Peptic ulcers according to Chinese Medicine

In Chinese Medicine, peptic ulcers can be associated with seventeen so-called "patterns of disharmony". Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted. It is not equivalent to the Western concept of "disease", as a matter of fact here peptic ulcers can be caused by seventeen different patterns.

To understand whether someone's peptic ulcers might be caused by a given pattern, one needs to look for signs and symptoms associated with the pattern beyond what one might typically experience from peptic ulcers alone. For instance when peptic ulcers is caused by the pattern Spleen Qi Deficiency, patients also experience symptoms such as pale complexion, weak voice, poor appetite and loose stools. Similarly, patients with Spleen Qi Deficiency typically exhibit soggy (Ru) or weak (Ruo) pulses as well as a pale tongue.

We've listed below a description of the seventeen patterns associated with peptic ulcers so that you can start to get an understanding of the various possibilities according to Chinese Medicine.

Once identified, patterns are often treated using herbal formulas. Drinking herbal infusions is the most common remedy in Chinese Medicine, together with acupuncture. Here we detail below seventeen formulas that can help treat the various patterns associated with peptic ulcers, depending on which pattern fits your profile.

The seventeen "patterns of disharmony" associated with peptic ulcers

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Spleen Qi Deficiency

Pulse type(s): Soggy (Ru), Weak (Ruo)

Tongue color: Pale

Recommended herbal formula: Si Jun Zi Tang

Symptoms: Weak voice Loose stools Poor appetite Pale complexion Weakness in the limbs

Peptic ulcers might be due to Spleen Qi Deficiency if the condition is paired with typical pattern symptoms such as pale complexion, weak voice, poor appetite and loose stools. Similarly, patients with Spleen Qi Deficiency typically exhibit soggy (Ru) or weak (Ruo) pulses as well as a pale tongue.

Read more about Spleen Qi Deficiency here

The Triple Burner is a so-called "Fu" Organ. Learn more about the Triple Burner in Chinese Medicine

Phlegm-Dampness in the Middle-Burner

Peptic ulcers might be due to Phlegm-Dampness in the Middle-Burner if the condition is paired with typical pattern symptoms such as nausea, vomiting, stifling sensation in the chest and epigastrium and focal distention.

Read more about Phlegm-Dampness in the Middle-Burner here

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Blood Deficiency with disharmony of Liver and Spleen

Peptic ulcers might be due to Blood Deficiency with disharmony of Liver and Spleen if the condition is paired with typical pattern symptoms such as chest fullness, chest pain, anemia and dizziness. Similarly, patients with Blood Deficiency with disharmony of Liver and Spleen typically exhibit empty (Xu) or wiry (Xian) pulses as well as a pale tongue.

Read more about Blood Deficiency with disharmony of Liver and Spleen here

The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine

Liver Qi Stagnation

Peptic ulcers might be due to Liver Qi Stagnation if the condition is paired with typical pattern symptoms such as flank pain, stifling sensation in the chest causing one to have deep sighs, suppressed emotions and feelings of frustration. Similarly, patients with Liver Qi Stagnation typically exhibit wiry (Xian) pulses.

Read more about Liver Qi Stagnation here

Crow-Dipper Rhizomes (Ban Xia) is the key herb for Er Chen Tang, a formula used for Damp-Cold Phlegm

Damp-Cold Phlegm

Pulse type(s): Slippery (Hua)

Tongue coating: Thick white coating

Recommended herbal formula: Er Chen Tang

Symptoms: Nausea Vomiting Dizziness Palpitations Focal distention Coughing with copious white sputum Stifling sensation in the chest and epigastrium

Peptic ulcers might be due to Damp-Cold Phlegm if the condition is paired with typical pattern symptoms such as nausea, vomiting, stifling sensation in the chest and epigastrium and palpitations. Similarly, patients with Damp-Cold Phlegm typically exhibit slippery (Hua) pulses as well as a tongue with thick white coating.

Read more about Damp-Cold Phlegm here

The Bladder is a so-called "Fu" Organ. Learn more about the Bladder in Chinese Medicine

Qi Stagnation in Gallbladder and Stomach with Phlegm Heat

Peptic ulcers might be due to Qi Stagnation in Gallbladder and Stomach with Phlegm Heat if the condition is paired with typical pattern symptoms such as nausea or vomiting, dizziness or vertigo, dream disturbed sleep with strange or unusual dreams and palpitations. Similarly, patients with Qi Stagnation in Gallbladder and Stomach with Phlegm Heat typically exhibit slippery (Hua) or wiry (Xian) pulses as well as a tongue with yellow coating.

