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Yibian
 Shen Yaozi 
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formula nameReturning to Spleen Decoction
sourceJisheng Fang
smart_toy
bubble_chart Preparation and Dosage

Ginseng (Radix Ginseng) 3gm
Astragalus Root (Radix Astragali seu Hedysari) roasted 15gm
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) stir-fried 9gm
Poria (Poria) 9gm
Chinese Angelica (Radix Angelicae Sinensis) 9gm
Zaoren (Semen Ziziphi Spinosae) stir-fried 9gm
Dried longan pulp meat (Arillus Longan) 9gm
Milkwort Root (Radix Polygalae) 6gm
Aucklandia Root (Radix Aucklandiae) 3gm
Liquorice Root (Radix Glycyrrhizae) roasted 4.5gm
Fresh Ginger Rhizome (Rhizoma Zingiberis) 2 tablets
Chinese Date (Fructus Jujubae) 3 pieces

bubble_chart Efficacy

Tonifying and replenishing qi and blood, strengthening the spleen and nourishing the heart.

bubble_chart Indications

  1. syndrome/pattern of dual deficiency of the heart and spleen qi and blood: palpitation, severe palpitation, forgetfulness, insomnia, night sweats, deficiency heat, reduced appetite, physical fatigue, complexion shallow yellow, pale tongue, thin white coating, fine and slow pulse.
  2. syndrome/pattern of spleen failing to control blood: bloody stool, subcutaneous purpura, women with menorrhagia and metrostaxis, menstruation ahead of schedule, heavy and pale in color, or continuous dripping, or leukorrhea.

bubble_chart Formula Principles

This formula emphasizes both strengthening the spleen and nourishing the heart, and it is also a formula for tonifying qi and blood. The heart governs blood, and the spleen controls blood. Overexertion harms the heart and spleen, leading to spleen deficiency and insufficient blood, which causes the heart to lose its nourishment and become increasingly deficient. This results in symptoms such as restlessness, palpitations due to fright, insomnia, forgetfulness, and fatigue. Spleen deficiency and weak qi can lead to an inability to control blood, resulting in menorrhagia and metrostaxis. In the formula, Ginseng , Atractylodes , Poria , and Licorice tonify the spleen and replenish qi, assisted by Astragalus Root to enhance the effect of tonifying qi. Chinese Angelica , Ziziphus Seed , Longan Aril , and Milkwort Root tonify blood and nourish the heart to calm the mind. Aucklandia Root regulates qi and awakens the spleen, ensuring that the tonification does not cause stagnation. Fresh Ginger Rhizome stimulates the appetite and aids digestion, while Chinese Date tonifies the spleen and harmonizes the stomach, tonifies qi, regulates the nutritive system, and also benefits blood and stops bleeding, nourishing the heart and tranquilizing the mind. Fresh Ginger Rhizome combined with Chinese Date can moderate its stimulating properties, and Chinese Date combined with Fresh Ginger Rhizome can prevent qi stagnation and bloating. The combination of Ginger and Jujube enhances appetite and aids digestion, thereby facilitating the absorption and efficacy of the above-mentioned herbs. Overall, while this formula serves to tonify both qi and blood and treat the heart and spleen simultaneously, its primary goal is to address blood deficiency. Therefore, it is a commonly used formula for the aforementioned conditions.

bubble_chart Syndrome Differentiation

  1. palpitation severe palpitation, insomnia forgetfulness.
  2. Loss of appetite and fatigue, complexion shallow yellow.
  3. Pale tongue with white coating.
  4. Thin and weak pulse.

bubble_chart Formula Modification

  1. fever: add Bupleurum, Gardenia.
  2. tonifying blood and stopping bleeding: add Prepared Rehmannia Root, Donkey-hide Gelatin.
  3. palpitation due to fright and insomnia: add Tuber Fleeceflower Stem, Platycladi Seed, Fossil Bone, oyster shell.
  4. menorrhagia and metrostaxis: add black Sanguisorba, Donkey-hide Gelatin.
  5. cough: add Aster, Platycodon Root.
  6. heart weakness: add Schisandra Fruit, Ophiopogon Tuber.
  7. hemoptysis: add large Small Thistle, lotus rhizome node, hairyvein agrimonia herb.
  8. uterine bleeding: add Donkey-hide Gelatin, Mugwort, Peony Root.
  9. aplastic anemia: add Psoralea, Barbary Wolfberry Fruit, Pilose Antler.

bubble_chart Cautions and Contraindications

For syndromes with internal heat, such as hemorrhagic syndrome or insomnia, use this formula with caution or avoid it altogether.

bubble_chart Modern Application

This formula strengthens the heart, enhances immunity, improves hematopoietic function, boosts digestion and absorption, and stops bleeding. It is primarily used for: neurasthenia, aplastic anemia, thrombocytopenic purpura, and functional uterine bleeding. It is also used for palpitations, gastrointestinal bleeding, functional uterine bleeding, anemia and aplastic anemia, thrombocytopenic purpura, neurasthenia, heart disease, menopausal syndrome, unexplained bleeding, menstrual irregularities, leukorrhea, menorrhagia and metrostaxis, leukemia, seminal emission, and impotence.

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