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Source: Jì Shēng Fāng 济生方

Ingredients:

• Bái zhú (白朮 Atractylodis Macrocephalae Rhizoma, white atractylodes [root]) 10g
• Fú líng (茯苓 Poria , poria) 10g
• Huáng qí (黄芪 Astragali Radix, astragalus [root]) 15g
• Rén shēn (人参 Ginseng Radix, ginseng) 10g
• Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) (mix–fried) 5g
• Mù xiāng (木香 Aucklandiae Radix, costusroot) 5g
• Dāng guī (当归 Angelicae Sinensis Radix, Chinese angelica) 12g
• Yuǎn zhì (远志 Polygalae Radix, polygala [root]) 3g
• Lóng yǎn ròu (龙眼肉 Longan Arillus, longan flesh) 12g
• Suān zǎo rén (酸枣仁 Ziziphi Spinosi Semen, spiny jujube [kernel]) 10g

Action: Fortifies the spleen and boosts qì; supplements the blood and nourishes the heart.

Indication: (a) Heart-spleen vacuity and insufficiency of qì and blood with signs such as fatigue of spirit and body, heart palpitation or fearful throbbing, insomnia, and forgetfulness; (b) spleen failing to manage the blood with bloody stool or urine or flooding and spotting.

Category: Supplementing formulas / Yīn-yáng dual supplementation formulas

Method: Decoct with water.

Rationale: To fortify the spleen, qì must be boosted, and to nourish the heart, the blood must be supplemented. Huáng qí and Rén shēn boost qì and fortify the spleen, acting as the sovereign agents in the formula. Dāng guī and Lóng yǎn ròu supplement the blood and nourish the heart. These four agents invigorate the child and boost the mother (the heart is the mother of the spleen), and thereby treat the root. Fú líng, Yuǎn zhì, and Suān zǎo rén nourish the heart and quiet the spirit, thereby treating the tip. Bái zhú and Mù xiāng fortify the spleen and rectify qì, ensuring that the supplementing agents do not cause stagnation. Gān cǎo, Shēng jiāng, and Dà zǎo harmonize the stomach and spleen, helping it to engender qì and blood.

Variations:

• Pronounced qì vacuity: Make Rén shēn (人参 Ginseng Radix, ginseng) and Huáng qí (黄芪 Astragali Radix, astragalus [root]) the sovereign agents.
• Blood vacuity: Make Dāng guī (当归 Angelicae Sinensis Radix, Chinese angelica) and Lóng yǎn ròu (龙眼肉 Longan Arillus, longan flesh) the chief agents.
• Heart vacuity: Increase Fú shén (茯神 Poria cum Pini Radice , root poria), Suān zǎo rén (酸枣仁 Ziziphi Spinosi Semen, spiny jujube [kernel]), and Yuǎn zhì (远志 Polygalae Radix, polygala [root]).
• Flooding and spotting: Add Dì yú (地榆 Sanguisorbae Radix, sanguisorba [root]), ē jiāo (阿胶 Asini Corii Colla, ass hide glue), Xiǎo jì (小蓟 Cirsii Herba, field thistle), 大蓟, Qiàn cǎo (茜草 Rubiae Radix, madder [root]), Cè bǎi yè (侧柏叶 Platycladi Cacumen, arborvitae leaf), or charred Huái huā (槐花 Sophorae Flos, sophora flower), or combine with gujingwan.

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