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Huang Qi Jian Zhong Tang: A Simple Guide to a Warming, Energy-Boosting Herbal Formula

  • Writer: Health Lab
    Health Lab
  • Jan 29
  • 3 min read

Updated: May 4

Huang Qi Jian Zhong Tang, or "Astragalus Decoction to Build the Middle," is a classic Chinese herbal formula from the Golden Guide, crafted by the legendary physician Zhang Zhongjing in the Eastern Han Dynasty.


Built on the foundation of Xiao Jian Zhong Tang, it adds astragalus to supercharge its ability to warm the body and boost energy. This remedy targets "deficiency-cold" stomach pain, helping those with weak digestion, chills, and abdominal cramps feel stronger and more comfortable.


Astragalus Jianzhong Decoction
Huang Qi Jian Zhong Tang blends six ingredients

What’s in Huang Qi Jian Zhong Tang?


This formula blends six ingredients, each with a unique role:

  • Astragalus (Huang Qi): The star herb, astragalus is sweet and warming, boosting energy (qi), strengthening the body, and easing cold-related pain.

  • Cinnamon Twig (Gui Zhi): This warms the body, dispels cold, and supports digestion to reduce abdominal discomfort.

  • White Peony Root (Bai Shao): Soothing and nourishing, peony relieves cramps and pain while complementing cinnamon twig.

  • Ginger (Sheng Jiang): Warming and digestion-friendly, ginger supports the spleen and boosts energy flow.

  • Jujube (Da Zao): Sweet jujube nourishes the spleen and promotes healthy qi and blood production.

  • Roasted Licorice (Zhi Gan Cao): This harmonizes the formula, eases pain, strengthens energy, and supports overall balance.


These herbs are typically boiled into a tea, creating a warming, nourishing remedy for the spleen and stomach.

Huang Qi Jian Zhong Tang
Huang Qi Jian Zhong Tang targets "deficiency-cold" stomach pain, helping those with weak digestion, chills, and abdominal cramps feel stronger and more comfortable.

How Huang Qi Jian Zhong Tang Works


Huang Qi Jian Zhong Tang is designed to:

  • Warm and Nourish: It strengthens the spleen and stomach, boosting yang energy to combat cold and fatigue.

  • Relieve Pain: Eases abdominal cramps, joint stiffness, and muscle aches caused by poor energy and blood flow.

  • Boost Immunity: Enhances the body’s defenses, ideal for those recovering from illness or feeling chronically weak.


It’s perfect for symptoms like cold stomach pain, tiredness, loss of appetite, or feeling chilly. It also helps with aches in the elbows, shoulders, back, or knees, making it a go-to for chronic pain linked to weakness.


Modern Uses


Modern research highlights its benefits for:

  • Digestive Health: Soothes chronic gastritis, gastric ulcers, and gastroptosis by warming and supporting the stomach.

  • Immune Support: Strengthens resistance, helping those recovering from serious illness or battling chronic weakness.

  • Pain Relief: Eases joint and muscle pain, including frozen shoulder, sciatica, and rheumatoid arthritis.

  • Other Conditions: Supports heart health (arrhythmia, pericarditis), women’s health (dysmenorrhea, night sweats), and recovery from conditions like tuberculosis or anemia.


How It Targets the Problem


When the body’s yang energy is low, the spleen and stomach weaken, leading to "deficiency-cold" symptoms like stomach pain, fatigue, or feeling cold. This can stall qi and blood flow, causing stiffness, cramps, or joint pain.


A weakened system also lowers immunity, making illness more likely. Huang Qi Jian Zhong Tang counters this by:

  • Warming the spleen and stomach to boost energy (astragalus, cinnamon twig, ginger).

  • Improving qi and blood flow to ease pain (peony, jujube).

  • Strengthening immunity and harmonizing the body (licorice).


This restores vitality, reduces discomfort, and helps prevent disease.


Things to Keep in Mind

Huang Qi Jian Zhong Tang is powerful but needs careful use:

  • Match Your Symptoms: It’s best for deficiency-cold stomach pain, not for those with excess heat (like frequent flushing or heartburn).

  • Customize the Formula:

    • For heartburn, skip maltose (sometimes included) and add cornelian cherry.

    • For vomiting, include dried ginger, tangerine peel, or poria.

    • For mixed cold-heat symptoms, adjust ginger or add coptis root carefully.

  • Long-Term Use: Chronic conditions may require extended use, with regular adjustments by a practitioner.

  • Consult an Expert: A Chinese medicine practitioner can tailor the formula to your needs and ensure safe use.


Why Huang Qi Jian Zhong Tang Matters

Huang Qi Jian Zhong Tang is a time-tested remedy that warms, nourishes, and strengthens. From soothing stomach pain to easing chronic aches and boosting immunity, it’s a versatile formula with roots in ancient wisdom and support from modern research. Whether you’re battling digestive issues, recovering from illness, or managing pain, this herbal blend—under professional guidance—can help you feel stronger and healthier.


Huang Qi Jian Zhong Tang
Huang Qi Jian Zhong Tang





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