Astragalus 60 gm, Pinellia (washed with decoction, use if pulse is choppy), Ginseng (de-reeded), Licorice (roasted), each 30 gm, Angelica Pubescens, Saposhnikovia, White Peony Root, Notopterygium, each 15 gm, Tangerine Peel 12 gm, Poria (do not use if urination is smooth and no thirst), Bupleurum, Alisma (do not use if no strangury), Atractylodes, each 9 gm, Coptis 3 gm.

bubble_chart Preparation and Dosage

Grind into coarse powder. Take 9 grams each time, add 5 slices of ginger and 2 pieces of jujube, boil in 450 ml of water until reduced to 150 ml, strain, and administer while warm after breakfast. Alternatively, increase the dosage to 5 qian.

bubble_chart Indications

Spleen-stomach weakness, dampness-heat stagnation in the middle energizer, lethargy and drowsiness, inability to control the limbs, heaviness of the body and swelling of the joints, bitter taste in the mouth, dry tongue, loss of appetite, indigestion, irregular bowel movements, frequent urination; accompanied by lung disease, aversion to cold, melancholy, and a complexion that is unpleasant and disharmonious.

bubble_chart Formula Principles

In the formula, Ginseng, Astragalus Root, White Atractylodes Rhizome, and Liquorice Root tonify the qi of the spleen and stomach; Bupleurum, Saposhnikovia Root, Notopterygium, and Pubescent Angelica raise clear yang and dispel wind to eliminate dampness; Pinellia, Dried Tangerine Peel, Poria, Alisma, and Coptis Rhizome clear heat and remove dampness. The combination of these herbs works together to tonify qi, raise yang, clear heat, and dispel dampness.

bubble_chart Cautions and Contraindications

After taking the medication, if urination ceases and the illness worsens, it is not advisable to promote urination. In such cases, reduce the dosage of Poria and Alisma slightly. If the patient has a good appetite, avoid overeating for one or two days to prevent further damage to the stomach, as the medicinal efficacy is still weak and the stomach qi cannot circulate and ascend properly. It is necessary to consume light or nutritious food to assist the medicinal effect, enhance the ascending and floating qi, and nourish the stomach qi. Be cautious not to eat bland food, as it may weaken the medicinal efficacy and promote the descending of pathogenic qi. Gentle physical activity can help the stomach and medicine to circulate and ascend, but avoid strenuous labor to prevent further damage to the qi. If the spleen and stomach can remain calm, it is even better. If the stomach qi is slightly stronger, consume a small amount of fruit to assist the power of grains and medicine. As the ancient text states: "The five grains are for nourishment, and the five fruits are for assistance."