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HomeTraditional Chinese Medicine FormulasSpleen-Strengthening Powder

Spleen-Strengthening Powder

Spleen-Strengthening PowderFormula Image

Spleen-Strengthening Powder
ChiefFu Zi
    • effective for warming kidney yang in order to promote qi transformation and move water
This combination warms the kidney and spleen, reinforces yang and restricts yin.
ChiefGan Jiang
    • effective for warming spleen yang to promote transportation and transformation in order to restrict water
This combination warms the kidney and spleen, reinforces yang and restricts yin.
DeputyFu Ling
    • percolate dampness and fortify the spleen
    • reduce dampness by promoting urination
DeputyBai Zhu
    • percolate dampness and fortify the spleen
    • reduce dampness by promoting urination
AssistantMu Gua
    • dispels dampness
    • awakens the spleen
    • harmonizes the center
AssistantHou Po
    • move qi and remove food stagnation
    • promote qi movement to remove dampness
    • soothe qi movement to relieve abdominal distention
AssistantCao Guo
    • dry dampness
AssistantMu Xiang
    • dry dampness
AssistantDa Fu Zi (Bing Lang)
    • promotes urination
Assistant&EnvoyDa Zao
    • boost the spleen and harmonize the center
Assistant&EnvoySheng Jiang
    • warms and diffuses water
Assistant&EnvoyGan Cao
    • harmonizes medicinals in the formula

Spleen-Strengthening PowderPrescription Information

Name
Spleen-Strengthening Powder
Chinese Name

实脾散

Classification

Dampclearing formulas

Combination
Magnoliae Officinalis Cortex (Hou Po processed with ginger juice) 1 liang (30g), Atractylodis Macrocephalae Rhizoma (Bai Zhu) 1 liang (30g), Chaenomelis Fructus (Mu Gua) 1 liang (30g), Aucklandiae Radix (Mu Xiang) 1 liang (30g), Tsaoko Fructus (Cao Guo) 1 liang (30g), Arecae Semen (Bing Lang) 1 liang (30g), Aconiti Lateralis Radix Praeparata (Fu Zi processed) 1 liang (30g), Poria (Fu Ling) 1 liang (30g), Zingiberis Rhizoma Praeparatum (Gan Jiang processed) 1 liang (30g), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 0.5 liang (15g)
Method
Add 5 pieces of sheng jiang and da zao, and prepare the formula as a decoction.
Action
Warms yang and fortifies the spleen, moves qi, and promotes urination.
Indication
Shi Pi San is indicated for a pattern of yin edema caused by spleen-kidney yang deficiency and retention of water-dampness in the interior. The symptoms are swelling of the lower limbs, cold hands and feet, no thirst, fullness and distention of chest and abdomen, loose stool as well. The tongue coating is white and greasy and the pulse is deep, wiry and slow.
Pathogenesis
Edema in this pattern is caused by spleen-kidney yang deficiency leading to retention of water-dampness in the interior. Excessive water-dampness in the interior that overflows to the skin leads to swelling of limbs. Water is a yin pathogen that is descending in nature so it is recognized by swelling of the lower limbs. When spleen-kidney fails to warm the body there will be cold hands and feet. Blockage of qi movement due to water accumulation leads to fullness and distention of chest and abdomen. Spleen yang deficiency results in a disorder of decomposing and digesting water and food which leads to loose stool. Absence of thirst, a white and greasy tongue coating, and a deep, wiry and slow pulse are also signs of yang deficiency. The therapeutic methods are to warm yang and fortify the spleen, move qi, and promote urination.
Application
1. Essential pattern differentiation Shi Pi San is the commonly used formula to treat edema due to spleen-kidney yang deficiency. This clinical pattern is marked by swelling of the lower limbs, fullness and distention of chest and abdomen, pale tongue and greasy coating, deep and slow pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of spleen-kidney yang deficiency and qi stagnation: chronic glomerulonephritis, cardiac edema, and cirrhosis. 3. Cautions and contraindications It is not applicable for patients with yang edema.
Remark
1. Officinal Magnolia ( Magnolia officinalis ) is listed as "Endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. 2. 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.
Source
《Yan’s Revised and Expanded Formulas to Aid the Living》Chong Ding Yan Shi Ji Sheng Fang《重訂嚴氏濟生方》

Spleen-Strengthening PowderFormulation composition herbal medicine

Costusroot

Costusroot

Aucklandiae Radix
Functions：Moves qi, stops pain, adjusts middle, resolves stasis, warms middle, digests food.
Common Floweringquine Fruit

Common Floweringquine Fruit

Chaenomelis Fructus
Functions：Calms liver, soothes the sinews, harmonizes stomach, transforms dampness. Apply to damp arthralgia and contractions, heavy feeling and pain in the waist and knee joints, vomiting and diarrhea, muscle spasms, beriberi and edema.
Officinal Magnolia Bark

Officinal Magnolia Bark

Magnoliae Officinalis Cortex
Functions：Moves qi, disperses stagnation, dries dampness, eliminates fullness, downbears qi, calms panting. Apply to dyspeptic disease and qi stagnancy, abdominal distention and constipation, dampness stagnates the middle-jiao, vomiting and diarrhea, accumulation of phlegm and reversed qi, cough and panting due to fullness of cheat.
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.
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.
Tsaoko Amomum Fruit

Tsaoko Amomum Fruit

Tsaoko Fructus
Functions：Dried dampness, eliminates cold, eliminates phlegm, interrupts malaria, promotes digestion. Apply to malaria, phlegm-fluid retention, abdominal cold pain, nausea, vomiting, diarrhea, indigestion.
Betelnutpalm Seed

Betelnutpalm Seed

Arecae Semen
Functions：Kills worms, disperses accumulations, downbears qi, moves water, interrupts malaria. Worm stasis, food stasis, abdominal swelling pain, tenesmus, beriberi, edema, malaria.
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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