Author: Li Gao / Li Dong Yuan, 李杲 / 李東垣
Year: Yuan Dynasty
Source: Expounding on the Origins of Medicine
Category: Formulas that Tonify Qi
Pattern: Lung Qi and Yin deficiency
Key Symptoms: Spontaneous sweating, shortness of breath, dry mouth and tongue
Secondary Symptoms: Chronic cough with sparse sputum that is difficult to expectorate, laconic speech, palpitations
Tongue: Pale red with dry, thin coating
Pulse: Deficient and rapid, or deficient and thin
Abdomen: Weak and soft
Ingredients
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Ren Shen
| 9-15g | |
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Pinyin: Ren Shen
Chinese: 人參
Pharmaceutical: Radix Panax ginseng
Taxonomy: Panax ginseng
English: Ginseng Root |
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Tastes: Sweet, slightly warm
Meridians Entered: Spleen, Lung and Heart |
Actions & Indications:
- Powerfully tonifies Yuan Qi
Extreme collapse of Qi or abandoned conditions that manifest in shallow breathing, shortness of breath, cold limbs, profuse sweating and an almost imperceptible pulse (after blood loss, overly profuse sweating or other problems related to severe fluid loss - it can be used alone in these emergencies)
Collapse of Yang
Collapse of Yin
- Tonifies Spleen and Stomach Qi
Lethargy, anorexia, chest and abdominal distention, chronic diarrhoea and, in severe cases, prolapse of the Stomach, uterus or rectum
- Tonifies Lung Qi
Lung Qi Deficiency with wheezing, shortness of breath and labored breathing on exertion
- Generates Body Fluids and stops thirst
Wasting and thirsting disorder (消渴 Xiao Ke) and high fevers with profuse sweating which injures Qi and fluids
- Tonifies Heart Qi and calms the Spirit
Heart Qi and Blood Deficiency with palpitations, anxiety, insomnia, forgetfulness and restlessness
- Treats impotence
With Kidney Yang tonics for impotence
- Tonifies Qi in Deficiency patients with Exterior conditions
Exterior disorder with Interior Deficiency
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light and prolong life. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 5-10g in decoction, 10-30g for exhaustion syndrome due to Qi deficiency.
Cautions: Antagonizing to Li Lu; the warm nature of sun-dried raw Ren Shen is weaker than that of Hong Shen. |
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Mai Men Dong
| 9-15g | |
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Pinyin: Mai Men Dong
Chinese: 麥門冬
Pharmaceutical: Radix Ophiopogonis
English: Dwarf Lilyturf Root |
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Tastes: Sweet, slightly bitter, slightly cold
Meridians Entered: Stomach, Lung and Heart |
Actions & Indications:
- Moistens the Lungs, nourishes Yin and stops coughing
Lung Yin Deficiency with a hacking, dry cough or a cough with thick, difficult to expectorate sputum, or hemoptysis
Pathogenic Warm-Dryness Dryness that has transformed into Fire
- Nourishes Stomach Yin and generates Fluids
Stomach Yin Deficiency with dry mouth and tongue
- Moistens the Intestines
Constipation, dry mouth and irritability as a result of febrile disease or Yin Deficiency
- Clears the Heart and eliminates irritability
Ying Stage Heat with fever and irritability which is worse at night
Yin Deficiency with fever and irritability which is worse at night
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of herbs which can, with protracted taking, make the body light, prevent senility and make one free from hunger. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 10-15g in decoction.
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Wu Wei Zi
| 3-6g | | |
Pinyin: Wu Wei Zi
Chinese: 五味子
Pharmaceutical: Fructus Schisandrae
Taxonomy: Schisandra chinensis
English: Schisandra Fruit / Chinese Magnolia-vine Fruit |
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Tastes: Sour, sweet, warm
Meridians Entered: Lung, Heart and Kidney |
Actions & Indications:
- Astringes the leakage of Lung Qi and stops coughing
Chronic cough and wheezing due to Lung Qi Deficiency
Lung and Kidney Deficiency patterns
- Tonifies the Kidneys, binds up Essence (astringes Jing) and stops diarrhoea and spermatorrhea
Kidney Deficiency with nocturnal emissions, spermatorrhea, vaginal discharge and urinary frequency
Spleen and Kidney Deficiency with daybreak diarrhoea
- Astringes sweat and generates fluids
Excessive sweating. especially when accompanied by thirst or a dry throat
In combination, it is used for spontaneous sweating, night sweats and wasting and thirsting disorder
- Quiets the Spirit and calms and contains Heart Qi
Heart and Kidney Blood and Yin Deficiency, with irritability, palpitations, dream-disturbed sleep and insomnia
- Tonifies Qi
Heart and Spleen Qi Deficiency
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Standard Dosage: 3-6g in decoction. 1-3g as powder.
Cautions: It is contraindicated in cases of external pathogen existence, internal excess heat, acute cough, early stage of measles. |
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Preparation: Decoction.
Actions: Augments the Qi, generates fluids, preserves the Yin, stops excessive sweating
Contraindications: Should be used with extreme caution in cases of high fever or where a pathogenic influence is present as it may prolong the disease.
Notes:
Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:
| Radix Ginseng | (Ginseng root) | 3g | (Emperor) |
| Herba Verbasci | (Mullein) | 3g | (Minister) |
| Herba Thymi | (Thyme) | 7g | (Minister) |
| Flos Malvae | (Mallow blossoms) | 5g | (Minister) |
| Fructus Rubi idaei immatrurus | (Unripe Raspberry) | 5g | (Assistant) |
| Fructus Juniperi | (Juniper berries) | 3g | (Assistant) |
| Radix Glycyrrhizae | (Licorice root) | 2g | (Assistant) |
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.