Aconite Center-Regulating Pill is a classic patented Chinese medicine in traditional Chinese medicine, with its core functions being to warm the middle and dispel cold, and strengthen the spleen and boost qi. It is particularly suitable for regulating a series of issues caused by spleen-stomach deficiency-cold and insufficient yang energy. If you often feel cold, especially in the abdominal area, prefer hot drinks, and easily feel discomfort from consuming raw or cold foods, then you might need to pay attention to the yang energy in your middle burner.

What conditions can it primarily regulate?

Frequent diarrhea or loose stools: Many people experience diarrhea when consuming raw, cold, or greasy foods, or with minor exposure to cold, often with persistently unformed stools. Typically, they feel a cold sensation in the abdomen. This is usually a sign of **spleen-stomach yang deficiency with internal retention of cold-dampness**. The aconite and dried ginger in *Aconite Regulating the Middle Pill* (Fuzi Lizhong Wan) warm and tonify spleen yang, dispelling cold pathogens from the middle burner, thereby restoring the spleen and stomach's normal transportation and transformation functions, improving watery stools.

Prone to swelling, especially in the eyelids, face, or lower limbs, worsening in the afternoon: When spleen yang is insufficient, water-dampness metabolism becomes disordered, easily accumulating in the body. This formula promotes water metabolism by **warming yang to transform qi**, helping to eliminate edema.

Recurrent allergic rhinitis: Many patients with allergic rhinitis experience nasal congestion, clear nasal discharge, and continuous sneezing when exposed to cold wind or seasonal changes. From a Traditional Chinese Medicine perspective, this often indicates **lung-spleen qi deficiency with weak defensive qi**. The spleen and stomach are the source of qi and blood production; only when spleen yang is sufficient can lung qi be replenished, enhancing the body's ability to resist external pathogens.

Excessive sweating, especially noticeable on the head: Profuse sweating with slight movement, feeling cold and sensitive to wind after sweating, and susceptibility to colds. This results from **yang qi deficiency failing to consolidate body fluids**. *Aconite Regulating the Middle Pill* addresses this type of deficiency-induced sweating by warming and tonifying the middle burner, strengthening yang to secure the exterior.

Persistent low-pitched tinnitus: This type of tinnitus sounds like the chirping of cicadas, intermittent and worsening after exertion but improving with rest. Traditional Chinese Medicine (TCM) suggests that spleen deficiency prevents the clear yang energy from nourishing the ear orifices. By strengthening the spleen, warming yang, and ascending clear yang energy, the ear orifices receive nourishment, and tinnitus may gradually ease.

Complex condition of upper heat and lower cold: Some people experience "heat" in the upper body (e.g., mouth ulcers, insomnia, irritation), while the lower body feels "cold" (e.g., cold legs and feet, frequent nighttime urination). This is often caused by cold-damp stagnation in the middle jiao (spleen and stomach), leading to blocked qi circulation. Fuzi Lizhong Wan can warm and unblock the middle jiao, restoring the up-and-down flow of qi, thereby balancing heat and cold.

Real-life case:

A 42-year-old female patient had long-term loose stools, avoided cold dishes and fruits entirely, and often felt cold pain in her abdomen, which worsened during autumn and winter. She also experienced mild facial puffiness and fatigue. Her tongue was pale and swollen with a white, slippery coating, and her pulse was deep and thin. TCM diagnosis identified spleen-stomach deficiency-cold. After taking Fuzi Lizhong Wan for a week, she felt warmth returning to her abdomen, and her stools gradually became formed. With continued use, her overall energy levels and cold sensitivity significantly improved.

Precautions:

Aconite Lateralis Praeparata and Ginseng Pills are warm and drying in nature, primarily suitable for conditions like spleen-stomach deficiency with cold or yang deficiency with cold-dampness. If you experience symptoms such as dry mouth, bitter taste, yellow greasy tongue coating, constipation, or aversion to heat—indicative of damp-heat or excess heat—it is not advisable to use them. Consult a professional TCM practitioner for syndrome differentiation before taking the medicine, and avoid self-medicating blindly.