Source: Researching Original Formulas (1213)
Category: Formulas that Tonify Qi
Pattern: Deficiency of the Exterior with weak and unstable Wei Qi
Key Symptoms: Aversion to drafts, spontaneous sweating, shiny pale complexion
Secondary Symptoms: Recurrent colds, allergic nasal obstruction or skin rashes
Tongue: Pale with white coat
Pulse: Floating,deficient,soft
Abdomen: May be damp on palpation, lack of tonus of abdominal muscles, splashing sounds
Ingredients
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Huang Qi
| 12g | |
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Pinyin: Huang Qi
Chinese: 黄芪
Pharmaceutical: Radix Astragali
Taxonomy: Astragalus membranaceus
English: Astragalus Root / Mongolian Milkvetch Root |
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Tastes: Sweet, warm
Meridians Entered: Lung and Spleen |
Actions & Indications:
- Tonifies Qi and Blood
Postpartum fever due to Qi and Blood Deficiency
Recovery from severe Blood loss
- Strengthens the Spleen and raises the Yang Qi of the Spleen and Stomach
Spleen Qi Deficiency with anorexia, fatigue and diarrhoea
Central Qi Sinking (prolapse)
Lung and Spleen Qi Deficiency
Qi Failing to contain Blood
Qi and Blood Deficiency
Fever from Qi Deficiency
- Tonifies Wei Qi, stabilizes the Exterior and tonifies the Lungs (aids circulation of moisture downward from the face)
Wei Qi Deficiency with spontaneous sweating
Lung Qi Deficiency with frequent colds or shortness of breath
Excessive sweating associated with Qi, Yang or Yin Deficiency
Dampness in the head
- Promotes urination and reduces oedema
Spleen Deficiency oedema or superficial oedema with reduced urination (It can be used as a stand-alone herb for this)
- Promotes the discharge of pus, generates flesh and expels toxins
Chronic ulcerations and sores that either have trouble forming pus or have formed pus but are not draining well
- Generates Body Fluids
Wasting and thirsting disorder (消渴 Xiao Ke)
Bi Syndrome with numbness of the limbs and paralysis
- Relieves numbness and pain
Numbness and pain due to Deficiency of Qi and Blood
- Tonifies the Qi while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 10-15g in decoction. Large dosages of up to 30g can be used for severe debilitation, Blood deficiency or unhealing sores (e.g. Dang Gui Bu Xue Tang).
Cautions: It is contraindicated in cases of exterior excess with excessive pathogen, internal obstruction, yin deficiency with yang hyperactivity, early stage of sores and ulcers of excessive pathogen and no deficiency of heathy qi, because it can tonify qi, raise yang and strengthen superficial.Caution with patients on immunosuppressents due to its immune modulating effects. |
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Bai Zhu
| 12g | |
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Pinyin: Bai Zhu
Chinese: 白朮
Pharmaceutical: Rhizoma Atractylodes macrocephalae
Taxonomy: Atractylodes macrocephala
English: Largehead Atracylodes Rhizome |
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Tastes: Sweet, bitter, warm
Meridians Entered: Spleen and Stomach |
Actions & Indications:
- Tonifies the Spleen and augments Qi
Spleen and Stomach Deficiency with diarrhoea, fatigue, a sallow complexion and lack of appetite
Spleen Yang failure to rise
- Dries Dampness and promotes water metabolism
Spleen Damp or accumulation of fluids affecting the digestion
Edema and reduced urination due to Spleen Deficiency (failure to transform and transport)
Tan Yin, masses, swelling
Auxiliary for Damp painful obstruction
- Stabilizes the Exterior and stops sweating
Qi Deficiency with spontaneous sweating (Wei Qi Deficiency)
With appropriate herbs, other types of sweating
- Calms the fetus
Restless fetus disorder due to Spleen Qi Deficiency
With appropriate herbs, other types of Restless Fetus Disorder
- 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, prolong life 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: 6-12g in decoction.
Cautions: Use with cautions in cases of yin deficiency with fluid injury by dryness-heat pathogen. |
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Fang Feng
| 6g | |
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Pinyin: Fang Feng
Chinese: 防风
Pharmaceutical: Radix Saposhnikoviae seu Ledebouriellae
English: Siler |
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Tastes: Pungent, sweet, slightly warm
Meridians Entered: Lung, Liver and Spleen |
Actions & Indications:
- Releases the Exterior and expels External Wind
Wind-Cold with headache, chills, aversion to Cold, and body aches
- Expels Wind-Dampness and alleviates pain
Wind-Damp Bi, especially with Wind predominant
- Expels Internal Wind and stops spasms
As an auxiliary for Liver Wind with trembling of hands and feet and tetany
Intestinal-Wind due to imbalance between Spleen and Liver with recurrent tenesmus and painful diarrhoea with bright blood in the stool
Migraine headaches
- Relieves diarrhoea and stops bleeding
Liver and Spleen Disharmony with recurrent painful diarrhoea, borborygmus and abdominal pain
- 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. 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.
Cautions: It should be used with caution for blood deficiency and internal wind induced by heat because of its warm property. |
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Da Zao
| 1pc | | |
Pinyin: Da Zao
Chinese: 大枣
Pharmaceutical: Fructus Jujubae
English: Jujube Berry / Black Date / Chinese Date |
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Tastes: Sweet, warm
Meridians Entered: Spleen, Stomach and Heart |
Actions & Indications:
- Tonifies the Spleen and Stomach and augments Qi
Spleen and Stomach Deficiency with weakness, shortness of breath, lassitude, anorexia and loose stools
- Nourishes the Blood and calms the Spirit
Blood Deficiency
Restless Organ Syndrome with wan complexion, irritability and severe emotional debility
- Moderates and harmonizes the harsh properties of other herbs
Added to formulas with to counter harsh, drying and draining herbs by fortifying the Spleen, nourishing Blood and settling the Spirit.
- 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: 10-30g in decoction.
Cautions: It is used with cautions in cases of damp-phlegm or food stagnation because it can help dampness produce heat, and induce distention in middle energizer. |
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Preparation: Decoction.
Actions: Augments the Qi, stabilises the Exterior, stops sweating
Notes:
Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:
| Folium Salvae | (Sage) | 7g | (Emperor) |
| Cortex Quercus | (Oak bark) | 3g | (Minister) |
| Cortex Cinnamomi | (Cinnamon bark) | 1g | (Minister) |
| Pericarpium Citri ret. | (Orange peel) | 5g | (Minister) |
What is interesting about this formula is the absence of echinacea that is probably the most famous western herb for boosting the immune system.
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.