Prescriptions for Nourishing both Qi and Blood
(Decoction of Eight Precious Ingredients)
Source: Zhengti Leiyao (Classification and Treatment of Traumatic Diseases).
No. 1 Danggui (Radix Angelicae Sinensis ) 9 g;
No. 2 Chuanxiong (RhizomaLigustici Chuanxiong) 6 g;
No. 3 Baishaoyao (Radix Paeoniae Alba) 9 g;
No. 4 Shudihuang (Rhizoma Rehmanniae Praeparatae) 12 g;
No. 5 Renshen (Radix Gingseng) 6 g;
No. 6 Baizlm (RhizomaAtractylodis Macrocephalae)9g
No. 7 Fuling (Poria) 6 g;
No. 8 Zhigancao (Radix Glycyrrhizae Praeparatae ) 3 g.
Administration: Add 2 slices of Shengjiang (Rhizoma Zingiberis Recens) and 3 pieces of Dazao (Fructus Ziziphi Jujubae) into the above ingredients and decoct all the drugs in water for oral application.
Actions: Invigorating qi and nourishing blood.
Clinical Application: This recipe is indicated for deficiency syndrome of both qi and blood, marked by pale or sallow complexion, dizziness, lassitude, shortness of breath, dislike for talking, poor appetite, pale tongue with thin whitish fur, thready and weak pulse. It can be modified to treat deficiency syndrome of qi and blood as seen after serious diseases or in various chronic diseases or menstrual disorder with chief manifestations as shortness of breath, weakness, dizziness, pale tongue and thready pulse. For severe cases, add Huangqi (Radix Astragali seu Hedysari) and Rougui (Cortex Cinnamomi ) to enhance the effect of restoring qi and blood, namely
Shiquan Dabu Tang. If concomitant with palpitation and insomnia due to deficient cultivation of cardiac spirit, add Fushen ( Sclerotium Poriae Circum Radicem Pini) and Suanzaoren ( Semen Ziziphi Spinosaz) to tranquilize mind.
Elucidation: The syndrome is mostly caused by prolonged duration of disease, disorder after disease or excessive hemorrhage and insufficiency of qi and blood. It should be treated by means of nourishing qi and blood. Ingredients No. 5 and No. 4 are respectively to invigorate the primordial qi and blood and function as monarch drug. Ingredients No. 6, No. 7, No. 1 and No. 3 act as minister drug to help bring about the effect of the monarch drug. Ingredient No. 2 with the action of promoting the circulation of qi and blood is used as adjuvant drug. And the last ingredient serves as guiding drug to regulate the middle-energizer and mediate the properties of other drugs.
Shengjiang (Rhizoma Zingiberis Recens ) and Dazao (Fructus Ziziphi Jujubae ) added while decocting the drugs are meant to supplement qi, regulate the spleen and stomach. This compatibility is actually the combination of two prescriptions, Sijunzi Tang and Siwu Tang, thus achieving the result of nourishing both qi and blood.
(Decoction for strengthening the Heart and Spleen)
Source: Jisheng Fang (Prescriptions for Life Saving).
No. 1 Baizhu (Rhizoma Atractylodis Macrocephalae)9g
No. 2 Fushen (Sclerotium Poriae Circum Radicem Pini) 9 g;
No. 3 Huangqi (RadixAstragali seu Hedysari) 12 g;
No. 4 Longyanrou (Arillus Longan) 12 g;
No. 5 Suanzaoren (Semen Ziziphi Spinosae) 12 g;
No. 6 Renshen (Radix Ginseng) 6 g;
No. 7 Muxiang (Radix Aucklandiae) 6 g;
No. 8 Zhigancao (Radix Glycgrrhizae Praeparatae) 3 g;
No. 9 Danggui (Radix Angelicae Sinensis) 9 g;
No. 10 Yuanzhi (Radix Polygalae) 6 g.
Administration: Grind the above drugs into fine powder, decoct 12 g each time with 6 g of Shengjiang (Rhizome Zingiberis Recens ) and 3 pieces of Dazed (Fructus Ziziphi Jujubae) in water for oral application.
Actions: Replenishing qi and nourishing blood, invigorating the spleen and heart.
Clinical Application: This recipe is indicated for deficiency syndrome of both qi and blood of the spleen and heart and syndrome of failure of the spleen to control blood, marked by palpitation or severe palpitation, amnesia, insomnia, poor appetite and lassitude, sallow complexion, or metrorrhagia, hemafecia, advanced menstruation in large amount and light color, or dribbling menstruation, pale tongue with thin whitish fur, thready and weak pulse. It is applicable to neurosism and angiocardiopathy which pertain to deficiency of both the spleen and heart, as well as gastroduodenal ulcer bleeding, dysfunctional uterine bleeding, thrombocytopenic purpura and others, which pertain to failure of the spleen to control blood. In case of excessive deficiency of blood, add Shudihuang (Rhizome Rehmanniae Praeparatae ) to enhance the function of nourishing blood, which is called Hei Guipi Wan when made into pills. If the bleeding syndrome belongs to cold type, add charcoals of Aiye (Folium Artemisiae Argyi ) and Paojiang ( Rhizome Zingiberis Praeparatae) to warm the meridians for stopping bleeding. If the bleeding syndrome belongs to heat type, add charcoals of Shengdihuang ( Radix Rehmanniae ), Ejiao ( Colla Corii Asini) and Zonghi ( Petiolus Trachycarpi ) to remove heat from the blood for arresting bleeding.
Elucidation : The syndrome is caused by impairment of the heart and spleen due to excessive contemplation, leading to deficiency of qi and blood and further giving rise to failure of the spleen in transportation and deficient cultivation of cardiac spirit. This should be treated by replenishing qi and nourishing blood, and reinforcing the spleen and heart. Ingredient No. 3 can replenish qi and invigorate the spleen, and No. 4 nourish blood and tranquilize mind. Both play the role of monarch drug and can nourish qi and blood simultaneously. Ingredients No. 6, No. 1 and No. 9 function as minister drugs to help bring about the effect of monarch drugs. Ingredient No. 2, No. 5, No. 10 and No. 7 act as adjuvant drugs, of which the first three possess the action of tranquilizing mind and the last regulating qi and invigorating the spleen. Ingredient No. 8 is used as guid-drug to supplement qi, regulate the middle-energizer and mediate the properties of other drugs. Shengjiang,(Rhizome Zingiberis Recens) and Dazao (Fructus Ziziphi dujubae) are meant to regulate the spleen and stomach.