Atractylodes macrocephala (stir-fried) 75 gm, Aucklandia (separately ground), Coptis (wine-fried), Licorice, each 22 gm, Poria (peeled) 60 gm, Ginseng 45 gm, Massa Medicata Fermentata (stir-fried), Tangerine Peel, Amomum, Malt (stir-fried, take the flour), Hawthorn (take the flesh), Chinese Yam, Nutmeg (wrapped in flour, simmered until cooked, wrapped in paper, pounded to remove oil), each 30 gm.

bubble_chart Preparation and Dosage

Grind into a fine powder, make pills with steamed bread, as large as mung beans. Take 50 pills each time, before meals, with aged rice water, twice a day.

bubble_chart Efficacy

Invigorating spleen and promoting digestion, purging heat and removing stagnation.

bubble_chart Indications

Spleen-stomach weakness, food stagnation, epigastric fullness and distension, reduced appetite, loose stools, greasy and slightly yellow tongue coating, and a soggy and weak pulse.

bubble_chart Formula Principles

In the formula, Ginseng, White Atractylodes Rhizome, Poria, and Liquorice Root constitute the Four Gentlemen Decoction, which tonifies the spleen and stomach; Chinese Yam strengthens the middle and fortifies the spleen; Medicated Leaven, Germinated Barley, and Hawthorn Fruit promote digestion and resolve food stagnation; Aucklandia Root, Villous Amomum Fruit, and Dried Tangerine Peel move qi and soothe the middle; Nutmeg warms the middle and astringes the intestines; Coptis Rhizome clears heat and dries dampness. The combination of these herbs achieves both tonification and dispersion, along with the effect of clearing heat and resolving dampness.