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Spleen-Fortifying Pill

Spleen-Fortifying PillFormula Image

Spleen-Fortifying Pill
ChiefBai Zhu
    • fortifies the spleen
    • dries dampness
Fortify the spleen, remove dampness and arrest diarrhea.
ChiefFu Ling
    • fortifies the spleen
    • removes dampness
Fortify the spleen, remove dampness and arrest diarrhea.
DeputyRen Shen
    • boosts qi
    • fortifies the spleen
Boost qi, promote digestion and fortify the spleen.
DeputyShan Yao
    • boosts qi
    • fortifies the spleen
    • consolidates the essence
Boost qi, promote digestion and fortify the spleen.
DeputyShan Zha
    • removes food accumulation due to meat
Boost qi, promote digestion and fortify the spleen.
DeputyShen Qu
    • removes food accumulation due to alchohol
Boost qi, promote digestion and fortify the spleen.
DeputyMai Ya
    • removes food accumulation due to grain
Boost qi, promote digestion and fortify the spleen.
AssistantHuang Lian
    • clears heat
    • dries dampness
    • clears and removes constrained heat due to food accumulation
AssistantMu Xiang
    • moves qi stagnation of the spleen and stomach
Regulate qi and promote appetite, and prevent stagnation that supplementation might incur.
AssistantSha Ren
    • removes dampness
    • moves qi
Regulate qi and promote appetite, and prevent stagnation that supplementation might incur.
AssistantChen Pi
    • regulates qi
    • fortifies the spleen
Regulate qi and promote appetite, and prevent stagnation that supplementation might incur.
AssistantRou Dou Kou
    • astringes the intestines
    • arrests diarrhea
Assistant&EnvoyGan Cao
    • supplements the center
    • harmonizes the medicinals in the formula

Spleen-Fortifying PillPrescription Information

Name
Spleen-Fortifying Pill
Chinese Name

健脾丸

Classification

Digestive formulas

Combination
Atractylodis Macrocephalae Rhizoma (Bai Zhu dry-fried) 2.5 liang (75g), Aucklandiae Radix (Mu Xiang) 7.5 qian (22g), Coptidis Rhizoma (Huang Lian wine-fried) 7.5 qian (22g), Glycyrrhizae Radix et Rhizoma (Gan Cao) 7.5 qian (22g), Poria (Fu Ling) 2 liang (60g), Ginseng Radix et Rhizoma (Ren Shen) 1.5 liang (45g), Medicata Massa Fermentata (Shen Qu) 1 liang (30g), Citri Reticulatae Pericarpium (Chen Pi) 1 liang (30g), Amomi Fructus (Sha Ren) 1 liang (30g), Hordei Fructus Germinatus (Mai Ya) 1 liang (30g), Crataegi Fructus (Sha Zha) 1 liang (30g), Dioscoreae Rhizoma (Shan Yao) 1 liang (30g), Myristicae Semen (Rou Dou Kou) 1 liang (30g)
Method
Grind the medicinals and prepare into pills. Take 6-9g with warm water, twice daily. When prepared as a decoction, adjust the medicinal quantities based on the original ratio.
Action
Fortifies the spleen and harmonizes the stomach, promotes digestion and arrests diarrhea.
Indication
Food accumulation with spleen deficiency, marked by indigestion, fullness and oppression of the abdomen and stomach cavity, loose stool, greasy, yellow tongue coating, and a weak pulse.
Pathogenesis
This pattern is caused by food accumulation due to spleen and stomach deficiency. Spleen deficiency causes poor appetite and hinders transformation and transportation. The result is indigestion and loose stool. An insufficient source of qi and limited blood production results in tiredness, lack of strength, and a weak pulse. As food accumulation blocks qi movement and generates damp-heat, fullness and oppression of the abdomen and stomach cavity and a greasy, yellow tongue coating manifest. The therapeutic method is to fortify the spleen and harmonize the stomach, promote digestion and arrest diarrhea.
Application
1. Essential pattern differentiation Jian Pi Wan serves as the most common formula applied for food accumulation due to spleen deficiency. This clinical pattern is marked by fullness and oppression of the abdomen and stomach cavity, indigestion, loose stool, slightly yellow, greasy tongue coating, weak pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of food accumulation due to spleen deficiency: chronic enteritis and dyspepsia.
Additonal formulae
Zhi Zhu Wan (Immature Bitter Orange and Atractylodes Macrocephala Pill 枳朮丸)
Remark
1. Aucklandia lappa is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix I. This speice is highly protected and the wild specice for commercial trade purposes is banned. 2. Ginseng ( Panax ginseng ) is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls.
Source
《Standards for Diagnosis and Treatment》Zheng Zhi Zhun Sheng《證治準繩》