Read more about Qi Stagnation in Gallbladder and Stomach with Phlegm Heat here

The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine

Phlegm Heat in the Lungs

Pulse type(s): Rapid (Shu), Slippery (Hua)

Tongue coating: Sticky coating, Yellow coating

Tongue shape: Swollen

Recommended herbal formula: Xiao Xian Xiong Tang

Symptoms: Clump Phlegm Chest pain Constipation Epigastric pain Clumping in the chest Bitter taste in the mouth Epigastric focal distention Focal distention of the chest Coughing of copious thick yellow sputum

Peptic ulcers might be due to Phlegm Heat in the Lungs if the condition is paired with typical pattern symptoms such as constipation, bitter taste in the mouth, coughing of copious thick yellow sputum and chest pain. Similarly, patients with Phlegm Heat in the Lungs typically exhibit rapid (Shu) or slippery (Hua) pulses as well as a tongue with sticky coating, yellow coating.

Read more about Phlegm Heat in the Lungs here

Atractylodes Rhizomes (Bai Zhu) is the key herb for Yue Ju Wan, a formula used for Qi Stagnation

Qi Stagnation

Pulse type(s): Wiry (Xian)

Tongue coating: Thin white coating

Tongue color: Normal (light red)

Recommended herbal formula: Yue Ju Wan

Symptoms: Belching Vomiting Acid reflux Indigestion Poor appetite Fixed pain in the hypochondria Mild coughing with copious sputum Stifling sensation in the chest and abdomen

Peptic ulcers might be due to Qi Stagnation if the condition is paired with typical pattern symptoms such as stifling sensation in the chest and abdomen, fixed pain in the hypochondria, belching and vomiting. Similarly, patients with Qi Stagnation typically exhibit wiry (Xian) pulses as well as a normal (light red) tongue with thin white coating.

Read more about Qi Stagnation here

The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine

Lung Qi Deficiency and Liver Qi Stagnation

Pulse type(s): Empty (Xu), Tight (Jin)

Tongue coating: Thin white coating

Tongue color: Normal (light red), Pale

Recommended herbal formula: Xiao Chai Hu Tang

Symptoms: Coughing Dizziness Headaches Depression Moving pain Listlessness Hypochondrium fullness

Peptic ulcers might be due to Lung Qi Deficiency and Liver Qi Stagnation if the condition is paired with typical pattern symptoms such as coughing, hypochondrium fullness, dizziness and headaches. Similarly, patients with Lung Qi Deficiency and Liver Qi Stagnation typically exhibit empty (Xu) or tight (Jin) pulses as well as a normal (light red), pale tongue with thin white coating.

Read more about Lung Qi Deficiency and Liver Qi Stagnation here

The Triple Burner is a so-called "Fu" Organ. Learn more about the Triple Burner in Chinese Medicine

Phlegm-Heat in the Middle Burner

Pulse type(s): Rapid (Shu), Wiry (Xian)

Tongue coating: Yellow coating

Tongue color: Red tip

Recommended herbal formula: Ban Xia Xie Xin Tang

Symptoms: Poor appetite Abdominal fullness Dry heaves or vomiting Borborygmi with diarrhea Epigastric focal distention

Peptic ulcers might be due to Phlegm-Heat in the Middle Burner if the condition is paired with typical pattern symptoms such as epigastric focal distention, abdominal fullness, dry heaves or vomiting and borborygmi with diarrhea. Similarly, patients with Phlegm-Heat in the Middle Burner typically exhibit rapid (Shu) or wiry (Xian) pulses as well as a red tip tongue with yellow coating.

Read more about Phlegm-Heat in the Middle Burner here

The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine

Stomach Qi Deficiency with Phelgm

Pulse type(s): Empty (Xu), Wiry (Xian)

Tongue coating: Thick white coating

Recommended herbal formula: Xuan Fu Dai Zhe Tang

Symptoms: Hiccuping Regurgitation Nausea or vomiting Unremitting belching Hard epigastric focal distention

Peptic ulcers might be due to Stomach Qi Deficiency with Phelgm if the condition is paired with typical pattern symptoms such as unremitting belching, hiccuping, regurgitation and nausea or vomiting. Similarly, patients with Stomach Qi Deficiency with Phelgm typically exhibit empty (Xu) or wiry (Xian) pulses as well as a tongue with thick white coating.

