Drain the Middle is a faithful rendition of Pinellia Decoction to Drain the Epigastrium (Ban Xia Xie Xin Tang), a classical formula from the Shang Han Lun. This formula addresses patterns of simultaneous excess and deficiency in the Middle Burner, combining herbs with both cold and hot natures to harmonize the complex interaction of Hot and Cold clumping together in the epigastrium. TCM Actions Harmonize the Stomach, redirects rebellious Qi downward, disperses clumping and occasional focal distention Clinical Applications Patterns of simultaneous excess and deficiency in the Middle Burner Simultaneous Hot and Cold pattern presentation Occasional epigastric focal distention Supports digestive health Ingredients Fa ban xia (Licorice cured pinellia rhizome) Huang qin (Chinese skullcap root) Gan jiang (Ginger rhizome) Bai ren shen (White Asian ginseng root and rhizome) Hei zao (Black jujube fruit) Huang lian (Coptis rhizome) Zhi gan cao (Honey fried Chinese licorice root and rhizome) Cautions Use with caution during pregnancy.