How to Deal with Acid Reflux? Wu Mingjie Resolves Your Troubles with Classic Formulas from the Medical Sage

Patient Consultation with Dr. Wu Mingjie Regarding His Father’s Condition

Patient Consultation with Dr. Wu Mingjie Regarding His Father’s Condition

Syndrome Differentiation and Treatment: The Medicine Takes Effect Once Administered!

This case presented a string-like pulse (Chord pulse), indicating a Shaoyangsyndrome. The treatment principle focused on dispersing damp-heat in the Shaoyangmeridian located at the half-exterior, half-interior stage. The prescription utilized the classic formula "Modified Xiao Chai Hu Tang" (Minor Bupleurum Decoction) by the Medical Sage Zhang Zhongjing, proving as effective as a drum responding to its mallet!

Xiao Chai Hu Tang (Minor Bupleurum Decoction)

Xiao Chai Hu Tang (Minor Bupleurum Decoction)

Date:​ April 13, 2026

Patient Information:​ Male, 70 years old

[Diagnosis / Chief Complaint]

  • Acid reflux with food obstruction sensation.

  • Hypertension for twenty years.

  • Radiating pain on the left side of the waist for three years.

  • Pulse: String-like and throbbing (speculative description).

Prescription by Wu Mingjie, Fengyang Daoist Traditional Chinese Medicine Physician

Prescription by Wu Mingjie, Fengyang Daoist Traditional Chinese Medicine Physician

Herbal Ingredients and Dosages:

  • Coptidis Rhizoma(Huanglian): 6g

  • Evodiae Fructus(Wuzhuyu): 3g

  • Sepiae Endoconcha(Haipiaoxiao): 20g

  • Corydalis Rhizoma(Yuanhu): 10g

  • Bupleuri Radix(Chaihu): 10g

  • Scutellariae Radix(Huangqin): 6g

  • Glycyrrhizae Radix et Rhizoma(Gancao): 3g

  • Zingiberis Rhizoma Recens(Ganjiang): 3g

  • Jujubae Fructus(Hongzao): 3 pieces

[Usage]

Decoct in water and take orally. One dose per day for ten consecutive days.

Background Note:

The Modified Xiao Chai Hu Tangoriginates from Volume 49 of the Golden Mirror of Medicine(Yizong Jinjian). Based on the classic Xiao Chai Hu Tang, it adds Angelica Sinensis(Danggui), Rehmanniae Radix(Shengdi), and Moutan Cortex(Danpi). It is primarily used to treat women suffering from "heat invading the blood chamber" after a wind-stroke, presenting symptoms such as intermittent menstruation and malaria-like chills and fever. This formula has evolved into various derivatives throughout medical history:

  • The version in Marvelous Effective Formulas(Qixiao Liangfang) includes Bupleurum, Scutellaria, Ginseng, Pinellia, Oyster Shell Powder, and Aurantii Fructusto treat hypochondriac pain due to cold damage.

  • The version in Complete Collection of Cold Damage(Shanghan Quansheng Ji) adds Coptisand Cimicifugae Rhizomafor maculae (skin eruptions) with alternating chills and fever.

  • The version in Prescriptions for Universal Relief(Pujifang) adds Cinnamon Bark, Amomi Tsao-ko, and Areca Nutspecifically for malaria.

Modern Clinical Applications:

Modern clinical practice has expanded its use significantly:

  • Thyroid Nodules:​ Treating liver depression and spleen deficiency patterns, often combined with Prunella Vulgaris(Xiakucao) and Ranunculus ternatus(Maozhaocao) to resolve phlegm and dissipate nodules.

  • Allergic Rhinitis:​ Combined with Mometasone Furoate to improve TCM symptom scores and immune function.

  • Cough Variant Asthma:​ Meta-analyses show that treating the Shaoyangpattern yields a higher total effective rate and lower recurrence rate compared to Western medicine.

Experimental Research:

Studies confirm the formula's anti-inflammatory effects. Its saponins and polysaccharides are effective against chronic gastritis models. Its anti-gastric ulcer mechanism involves regulating gastric acid secretion and antioxidant stress. Additionally, it offers protective effects against experimental liver injury and hepatocyte apoptosis.

小朋友 张Comment