Read more about Stomach Qi Deficiency with Phelgm here

Phlegm-Fluids above the diaphragm

Pulse type(s): Tight (Jin), Floating (Fu)

Tongue coating: Thick white coating

Tongue shape: Swollen

Recommended herbal formula: Xiao Qing Long Tang

Symptoms: Wheezing No thirst Absence of sweating Generalized body pain Alternating fever and chills General sensation of heaviness Stifling sensation in the chest Coughing of copious thin and white sputum

Peptic ulcers might be due to Phlegm-Fluids above the diaphragm if the condition is paired with typical pattern symptoms such as alternating fever and chills, absence of sweating, wheezing and stifling sensation in the chest. Similarly, patients with Phlegm-Fluids above the diaphragm typically exhibit tight (Jin) or floating (Fu) pulses as well as a tongue with thick white coating.

Read more about Phlegm-Fluids above the diaphragm here

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Heart and Spleen Deficiency

Pulse type(s): Fine (Xi)

Tongue coating: Thin white coating

Tongue color: Pale

Recommended herbal formula: Gui Pi Tang

Symptoms: Fatigue Anxiety Insomnia Menorrhagia Palpitations Forgetfulness Poor appetite Pale complexion Abnormal uterine bleeding

Peptic ulcers might be due to Heart and Spleen Deficiency if the condition is paired with typical pattern symptoms such as forgetfulness, palpitations, insomnia and fatigue. Similarly, patients with Heart and Spleen Deficiency typically exhibit fine (Xi) pulses as well as a pale tongue with thin white coating.

Read more about Heart and Spleen Deficiency here

The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine

Liver Qi Stagnation that transforms into Heat

Pulse type(s): Rapid (Shu), Wiry (Xian)

Tongue coating: Yellow coating

Tongue color: Red

Recommended herbal formula: Jin Ling Zi San

Symptoms: Hernial pain Irritability Bitter taste in the mouth Intermittent epigastric pain Painful periods that get worse with hot food or drinks

Peptic ulcers might be due to Liver Qi Stagnation that transforms into Heat if the condition is paired with typical pattern symptoms such as intermittent epigastric pain, hernial pain, painful periods that get worse with hot food or drinks and irritability. Similarly, patients with Liver Qi Stagnation that transforms into Heat typically exhibit rapid (Shu) or wiry (Xian) pulses as well as a red tongue with yellow coating.

Read more about Liver Qi Stagnation that transforms into Heat here

The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine

Lung Yin Deficiency

Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)

Tongue coating: Complete absence of coating

Tongue color: Red

Recommended herbal formulas: Yang Yin Qing Fei Tang, Mai Men Dong Tang

Symptoms: Insomnia Dry cough Dry mouth Tiredness Weak voice Dry throat Malar flush Night sweats Hot palms and soles Thin body lacking strength

Exterior Heat and Dryness can invade the Lungs and exhausts the Body Fluids. If it is not dealt with for a long time, it leads to Lung Yin Deficiency. Other factors can cause this pattern such as the Deficiency of Kidneys or Stomach Yin as well as prolonged Lung Qi Deficiency due to excessive smoking or use of voice. Emotional stress such as sadness and grief may also deplete Lung Qi and Yin.

Empty Heat symptoms appear if the Lung Yin Deficiency condition is not treated for a while. Patients can feel malar flush, low-grade fever as well as Heat in the palms and chest, especially in the evenings. 

The treatment principle is to tonify Lung Yin, nourish Body Fluids and clear Empty Heat if it is needed. 

Read more about Lung Yin Deficiency here

The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine

Stomach Yin Deficiency

The Stomach is responsible for receiving foods and drinks, ripening them and sending them to the Spleen for further digestion. Therefore, the Stomach is the origin of Body Fluids. It is also an Organ that likes Cold and Dampness which are both Yin characteristics. Stomach Yin Deficiency harms the Organ's functions and cause Dryness and Heat. As a result, symptoms such as thirst, dry stools, dry mouth and dry throat appear. 

However, this is just Empty Heat due to lacking of Yin (and not the Excess of Yang), so the feeling of Heat often only happens in the afternoons or evenings. The patients experiences thirst or hunger but there is no desire to drink or eat, or they only drink in small sips. They also prefer warm liquids and their appetite is poor. Due to lack of Body Fluids, there is constipation with dry stools. Retching and hiccups may occur as Stomach's Qi downward function is impaired. 

