bubble_chart Preparation and Dosage

Take the nine ingredients, boil them first in 1400ml (seven sheng) of clear wine and 1600ml (eight sheng) of water, then take 600ml (three sheng) of the decoction, remove the dregs, add Donkey-hide Gelatin until it completely dissolves, and take 200ml (one sheng) warm, three times a day.

bubble_chart Efficacy

Tonifying qi enriching yin, nourishing blood to restore pulsation.

bubble_chart Indications

1. Qi deficiency, blood deficiency, knotted and intermittent pulse, severe palpitations, chest tightness, shortness of breath, tongue with little coating.
2. Deficiency fatigue, lung atrophy, dry cough without phlegm, or difficulty expectorating, blood in sputum, vexing insomnia, spontaneous sweating, night sweats, dry throat and mouth, dry stool, weak and rapid pulse.

bubble_chart Formula Principles

Deficiency of qi and blood leads to the heart losing its nourishment, and the blood circulation becoming sluggish, hence severe palpitation and an irregular, intermittent pulse. The treatment should focus on enriching yin and replenishing blood, tonifying qi to restore the pulse. In the formula, a large amount of Prepared Liquorice Root is used, which is sweet and warm, to tonify qi and strengthen the middle, serving as the main herb. It is assisted by Tangshen and Chinese Date to tonify qi and benefit the stomach, which are the foundation for generating the pulse. Donkey-hide Gelatin, Unprocessed Rehmannia Root, Ophiopogon Tuber, and Hemp Seed are used to nourish heart blood and heart yin, thereby enriching the blood vessels. Cinnamon Twig and Fresh Ginger Rhizome, along with wine, are warm and dispersing, which can unblock heart yang and facilitate the heart vessels. The combination of these medicinals is based on the principle that the body's yin and blood rely on yang qi for movement, with a focus on tonifying heart qi and unblocking heart yang. The unblocking of heart yang and the restoration of heart qi are essential prerequisites for resolving the irregular, intermittent pulse. This is combined with herbs that tonify blood and enrich yin to fill the blood vessels, ensuring that yang qi has something to anchor to and does not float away, thereby naturally stopping palpitations and restoring the pulse to normal. Hence, it is also known as "Pulse-Restoring Decoction." As for the syndrome of deficiency fatigue and lung atrophy, it is also caused by yin deficiency and blood deficiency. This formula functions to nourish blood and enrich yin, making it suitable for treating such conditions as well.

bubble_chart Pattern Identification

1. Pulse is knotted and intermittent.
2. Severe palpitation.
3. Tongue is pale with little coating.
4. Deficiency vexation and insomnia.
5. Dry cough.

bubble_chart Formula Modification

1. qi deficiency: add Astragalus Root.
2. blood stasis: add Salvia, Red Peony Root, Carthamus, Sichuan Lovage Rhizome.
3. insomnia: add Sour Jujube, Poria with Pine, Fossil Bone.
4. yang deficiency: add Aconite Lateral Root.
5. lung atrophy cough: add Platycodon Root, Immature Orange Fruit.
6. chest tightness: add Poria, Bitter Apricot Seed.

bubble_chart Modern Application

This formula strengthens the heart, promotes blood circulation, and corrects arrhythmias. It is used for arrhythmia, palpitation, coronary heart disease, viral myocarditis, endocarditis, valvular heart disease, Basedow's disease, subcutaneous nodules, anemia, and arteriosclerosis.