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Source: Jǐng Yuè Quán Shū 景岳全书

Ingredients:

• Rén shēn (人参 Ginseng Radix, ginseng) (or Dǎng shēn (党参 Codonopsis Radix, codonopsis [root])) 10g
• Huáng qí (黄芪 Astragali Radix, astragalus [root]) 10g
• Dāng guī shēn (当归身 Angelicae Sinensis Radicis Corpus, Chinese angelica body) 10g
• Chuān xiōng (川芎 Chuanxiong Rhizoma, chuanxiong [rhizome]) 6g
• Bái sháo (白芍 Paeoniae Radix Alba, white peony [root]) 10g
• Shú dì huáng (熟地黄 Rehmanniae Radix Praeparata, cooked rehmannia [root]) 15g
• Chuān duàn (川断 Dipsaci Radix, dipsacus [root]) 10g
• Bái zhú (白朮 Atractylodis Macrocephalae Rhizoma, white atractylodes [root]) 10g
• Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) (mix–fried) 6g
• Nuò mǐ (糯米 Oryzae Glutinosae Semen, glutinous rice) 15g
• Huáng qín (黄芩 Scutellariae Radix, scutellaria [root]) 6g
• Shā rén (砂仁 Amomi Fructus, amomum [fruit]) 6g

Action: Boosts qì and fortifies the spleen; nourishes the blood and quiets the fetus.

Indication: Vacuity of both qì and blood in pregnancy with signs such as stirring fetus, lumbar pain, abdominal pain, red flow, fatigue and lack of strength, and torpid intake. Tongue: Pale. Pulse: Slippery, floating, and forceless. Also suitable for recurrent miscarriage.

Category: Supplementing formulas / Dual qì-blood dual supplementation formula

Method: The Rock of Tàishān (Tàishān is a mountain in Shāndōng) symbolizes firmness.

Rationale: This formula is basically Bā zhēn tāng (八珍汤 Eight-Gem Decoction) minus Fú líng, and plus Huáng qí, Xù duàn, Shā rén, and glutinous rice. Bā zhēn tāng boosts qì and nourishes the blood to protect the fetus. In this formula, Fú líng is removed out of fear that its water-disinhibiting action might abort the fetus. Huáng qí works with glutinous rice to boost qì. Xù duàn and Shā rén secure the kidney. All four of these agents quiet the fetus. A small quantity of Huáng qín combined with Bái zhú addresses the heat.

Variations:

• Concurrent heart palpitation and insomnia: Add Suān zǎo rén (酸枣仁 Ziziphi Spinosi Semen, spiny jujube [kernel]) and Lóng yǎn ròu (龙眼肉 Longan Arillus, longan flesh).
• Severe lumbar pain: Add Dù zhòng (杜仲 Eucommiae Cortex, eucommia [bark]) and Tù sī zǐ (菟丝子 Cuscutae Semen, cuscuta [seed]).
• Absence of heat signs: Omit Huáng qín (黄芩 Scutellariae Radix, scutellaria [root]).
• Weak stomach and reduced eating: Increase the Shā rén (砂仁 Amomi Fructus, amomum [fruit]) and reduce the Huáng qín (黄芩 Scutellariae Radix, scutellaria [root]).
• Signs of impending miscarriage such as bleeding: Add ē jiāo (阿胶 Asini Corii Colla, ass hide glue) and ài yè (艾叶 Artemisiae Argyi Folium, mugwort [leaf]).

Notes: This is a variant of Bā zhēn tāng (八珍汤 Eight-Gem Decoction).

Similar: Shí quán dà bǔ tāng (十全大补汤 Perfect Major Supplementation Decoction)

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