Yibian
 Shen Yaozi 
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formula nameYang-Raising Stomach-Replenishing Decoction
sourceNeiwaishang Bianhuo Lun
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bubble_chart Preparation and Dosage

Astragalus Root (Radix Astragali seu Hedysari) 60gm (2 liǎng)
Pineilia (Rhizoma Pinelliae) washed with decoction 30gm (1 liǎng) for those with astringent pulse
Ginseng (Radix Ginseng) de-reeded 30gm (1 liǎng)
Liquorice Root (Radix Glycyrrhizae) roasted 30gm (1 liǎng)
Pubescent Angelica (Radix Angelicae Pubescentis) 15gm (5 qián)
Saposhnikovia Root (Radix Saposhnikoviae) 15gm (5 qián)
Peony Root (Radix Paeoniae Alba) 15gm (5 qián)
Notopterygium (Rhizoma et Radix Notopterygii) 15gm (5 qián)
Tangerine peel (Pericarpium Citri Reticulatae) 12gm (4 qián)
Poria (Poria) 9gm (3 qián) a small convenience, don’t use it if you are not thirsty
Bupleurum (Radix Bupleuri) 9gm (3 qián)
Alisma (Rhizoma Alismatis) 9gm (3 qián) do not use if it does not drench
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae) 9gm (3 qián)
Coptis Rhizome (Rhizoma Coptidis) 3gm (1 qián)
Fresh Ginger Rhizome (Rhizoma Zingiberis) 5 pieces
Chinese Date (Fructus Jujubae) 2 pieces

The above is crude powder. Take 9 grams each time, add 5 slices of Fresh Ginger Rhizome and 2 Chinese Dates, boil in 450 ml of water until reduced to 150 ml, strain, and take warm after breakfast. Alternatively, increase the dosage to 5 qian.

bubble_chart Efficacy

Strengthen the spleen and stomach, and promote the rise of yang qi.

bubble_chart Indications

Spleen-stomach weakness, lethargy and drowsiness, limbs unable to retract, during the autumn dryness season with dampness-heat slightly receding, body heaviness and joint pain, dry mouth and throat, tasteless food, irregular bowel movements, frequent urination, lack of appetite or indigestion, accompanied by lung disease, aversion to cold with chills, melancholy and unhappiness, complexion dull and lacking luster.

bubble_chart Formula Principles

This formula is derived from the Six Gentlemen Decoction with modifications. The Six Gentlemen Decoction primarily tonifies qi, invigorates the spleen, and dries dampness. The addition of Astragalus Root enhances the replenishing of qi and consolidates the exterior, making it difficult for external pathogens to invade. Notopterygium, Pubescent Angelica, Saposhnikovia Root, and Bupleurum expel external pathogens while also uplifting the clear yang qi. When yang is generated, all things flourish. Coptis Rhizome clears heat and drains dampness, while Peony Root uses its sour and sweet properties to astringe yin, preventing excessive damage to yin from the warm and pungent herbs.

bubble_chart Syndrome Differentiation

  1. Fatigue and a preference for lying down.
  2. Anorexia.
  3. Body aches and joint pain.
  4. Poor complexion.
  5. Irregular bowel movements.

bubble_chart Formula Modification

  1. anorexia: add hawthorn fruit, Germinated Barley, Medicated Leaven.
  2. dampness-heat is more severe: add Skullcap Root, Gardenia, Areca Seed.
  3. epigastric abdominal distension and fullness with nausea: add Cardamon Fruit, Villous Amomum Fruit, Magnolia Bark.
  4. jaundice: add Virgate Wormwood, Canton Love-pea Vine.

bubble_chart Modern Application

Gastrointestinal type common cold, chronic gastritis, digestive tract ulcer, chronic gastroenteritis, poor appetite, chronic hepatitis, diarrhea, urticaria, vomiting, hiccup.

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