Unbalanced diet and bad eating habits are the major reasons for this pattern. The patients may often consume spicy and acrid foods, which deplete Stomach Fluids and Yin. Prolonged irregular eating habits also have similar negative impact, such as eating on the run, skipping meals, eating while working, having late meals or working right after eating. Finally chronic Stomach disease can also be a cause. In additional to above reasons, a high fever during an infectious disease or overconsumption of antibiotics can also lead to an acute Stomach Yin Deficiency. 

The treatment principle is to nourish Stomach Yin and Body Fluids.

Read more about Stomach Yin Deficiency here

Phlegm-Fluids in the hypochondrium

Pulse type(s): Slippery (Hua), Soggy (Ru), Wiry (Xian)

Tongue coating: Thick white coating

Tongue color: Pale

Tongue shape: Swollen

Recommended herbal formula: Ling Gui Zhu Gan Tang

Symptoms: Palpitations Dizziness or vertigo

Peptic ulcers might be due to Phlegm-Fluids in the hypochondrium if the condition is paired with typical pattern symptoms such as palpitations and dizziness or vertigo. Similarly, patients with Phlegm-Fluids in the hypochondrium typically exhibit slippery (Hua), soggy (Ru) or wiry (Xian) pulses as well as a pale tongue with thick white coating.

Read more about Phlegm-Fluids in the hypochondrium here

The seventeen herbal formulas that might help with peptic ulcers

Liu Jun Zi Tang

Source date: 1107

Number of ingredients: 6 herbs

Key actions: Tonifies Qi. Strengthens the Spleen and Stomach. Clears Phlegm and mucus. Promotes appetite.

Why might Liu Jun Zi Tang help with peptic ulcers?

Because it is a formula often recommended to help with the patterns Spleen Qi Deficiency and Phlegm-Dampness in the Middle-Burner which are sometimes associated with peptic ulcers. If any of these patterns look like something you might suffer from, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Liu Jun Zi Tang here

Mai Men Dong Tang

Source date: 220 AD

Number of ingredients: 6 herbs

Key actions: Nourishes the Stomach. Generates Body Fluids. Directs Rebellious Qi downward.

Why might Mai Men Dong Tang help with peptic ulcers?

Because it is a formula often recommended to help with the patterns Lung Yin Deficiency and Stomach Yin Deficiency which are sometimes associated with peptic ulcers. If any of these patterns look like something you might suffer from, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Mai Men Dong Tang here

Si Jun Zi Tang

Source date: 1107 AD

Number of ingredients: 4 herbs

Key actions: Tonifies Qi. Strengthens the Spleen and Stomach.

Why might Si Jun Zi Tang help with peptic ulcers?

Because it is a formula often recommended to help treat Spleen Qi Deficiency, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Spleen Qi Deficiency, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Si Jun Zi Tang here

Xiao Yao San

Source date: 1107 AD

Number of ingredients: 6 herbs

Key actions: Harmonizes the function of Liver and Spleen. Relieves Liver Qi stagnation. Nourishes the Blood.

Why might Xiao Yao San help with peptic ulcers?

Because it is a formula often recommended to help treat Blood Deficiency with disharmony of Liver and Spleen, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Blood Deficiency with disharmony of Liver and Spleen, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Xiao Yao San here

Chai Hu Shu Gan San

Source date: 1602

Number of ingredients: 7 herbs

Key actions: Disperses Stagnant Liver Qi and Blood. Alleviates pain. Harmonizes Blood.

Why might Chai Hu Shu Gan San help with peptic ulcers?

Because it is a formula often recommended to help treat Liver Qi Stagnation, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Liver Qi Stagnation, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Chai Hu Shu Gan San here

Er Chen Tang

Source date: 1148 AD

Number of ingredients: 5 herbs

Key actions: Dries Damp and dispels Phlegm. Regulates Qi and harmonizes the Middle Burner (Stomach and Spleen).

Why might Er Chen Tang help with peptic ulcers?

Because it is a formula often recommended to help treat Damp-Cold Phlegm, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Damp-Cold Phlegm, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Er Chen Tang here

Wen Dan Tang

Source date: 1174 AD

Number of ingredients: 8 herbs

Key actions: Clears Hot-Phlegm. Clears Gallbladder heat. Regulates Qi. Harmonizes the Stomach.

Why might Wen Dan Tang help with peptic ulcers?

Because it is a formula often recommended to help treat Qi Stagnation in Gallbladder and Stomach with Phlegm Heat, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Qi Stagnation in Gallbladder and Stomach with Phlegm Heat, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Wen Dan Tang here

Xiao Xian Xiong Tang

Source date: 220 AD

Number of ingredients: 3 herbs

Key actions: Clears Heat. Transforms Phlegm. Expands the chest. Dissipates clumps.

