bubble_chart Efficacy

Tonifying qi to strengthen the spleen, drying dampness and resolving phlegm.

bubble_chart Indications

Spleen-stomach qi deficiency with phlegm-dampness syndrome. Symptoms include reduced appetite, loose stools, chest and gastric stuffiness, severe epigastric discomfort, cough with copious white phlegm, nausea, vomiting, pale tongue with white coating, and a soggy, slow pulse.

bubble_chart Formula Principles

In the formula, ginseng, poria, atractylodes, and licorice, namely the Four Gentlemen Decoction, are essential formulas for tonifying qi, capable of invigorating gastrointestinal function and enhancing absorption; Dried Tangerine Peel and Pinellia, namely the Two Old Ingredients Decoction, are used for drying dampness and resolving phlegm, and for removing stagnant water in the gastrointestinal tract. The combination of these two formulas works together to regulate qi, harmonize the middle, and resolve phlegm.

bubble_chart Pattern Identification

1. anorexia loose stool.
2. epigastric fullness vomiting.
3. excessive phlegm.
4. pale tongue with white coating.
5. deep and soggy pulse.

bubble_chart Formula Modification

1. Abdominal pain due to deficiency-cold: add Cyperus, Villous Amomum Fruit.
2. Deficiency-cold of spleen and stomach: add Evodia Fruit, Blast-Fried Ginger, Cassia Bark.
3. Spleen-kidney yang deficiency: add Psoralea, Aconite Lateral Root.
4. Diarrhea due to spleen deficiency: add Chinese Yam, Gordon Euryale Seed.
5. Stool with mucus: add Pueraria Root, Peony Root, Aucklandia Root.
6. Abdominal pain due to spleen deficiency and menstrual pain: add Bupleurum, Peony Root, Chinese Angelica.
7. Anorexia: add Hawthorn Fruit, Germinated Barley, Medicated Leaven.
8. With exterior pattern: add Saposhnikovia Root, cultivated purple perilla leaf.
9. Women's deficiency damage: combine with Four Ingredients Decoction.
10. Weakness after illness: combine with Minor Bupleurum Decoction.
11. Stomach upset and pain: combine with Middle-Stabilizing Powder, Peony Root Liquorice Root Decoction.
12. Fetid mouth odor due to dampness: add Patchouli, Fortune Eupatorium.

bubble_chart Modern Application

This formula enhances digestive and absorptive functions, boosts the body's immune system, promotes expectoration, and relieves cough. It is used for gastric and duodenal ulcers, gastritis, vomiting of pregnancy, lung qi swelling, asthma, chronic bronchitis, diarrhea, chronic enteritis, gastroptosis, and gastric atony.