[Preparation method and dosage]

the above ingredients finely chewed, merged into a potion. Add 300 ml of water, decoct to 150 ml, drain, and administer lukewarm before meals.

[Efficacy]

replenishing qi to rise yang to replenish the spleen and stomach.

[Indications]

1. The symptoms of sinking of middle qi are prolapse of rectum, uterus, gastroptosis, and chronic diarrhea.
2. syndrome/pattern of qi deficiency and fever. fever, spontaneous sweating, thirsty hot soup, shortage of qi, laziness, tired limbs, lack of strength, pale tongue, white coating, weak and weak pulse.

[Prescription]

Li Dong-yuan formulated this prescription to treat fluid retention, food overstrain, spleen stomach deficiency, and internal damage Hanre. It is also the origin of "sweet and warm to remove severe heat" By. Fangzhong reuses Astragalus Root, Ginseng tonifying middle and replenishing qi, Shengyang solid surface; White Atractylodes Rhizome drying dampness and invigorating spleen ; Chinese Angelica nourishes blood and replenishes deficiency; Dried Tangerine Peel regulates qi transformation stagnation, awakens the spleen and stomach, and nourishes without stagnation; Cimicifuga Rhizome, Bupleurum raising yang and elevating the drooping, to help ginseng and qi, lifting the sunken middle qi; Liquorice Root, Fresh Ginger Rhizome , Chinese Date regulating the spleen and stomach. When all medicines are used together, the spleen and stomach are strong, the middle qi is sufficient, the clear yang is promoted, and the qi sinking is lifted, then all symptoms will gradually be cured.

Theoretical basis of this prescription for treating qi-deficiency fever, Li Dong-yuan: "It is heat, not superficial disease caused by cold, evil skin and hair fever, it is between the kidneys, spleen and stomach The lower part of the body is stuffed with moisture, causing the Yin Fire to rush upward, causing dryness-heat. "It is also said: "The spleen is weak, the original Qi is insufficient, and the Heart Fire is only strong. The Heart Fire is also the Yin Fire. , originates from lower energizer, which is tied to the heart. The heart does not control the command, but the phase fire takes over. The phase fire, the lower energizer enveloping fire, is also the thief of original qi. Fire and original qi are not compatible, and one wins and the other does. "Negative." "High breath and shortness of breath, body heat and irritability, heavy pulse and headache, or constant thirst, and the skin does not allow wind-cold and produces Hanre." (Neiwaishang Bianhuo Lun) To treat this kind of fever, "the only way is to supplement it with a sweet and warm agent to raise its yang, and use a sweet and cold agent to purge its fire, and the disease will heal." The bitter and cold medicine that relieves the stomach is Middle-Tonifying Qi-Replenishing Decoction" (Neiwaishang Bianhuo Lun).

[Key points of syndrome differentiation]

1. Shortage of qi means lack of strength in the limbs, fluid retention means tasteless food.
2. Or fever spontaneous sweating from time to time.
3. Or visceroptosis.
4. Light tongue with white coating.
5. Pulse is weak.

[Addition and subtraction]

1. Concurrent deficiency: add Cassia Bark, Aconite Lateral Root, Dried Ginger.
2. anorexia: Add hawthorn fruit, Chicken's Gizzard-Skin.
3. Difficulty urinating: Add Plantain Seed and Poria.
4. Chronic diarrhea does not stop: add Chebula Fruit, Smoked Plum.
5. Metrorrhagia and metrostaxis are not limited to: add Sudden Smile Powder, Sauteed Sanguisorba .
6. After menstrual period: add motherwort herb, Red Peony Root, Salvia, Carthamus .
7. headache: add Sichuan Lovage Rhizome, Chastetree Fruit.
8. Extremity pain: add Saposhnikovia Root, Notopterygium.
9. More leukorrhea: add Poria and Plantain Seed.
10. For those with head pain, add Chinese Lovage and Asarum to dispelling wind to relieve pain;
11. for those with cough, add Schisandra Fruit, Ophiopogon Tuber for astringing lung and relieving cough;
12. for those with qi stagnation, add Aucklandia Root, Submature Bitter Orange To regulate qi and relieving depression.
13. Xu Ren common cold, add a little Cultivated Purple Perilla Leaf to increase the power of Xin San.

[Documentation]

1. Luo Mei "Ancient and Modern Mingyi Fanglun Volume 1: "When the spleen and stomach are deficient, lung qi will die first, so use astragalus to protect skin and hair and close striae and interstice to prevent spontaneous sweating. ; If original qi is insufficient, Ginseng can be used to supplement it; Liquorice Root's sweetness can relieve heart fire and relieve irritability, and nourish the spleen and stomach to relieve qi. These three flavors are also the holy medicine for eliminating irritability and heat; Chinese Angelica is used to harmonize the blood; if the Qi is disordered in the chest, and clear and turbid are interrelated, use Dried Tangerine Peel to regulate it, and to disperse the stagnation caused by sweet herbs; if the clearing Qi aspect sinks in the stomach, use Cimicifuga Rhizome, Bupleurum to lighten the Qi and taste it. If it is thin, the stomach qi will rise up and return to its original position, so that it can rise and float in order to grow. The agent for replenishing the middle depends on the product of expressing the aspect of the qi; the agent for tonifying qi depends on the product of clearing the aspect of qi. Qi is doubled, and this medicine has the wonderful effect of mutual reinforcement."

[Attention to taboos]

It is contraindicated for those with yin-deficiency fever and those with excessive internal heat.

[Modern application]

This recipe enhances immunity and digestion and absorption capabilities, improves blood circulation of gastrointestinal smooth muscle, and enhances the function of regulating body temperature. Used for prolapse of uterus, gastroptosis, visceroptosis, prolapse of rectum, hernia, hypotension, post-illness conditioning, bladder sphincter weakness, myasthenia gravis, long-term low fever, habitual late abortion, lung subcutaneous node, menstrual irregularities, constipation, frequency Urine, etc. belong to spleen stomach qi deficiency, or sinking of middle qi.