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Spleen-Warming Decoction

Spleen-Warming DecoctionFormula Image

Spleen-Warming Decoction
ChiefDa Huang
    • promotes defecation
    • expels accumulation and stagnation
Warming the interior is combined with purgation.
This combination is often used for warm purgation.
ChiefFu Zi
    • warms and boosts spleen yang
    • disperses cold coagulation
Warming the interior is combined with purgation.
This combination is often used for warm purgation.
DeputyMang Xiao
    • moistens intestines and softens hard masses
    • assists da huang to expel accumulation through purgation
DeputyGan Jiang
    • warms and boosts spleen yang
    • disperses cold coagulation
AssistantDang Gui
    • nourishes blood
    • moistens intestines
    • promotes defecation
AssistantRen Shen
    • boosts qi and fortifies spleen
    • combines with fu zi and gan jiang to warm and boost spleen yang with the yang supported by the combination of acrid and sweet medicinals
The combination of fu zi, gan jiang, ren shen, and gan cao is commonly used to warm and boost spleen yang.
Assistant&EnvoyGan Cao
    • boosts qi and fortifies spleen
    • combines with fu zi and gan jiang to warm and boost spleen yang with the yang supported by the combination of acrid and sweet medicinals
The combination of fu zi, gan jiang, ren shen, and gan cao is commonly used to warm and boost spleen yang.

Spleen-Warming DecoctionPrescription Information

Name
Spleen-Warming Decoction
Chinese Name

温脾汤

Classification

Purgative formulas

Combination
Rhei Radix et Rhizoma (Da Huang) 5 liang (15g), Angelicae Sinensis Radix (Dang Gui) 3 liang (9g), Zingiberis Rhizoma (Gan Jiang) 3 liang (9g), Aconiti Lateralis Radix Praeparata (Fu Zi) 2 liang (6g), Ginseng Radix et Rhizoma (Ren Shen) 2 liang (6g), Natrii Sulfas (Mang Xiao) 2 liang (6g), Glycyrrhizae Radix et Rhizoma (Gan Cao) 2 liang (6g)
Method
Prepare it as a decoction.
Action
Expels cold accumulation through purgation, warms and supplements spleen yang.
Indication
Wen Pi Tang is indicated for cold accumulation due to yang deficiency. Symptoms are abdominal pain and constipation, unstoppable colic around umbilicus, cold hands and feet, a white tongue coating with no thirst, and a deep wiry, slow pulse.
Pathogenesis
This pattern is caused by spleen yang deficiency with internal obstruction due to cold accumulation. Constipation and colic around the umbilicus are caused by the obstruction of bowel qi due to excessive cold accumulation within the intestines. The hands and feet lack warmth, there is mental fatigue, and a lack of strength because of the loss of warmth and nourishment due to spleen yang deficiency. The white tongue coating, lack of thirst, and the slow, deep, wiry pulse are evidence of yang deficiency and cold accumulation. The proper therapeutic method is to remove the cold accumulation through purgation and warm and supplement spleen yang.
Application
1. Essential pattern differentiation Wen Pi Tang serves as the common formula applicable to deficient spleen yang and interior retention of cold accumulation. This clinical pattern is marked by abdominal pain, constipation, cold hands and feet, white tongue coating. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs and symptoms of deficient cold of middle yang and interior retention of cold accumulation: acute simple ileus, incomplete ileus, or uremia. 3. Cautions and contraindications Wen Pi Tang is forbidden for use in patients with heat accumulation and interior excess or yin and blood deficiency.
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
《Important Formulas Worth a Thousand Gold Pieces for Emergency》Bei Ji Qian Jin Yao Fang《備急千金要方》

Spleen-Warming DecoctionFormulation composition herbal medicine

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.
Mirabilite|Glauber’s Salt

Mirabilite|Glauber’s Salt

Natrii Sulfas
Functions：Breaks distention, warms middle, digests food, drains water, moderates diarrhea. Apply to abdominal fullness, food retention, indigestion, edema, mammary swelling, amenorrhea, constipation.
Dried Ginger

Dried Ginger

Zingiberis Rhizoma
Functions：Warms the center, disperses cold, returns yang, frees the vessels, dries dampness, disperses phlegm, warms the lung, eliminates phlegm. Apply to abdominal cold pain, vomiting, diarrhea, yang exhaustion and acute thoracic pain, dyspnea with cough due to cold fluid-retention, Rheumatic arthralgia due to cold hygrosis.
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.
Prepared Common Monkshood Daughter Root

Prepared Common Monkshood Daughter Root

Aconiti Lateralis Radix Praeparata
Functions：Returns yang, rescues counter flow, supplements fire, assists yang, dispels cold, relieves pain. ‘First medicinal material of returns yang and rescues counter flow’. Apply to excessive yin refusing yang, loss of yang due to profuse perspiration, vomiting and diarrhea, counter flow limbs, cold limbs and faint pulse, chest and abdominal cold pain, cold diarrhea, beriberi and edema, wind-cold and damp impediment, impotence, cold uterine, vomit and diarrhea due to deficiency and cold, edema due to yin cold, exterior cold due to yang deficiency, yin carbuncle and sore, and all the diseases of chronic cold.
Chinese Angelica

Chinese Angelica

Angelicae Sinensis Radix
Functions：Supplements the blood, invigorates the blood, regulates menstruation, relieves pain, moistens the intestines, frees the stool. Apply to chlorosis due to hemopenia, vertigo and palpitation, irregular menstrual periods, amenorrhea and painful menstruation, deficiency cold abdominalgia, constipation induced by dryness of the intestine, rheumatic arthralgia, injuries from falls, superficial infection and burns and scalds.
Rhubarb|Tangute Rhubarb

Rhubarb|Tangute Rhubarb

Rhei Radix et Rhizoma
Functions：Relieves stagnation, clears dampn-heat, reduces fire, cools blood, eliminates stasis, relieves toxin. Apply to constipation induced by sthenic fever, heat and distention and full of chest, damp-heat diarrhea, jaundice, strangury, edema and sbdominal fullness, difficulty of urination, conjunctival congestion, swelling pain of throat, sor of mouth and tongue, vomiting due to heat stomach, apostaxis, cough with blood, epistaxis, hematochezia, hematuria, blood stasis, amenorrhea, postpartum stasis and pain, abdominal mass accumulation, trsumatic injury, carbuncle and ulcer due to heat toxin, erysipelas, empyrosis.
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