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Yibian
 Shen Yaozi 
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Fang nameReturning to Spleen Decoction
sourceJisheng Fang
smart_toy
[Preparation method 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

[Efficacy]

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

[Indications]

  1. syndrome/pattern of dual deficiency of the heart and spleen qi and blood: palpitation severe palpitation, amnesia insomnia, night sweat, deficiency heat, little food, body fatigue, complexion shallow yellow, pale tongue, white and thin coating, pulse Slowly.
  2. syndrome/pattern of spleen failing to control blood: bloody stool, subcutaneous purpura, metrorrhagia and metrostaxis in women, advanced menstruation, large amount and light color, or continuous dripping, or leukorrhea.

[Prescription]

This formula is a formula that strengthens the spleen and nourishes the heart. It is also a formula that tonifying qi and nourishing blood. The heart governs blood, spleen controlling blood, straining the heart and spleen, spleen deficiency If there is less blood, the heart will lose its nourishment and become weak, resulting in restlessness, palpitation due to fright, insomnia, amnesia, physical fatigue and other symptoms; spleen deficiency means weak qi. If the blood cannot be controlled, metrorrhagia and metrostaxis will occur. Fangzhong ginseng, shu, ling, grass tonifying the spleen and replenishing qi, supplemented by Astragalus Root to enhance the effect of toning qi; Chinese Angelica, Zooren, Milkwort Root, Milkwort Root tonifying blood and nourishing heart, soothing the mind; Aucklandia Root regulating qi and refreshing the spleen, nourishing without stagnation; Fresh Ginger Rhizome is an appetizer for eating, Chinese Date nourishes the spleen and stomach, tonifying qi and regulates nutrition, and can benefit blood and stop bleeding, nourishing heart and tranquilizing mind. Fresh Ginger Rhizome gets Chinese Date, which can alleviate its irritating properties. Chinese Date gets Fresh Ginger Rhizome can prevent bloating due to qi blockage. The combination of ginger and jujube can increase appetite and help digestion, which is beneficial to the effectiveness of the above drugs. absorption and function. Based on the effects of this prescription, although it can replenish qi and blood and treat the heart and spleen simultaneously, its main purpose is to treat blood deficiency. Therefore, it is a commonly used formula for the above symptoms.

[Key points of syndrome differentiation]

  1. palpitation severe palpitation, insomnia amnesia.
  2. Eat less and feel tired, complexion shallow yellow.
  3. Light tongue with white coating.
  4. The pulse is thin and weak.

[Addition and subtraction]

  1. fever: Add Bupleurum, Gardenia.
  2. tonifying blood: add Prepared Rehmannia Root, Donkey-hide Gelatin.
  3. palpitation due to fright: add Tuber Fleeceflower Stem, Platycladi Seed, Fossil Bone, oyster shell .
  4. Metrorrhagia 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. uterus bleeding: add Donkey-hide Gelatin, Mugwort, Peony Root.
  9. Aplastic anemia: Add Psoralea, Wolfberry, Pilose Antler.

[Attention to taboos]

If you have hemorrhagic syndrome or insomnia syndrome with both internal heat, use this prescription with caution or disable it.

[Modern application]

This prescription strengthens the heart, enhances immunity, enhances hematopoietic function, enhances digestion and absorption capabilities, and stops bleeding. Mainly used for: neurasthenia, aplastic anemia, thrombocytopenic purpura, functional uterus bleeding. Used for palpitation, gastrointestinal bleeding, functional uterus bleeding, anemia and aplastic anemia, thrombocytopenic purpura, neurasthenia, heart disease, menopausal syndrome, unexplained bleeding, menstrual irregularities, leukorrhea metrorrhagia and metrostaxis, leukemia, seminal emission, impotence.

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