Why might Xiao Xian Xiong Tang help with peptic ulcers?

Because it is a formula often recommended to help treat Phlegm Heat in the Lungs, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Phlegm Heat in the Lungs, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Xiao Xian Xiong Tang here

Yue Ju Wan

Source date: 1481 AD

Number of ingredients: 5 herbs

Key actions: Promotes the movement of Qi. Releases all types of Stagnation (Qi, Blood, Phlegm, Fire, Food and Dampness).

Why might Yue Ju Wan help with peptic ulcers?

Because it is a formula often recommended to help treat Qi Stagnation, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Qi Stagnation, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Yue Ju Wan here

Xiao Chai Hu Tang

Source date: 220 AD

Number of ingredients: 7 herbs

Key actions: Treats the Lesser Yang Channels (Gallbladder and Triple Warmer). Regulates the Liver and Spleen functions. Addresses combined Yin-Yang symptoms of External and Internal, Excess and Deficiency, and Hot and Cold.

Why might Xiao Chai Hu Tang help with peptic ulcers?

Because it is a formula often recommended to help treat Lung Qi Deficiency and Liver Qi Stagnation, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Lung Qi Deficiency and Liver Qi Stagnation, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Xiao Chai Hu Tang here

Ban Xia Xie Xin Tang

Source date: 220 AD

Number of ingredients: 7 herbs

Key actions: Reverses the flow of Rebellious Stomach Qi. Relieves both Heat and Cold Stagnation in the gastrointestinal tract.

Why might Ban Xia Xie Xin Tang help with peptic ulcers?

Because it is a formula often recommended to help treat Phlegm-Heat in the Middle Burner, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Phlegm-Heat in the Middle Burner, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Ban Xia Xie Xin Tang here

Xuan Fu Dai Zhe Tang

Source date: 220 AD

Number of ingredients: 7 herbs

Key actions: Regulates the downward flow of Stomach Qi. Expectorant, treats hiccups.

Why might Xuan Fu Dai Zhe Tang help with peptic ulcers?

Because it is a formula often recommended to help treat Stomach Qi Deficiency with Phelgm, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Stomach Qi Deficiency with Phelgm, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Xuan Fu Dai Zhe Tang here

Xiao Qing Long Tang

Source date: 220 AD

Number of ingredients: 8 herbs

Key actions: Releases the Exterior. Transforms Phlegm-Fluids. Warms the Lungs. Directs Rebellious Qi downward.

Why might Xiao Qing Long Tang help with peptic ulcers?

Because it is a formula often recommended to help treat Phlegm-Fluids above the diaphragm, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Phlegm-Fluids above the diaphragm, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Xiao Qing Long Tang here

Gui Pi Tang

Source date: 1529 AD

Number of ingredients: 12 herbs

Key actions: Tonifies and nourish Qi and Blood. Tonifies Heart and Spleen.

Why might Gui Pi Tang help with peptic ulcers?

Because it is a formula often recommended to help treat Heart and Spleen Deficiency, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Heart and Spleen Deficiency, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Gui Pi Tang here

Jin Ling Zi San

Source date: 992 AD

Number of ingredients: 2 herbs

Key actions: Moves Liver Blood and Liver Qi. Drains Liver Heat or Fire. Stops pain.

Why might Jin Ling Zi San help with peptic ulcers?

Because it is a formula often recommended to help treat Liver Qi Stagnation that transforms into Heat, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Liver Qi Stagnation that transforms into Heat, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Jin Ling Zi San here

Ling Gui Zhu Gan Tang

Source date: 220 AD

Number of ingredients: 4 herbs

Key actions: Warms and transforms Phlegm-Fluids. Strengthens the Spleen. Resolves Dampness.

Why might Ling Gui Zhu Gan Tang help with peptic ulcers?

Because it is a formula often recommended to help treat Phlegm-Fluids in the hypochondrium, a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from Phlegm-Fluids in the hypochondrium, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Ling Gui Zhu Gan Tang here

Zuo Jin Wan

Source date: 1481 AD

Number of ingredients: 2 herbs

Key actions: Clears Liver Heat. Directs Rebellious Qi downward. Stops vomiting.

Why might Zuo Jin Wan help with peptic ulcers?

Because it is a formula often recommended to help treat , a pattern sometimes associated with peptic ulcers. If it looks like you might suffer from , this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Zuo Jin Wan here