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Formula温里剂· 温中祛寒

理中汤

Lǐ Zhōng Tāng

Regulate the Middle Decoction

The Shang Han Lun representative formula for warming the middle and dispelling cold. Composed of ren shen, bai zhu, gan jiang, and zhi gan cao, it treats Spleen-Stomach vacuity cold with epigastric pain relieved by warmth and pressure, spontaneous diarrhea without thirst, vomiting, poor appetite, cold limbs, a pale tongue with white coating, and a deep, fine or slow pulse. Adding fu zi creates Fu Zi Li Zhong Tang.

Source《伤寒论》辨霍乱病脉证并治第386条

Treatment Principle

温中祛寒，补气健脾

Warm the middle and dispel cold; augment qi and fortify the Spleen

Formula Rhyme

理中汤主理中乡，甘草人参术黑姜。呕利腹痛阴寒盛，或加附子总扶阳。

—— 方剂学 (中医药出版社)

Composition · 组成

Herb	Role	Dosage	Notes
干姜Gān Jiāng	君Sovereign	9g	辛热温中阳，祛脾胃寒邪，为君
人参Rén Shēn	臣Minister	9g	大补元气，健脾益胃，助干姜复中阳
白术Bái Zhú	佐Assistant	9g	健脾燥湿，助运化
甘草Gān Cǎo	使Courier	9g	甘温益气，调和诸药；用炙甘草

Modifications · 加减

脐上筑动（肾气动）
+ 桂枝
− 白术
肾气虚不敛
吐多者
+ 生姜
− 白术
胃气上逆
下利甚、四肢厥冷
+ 附子
中阳衰微、下焦虚寒

Treats Patterns · 主治证型

Preparation · 煎服法

水煎服。或作丸剂，即理中丸。

Editor-reviewed· 2026-04-17

PractitionerPatientDate

理中汤Lǐ Zhōng Tāng

Regulate the Middle Decoction

Herb	Pinyin	Role	Dose
干姜	Gān Jiāng	Jun (Sovereign)	9g
人参	Rén Shēn	Chen (Minister)	9g
白术	Bái Zhú	Zuo (Assistant)	9g
甘草	Gān Cǎo	Shi (Courier)	9g

Preparation: 水煎服。或作丸剂，即理中丸。

This prescription is provided only by the dispensing TCM practitioner. Take as directed; do not modify the dose or share it. If you experience any adverse effect, stop immediately and contact your practitioner. The content of this platform is educational reference, not medical advice.
Bencao Dian · https://bencaodian.org · CC BY-SA 4.0

Permalink · CC BY-SA 4.0

Cite this entry

@misc{bencaodian-li-zhong-tang,
  author       = {{Bencaodian Editorial}},
  title        = {Lǐ Zhōng Tāng 理中汤 (Regulate the Middle Decoction)},
  year         = {2026},
  howpublished = {Bencao Dian: A Bilingual Knowledge Graph of Traditional Chinese Medicine},
  url          = {https://bencaodian.org/en/formulas/li-zhong-tang},
  urldate      = {2026-04-17},
  note         = {CC BY-SA 4.0}
}

Permalink is fixed

Herb

Role

Dosage

Notes

辛热温中阳，祛脾胃寒邪，为君

大补元气，健脾益胃，助干姜复中阳

健脾燥湿，助运化

甘温益气，调和诸药；用炙甘草

Herb

Pinyin

Role

Dose

干姜

Gān Jiāng

Jun (Sovereign)

人参

Rén Shēn

Chen (Minister)

白术

Bái Zhú

Zuo (Assistant)

甘草

Gān Cǎo

Shi (Courier)

@misc{bencaodian-li-zhong-tang, author = {{Bencaodian Editorial}}, title = {Lǐ Zhōng Tāng 理中汤 (Regulate the Middle Decoction)}, year = {2026}, howpublished = {Bencao Dian: A Bilingual Knowledge Graph of Traditional Chinese Medicine}, url = {https://bencaodian.org/en/formulas/li-zhong-tang}, urldate = {2026-04-17}, note = {CC BY-SA 4.0} }