Yibian
 Shen Yaozi 
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Fang nameFour Gentlemen Decoction
sourceTaiping Huimin Heji Jufang
categoryTonifying Qi
smart_toy
[Preparation method and dosage]

Ginseng (Radix Ginseng) 15gm
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) 10gm
Poria (Poria) 10gm
Liquorice Root (Radix Glycyrrhizae) 5gm

[Efficacy]

Sweet and warm, tonifying qi, invigorating the spleen and stomach.

[Indications]

Treats spleen, stomach qi deficiency, abdominal distension and fullness of heart, pale complexion, weak speech and low voice, weakness of limbs, anorexia, weak and weak pulse, pale tongue with white coating.

[Prescription]

This formula is tonifying qi, the basic formula for strengthening the spleen. Many formulas for strengthening the spleen and tonifying qi are derived from this formula. In the prescription, Ginseng is sweet, warming and tonifying qi, strengthening the spleen and stomach. White Atractylodes Rhizome is sweet, warming and tonifying spleen, tonifying qi, drying dampness and invigorating spleen. ; Poria exudes light and strengthens the spleen, which can make ginseng, White Atractylodes Rhizome tonify but not stagnate; Liquorice Root tonifying qi tonify the spleen and reconcile various medicines. The combination of four medicines, tonifying qi, strengthens the spleen. It is not only the representative formula of tonifying qi, but also the basic formula for strengthening the spleen.

[Key points of syndrome differentiation]

  1. complexion pale.
  2. Eat less anorexia.
  3. Tired and weak.
  4. Light tongue with white coating.
  5. Pulse is weak.

[Addition and subtraction]

  1. spleen-stomach weakness: add Dried Tangerine Peel name Extraordinary Efficacy Powder.
  2. spleen deficiency multiple phlegm: add Dried Tangerine Peel, Pineilia name Six Gentlemen Decoction.
  3. spleen deficiency multi-phlegm and stagnation: add Dried Tangerine Peel, Pineilia, Aucklandia Root, Villous Amomum Fruit named Cyperus, Amomum and Six Gentlemen Decoction.
  4. spleen deficiency tidal fever: add Bupleurum, Peony Root.
  5. palpitation due to fright: add Sour Jujube.
  6. hemiplegia: Add bomboo juice, ginger juice.
  7. spleen deficiency muscle heat: add Aucklandia Root, Patchouli, Pueraria.
  8. Spleen stomach qi deficiency or severe deficiency: add Astragalus Root, Chinese Yam.
  9. qi deficiency constipation: Add Chinese Angelica, Hemp Seed.
  10. loose stool diarrhea: add Coix Seed, ricepaperplant pith.
  11. Hanshen: Combined with Middle-Regulating Decoction.
  12. Long term pestilent qi Deficiency causes low fever: add Cinnamon Twig, Aconite Lateral Root.

[Modern application]

This recipe enhances digestion and absorption function and improves the body's immunity. Used for chronic gastroenteritis, gastroptosis, gastroptosis, gastroduodenal ulcer, gastrointestinal dysfunction, hand and foot weakness, hemiplegia, diabetes, nocturia, enuresis, etc.

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