Spleen-Fortifying PillFormulation composition herbal medicine

Villous Amomum Fruit

Villous Amomum Fruit

Amomi Fructus
Functions：Transforms dampness, increases appetite, warms spleen, relieves diarrhea, regulates qi, calms fetus. Apply to retention of dampness in the middle, abdominal fullness and anorexia, deficiency and cold spleen and stomach, vomit and diarrhea, pernicious vomiting, restless fetal movements.
Chinese Hawthorn Fruit

Chinese Hawthorn Fruit

Crataegi Fructus
Functions：Opens appetite, digests food, resolves stagnation, eliminates accumulation, invigorates blood, disperses stasis, resolves phlegm, moves qi. Apply to dyspeptic disease due to over consumption of meat, abdominal mass accumulation, abdominal swelling and fullness, abdominal pain due to stasis, phlegm and fluid retention, diarrhea, discharging fresh blood stool.
Common Yam Rhizome

Common Yam Rhizome

Dioscoreae Rhizoma
Functions：Supplements spleen, nourishes stomach, engenders fluid, benefits lung, supplements kidney, astringes essence. Apply to lack of food intake due to spleen deficiency, chronic diarrhea, cough and panting due to lung deficiency, emissions due to kidney deficiency, vaginal discharge, frequent urination, and diabetes due to deficiency-heat.
Nutmeg

Nutmeg

Myristicae Semen
Functions：Warms the middle, astringes intestines, moves qi, resolves food. Apply to diarrhea of deficiency type, cold dysentery, gastric and abdominal swelling pain, poor appetite and vomiting, indigestion.
Ginseng Root

Ginseng Root

Ginseng Radix et Rhizoma
Functions：Greatly supplements original qi, restores the pulse, secures desertion, supplements the spleen, benefits the lung, engenders body fluids, stops thirst, quiets the spirit, promotes intelligence. Apply to complete exhaustion due to physical weakness, cold limbs and weak pulse, poor appetite due to splenic deficiency, coughing with asthma due to pulmondeficiency, hydrodipsia due to depletion of body fluids, feverish dysphoria and diabetes, deficiency and weakness due to invalidism, palpitation and insomnia, impotence and uterus cold, cardiac failure, cardiogenic shock.
Costusroot

Costusroot

Aucklandiae Radix
Functions：Moves qi, stops pain, adjusts middle, resolves stasis, warms middle, digests food.
Barley Sprout

Barley Sprout

Hordei Fructus Germinatus
Functions：Moves qi, digest food, promotes spleen, opens appetite, returns milk, eliminates swelling. Apply to food accumulation and indigestion, abdominal swelling and pain, deficiency of spleen and little food intake, stagnation of milk and sweat, distention and pain of the breast, ablactation. Unprocessed mai ya can promote spleen and harmonizes stomach and frees mammary. Apply to deficiency of spleen and little food intake, stagnation of mammary and sweat.
Chinese Goldthread Rhizome

Chinese Goldthread Rhizome

Coptidis Rhizoma
Functions：Clears heat, dries dampness, drains fire, resolves toxin. Damp-heat distention and fullness, vomiting and acid regurgitation, diarrhea, jaundice, dizziness with high fever, excess of heart fire, insomnia due to vexation, haematemesis and epistaxis due to blood heat, red eye, toothache, diabetes, abscess, sore and boil swelling, externally used to eczema, ear pus.
Liquorice Root

Liquorice Root

Glycyrrhizae Radix et Rhizoma
Functions：Supplements the spleen, boosts qi, clears heat, resolves toxin, dispels phlegm, relieves cough, relaxes tension, relieves pain, harmonizes the nature of other medicinals.
Indian Buead|Tuckahoe

Indian Buead|Tuckahoe

Poria
Functions：Promotes urination, leaches out dampness, fortifies the spleen and stomach, calms spirit. Apply to dysuria, edema, phlegm and retained fluid and cough, vomiting, less intake due to deficiency of spleen, diarrhea, and fright and nervous, insomnia and amnesia, spermatorrhea and gonorrhea.
Tangerine Peel

Tangerine Peel

Citri Reticulatae Pericarpium
Functions：Regulates qi, fortifies the spleen, dries dampness and transforms phlegm. Apply to thoracic and abdominal fullness and distention, poor appetite, vomiting and diarrhea, coughing with asthma, excessive phlegm.
Largehead Atractylodes Rhizome

Largehead Atractylodes Rhizome

Atractylodis Macrocephalae Rhizoma
Functions：Fortifies the spleen, boosts qi, dries dampness, promotes urination, stops sweating, calms the fetus. Apply to deficiency-weakness of spleen, anorexia, and abdominal distension, and loose tools, dizziness induced by phlegm and retained fluids, edema, spontaneous perspiration, restless fetal movement.
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