Nuan+Gan+Jian+(Warm+the+Liver+Decoction)

Nuan Gan Jian (Warm the Liver Decoction)

 * Category:** Move the Qi [Cold type Liver Qi stagnation; hernial disorders]
 * Preparation:** Decoct with water
 * Function:** Warms the Liver and Kidneys, promotes the movement of Qi, and alleviates pain
 * Indications:** Low abdominal pain that is sharp, localized, and aggravated by the local application of cold, pale tongue, submerged (esp. in left Guan or Zhi), tight pulse. Swelling, distention, pain of the scrotum.
 * Clinical Applications:** Varicocele, hydrocele, inguinal hernia
 * Contraindications:** heat, redness, swelling, pain of the scrotum due to damp-heat pouring down in the lower burner

**Ingredients:**
Dang Gui (6g.) Gou Qi Zi (9g.) Xiao Hui Xiang (6g.) Rou Gui (3g.) Wu Yao (6g.) Chen Xiang (3g.) - can use Mu Xiang or Xiang Fu (less expensive), use 6-9g Fu Ling (6g.) Sheng Jiang (3-5 slices)

**Analysis:**
//Chief:// Xiao Hui: warms Liver, disperses cold Rou Gui: warms Liver, Kidney and gate to produce Yang

//Deputy:// Dang Gui, Gou Qi Zi: nourish blood, tonify Liver and Kidney Wu Yao, Chen Xiang: move Qi and stops pain

//Assistant:// Fu Ling: leaches out dampness, strengthens Spleen

//Envoy:// Sheng Jiang: scatters cold, harmonizes the Stomach

**Modifications:**
Severe cold: + Wu Zhu Yu, Gan Jiang, Zhi Fu Zi Abdominal Pain: + Xiang Fu Pain of the scrotum: + Li Zhi He, Ju He Severe pain in the lower abdomen: + Yan Hu Suo, Chuan Lian Zi Liver Yang deficiency patterns: + Si Ni San