HomeTraditional Chinese Medicine FormulasGinseng, Poria and Atractylodes Macrocephala Powder

Ginseng, Poria and Atractylodes Macrocephala Powder

Ginseng, Poria and Atractylodes Macrocephala PowderFormula Image

Ginseng, Poria and Atractylodes Macrocephala Powder
ChiefRen Shen
    • fortifies the spleen and nourishes the stomach
The three work together to increase their ability to boost qi, fortify the spleen, and drain dampness.
ChiefBai Zhu
    • fortifies the spleen and dries dampness
The three work together to increase their ability to boost qi, fortify the spleen, and drain dampness.
ChiefFu Ling
    • fortifies the spleen and drains dampness
The three work together to increase their ability to boost qi, fortify the spleen, and drain dampness.
DeputyShan Yao
    • supplements the spleen and helps with qi movement
Help ren shen to fortify the spleen, boost qi, and arrest diarrhea.
DeputyLian Zi Rou
    • fortifies the spleen and boosts qi
Help ren shen to fortify the spleen, boost qi, and arrest diarrhea.
DeputyBai Bian Dou
    • fortifies the spleen and directs the turbid downward
Help bai zhu and fu ling fortify the spleen and drain dampness.
DeputyYi Yi Ren
    • drains dampness
Help bai zhu and fu ling fortify the spleen and drain dampness.
AssistantSha Ren
    • awakens the spleen
    • harmonizes the stomach
    • moves qi
    • resolves [food] stagnation
AssistantJie Geng
    • diffuses the lung
    • frees and regulates the waterways
    • leads the medicinals to move and work upward and to bank up earth to generate metal
EnvoyChao Gan Cao
    • leads the medicinals to move and work upward and to bank up earth to generate metal
    • harmonizes the medicinals in the formula

Ginseng, Poria and Atractylodes Macrocephala PowderPrescription Information

Name
Ginseng, Poria and Atractylodes Macrocephala Powder
Chinese Name

参苓白术散

Classification

Tonic formulas

Combination
Nelumbinis Semen (Lian Zi Xin) 1 jin (500g), Coicis Semen (Yi Yi Ren) 1 jin (500g), Amomi Fructus (Sha Ren) 1 jin (500g), Platycodonis Radix (Jie Geng dried fried) 1 jin (500g), Lablab Semen Album (Bai Bian Dou dried fried) 1.5 jin (750g), Poria (Fu Ling) 2 jin (1000g), Ginseng Radix et Rhizoma (Ren Shen) 2 jin (1000g), Glycyrrhizae Radix et Rhizoma (Gan Cao dry-fried) 2 jin (1000g), Atractylodis Macrocephalae Rhizoma (Bai Zhu) 2 jin (1000g), Dioscoreae Rhizoma (Shan Yao) 2 jin (1000g)
Method
Grind the medicinals into a thin powder. Take 6g each time with Da Zao Tang (Jujube Decoction). The proper dosage for children is related to their age. (Modern use: prepare as a decoction, reduce the dose of each medicinal by adhering to the ratio from the original formula.)
Action
Boosts qi and fortifies the spleen, drains dampness and arrests diarrhea.
Indication
Shen Ling Bai Zhu San is indicated for patterns of spleen deficiency with excessive dampness accumulation marked by epigastric bloating or stuffiness, borborygmus, diarrhea, lack of strength in the four limbs, thin body, and lusterless yellow facial complexion. The tongue is pale with a white, greasy coating and the pulse is moderate and deficient.
Pathogenesis
The stomach governs the reception of food, while the spleen governs its transportation and transformation. If the spleen and stomach are deficient, there is not enough energy to support the reception of food; therefore, the food ingested can hardly be digested. A deficient stomach-spleen can barely separate the clear from the turbid, leading to borborygmus and diarrhea. Excessive dampness accumulates in the middle jiao. This causes the qi to move in disorder resulting in chest and epigastric bloating and stuffiness. When the production of qi and blood is reduced, it fails to provide enough nutrition to the body. The four limbs lack strength, weight is lost, and the facial complexion becomes withered-yellow. So the necessary treatment is to supplement and boost the spleen-stomach and percolate dampness.
Clarification
There are three reasons for the use of jie geng. First, it opens the lung qi so that the essence can spread all over the body. Second, it can free and regulate the water passageways. An open and smooth waterway is good for the elimination of dampness. Third, it carries all of the spleen-supplements upwards to the lung, so that essence transformed by spleen can be sent to the lung, referred to as “banking up earth to generate metal.”
Application
1. Essential pattern differentiation This formula has a mild nature. It is warm, but not dry. Besides the basic spleen-stomach qi deficiency symptoms, the key points that differentiate this pattern include diarrhea, white greasy tongue coating, and a deficient, moderate pulse. 2. Modern applications Shen Ling Bai Zhu San is frequently used for chronic gastritis or enteritis, anemia, chronic bronchitis, nephritis, and leucorrhea that manifest with spleen deficiency and excessive dampness signs.
Additonal formulae
Qi Wei Bai Zhu San (Seven Ingredients Atractylodes Macrocephalae Powder 七味白朮散)
Remark
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
《Formulas from the Imperial Pharmacy》Tai Ping Hui Min He Ji Ju Fang《太平惠民和劑局方》

Ginseng, Poria and Atractylodes Macrocephala PowderFormulation composition herbal medicine

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