNS & SYMPTOMS OF PHLEGM, DAMPNESS, AND TURBIDITY:
SIGNS & SYMPTOMS OF STOMACH HEAT:
SIGNS AND SYMPTOMS OF LIVER DEPRESSION QI STAGNATION:
-
Irritability
-
A
craving for sweets
-
A
bowstring pulse
FORMULA EXPLANATION
In Chinese medicine, adipose tissue is seen as phlegm, dampness, and turbidity,
and excessive adipose tissue is mostly ascribed to overeating in general,
overeating sweet and fatty foods in particular, and insufficient exercise.
However, to understand pediatric obesity and, therefore, this formula, one must
also understand some of the inherent characteristics of pediatric physiology
from the Chinese medical point of view. First of all, children’s spleen are
commonly or usually insufficient. This means that children’s spleen vacuous and
weak. Therefore, their movement and transformation function easily loses its
regulation. If water fluids in the body lose their normal movement and
transformation, they collect and transform into evil dampness, while if dampness
lingers and endures, it congeals into phlegm. Thus, it is said that, “The spleen
is the root of phlegm engenderment.” Secondly, children’s livers commonly have a
surplus. This means they easily suffer from liver depression qi stagnation, and
Nei Jing (Inner Classic) says that the sweet flavor relaxes the liver. Hence, it
is common for those with a depressed liver to crave sweets. Unfortunately,
because sweet is the flavor of the spleen, overeating sweet-flavored foods
damages the spleen leading to its becoming vacuous or more vacuous along with
the internal engenderment of
DOSING: 2 droppers full