Bu Zhong Yi Qi Tang
补中益气汤

 

 

Tonify the Middle to Augment the Qi Decoction

 Disclaimer    For educational purposes only.  Do not use as medical advice

AboutHerbsCaution/Notes
Health Benefits
For: Incontinence • Chronic Diarrhea • Prolapse of rectum and uterus • Corneal ulcers • Headache • Dizziness • Hearing disorder
Attributes:
Products (online examples)

Tea Pills

Pills

Packets

Tablets

Research (sample)
Categories (Click on ⌕ for other formulas in the category)
Category: Tonify ⌕    Subcategory: Tonify Qi ⌕      Family: Huang Qi Lei Fang ⌕      Source: Shang Han Lun  ⌕       Related Formula:
Actions
Tonify middle burner qi Raise sunken yang
Indications and Contraindications
Appearance: Tongue -Pale, thin, white      Pulse -Flooding, deficient      Face/other 
Patterns:  
Indications: Spontaneous sweating • Loose and watery stool • Fever that comes and goes but get worse under exertion • Aversion to cold • Enjoys warm beverages • Shortness of breath • Feels tired, and weak • Headache and dizziness
Contraindications: 
Properties
Data adapted from product found online.  Categories 4% or less not shown.

Herbs Cat/Dose Actions Properties
Huang Qi • Astragalus • 黄芪 Tonify Qi
9g
Tonify Spleen Qi • Tonify protective qi • Tonify Lung Qi • Tonify Qi to move blood • Raise stomach yang qi • Improve urination • Relief Edema • Discharge pus • Generate fleshSheng - to dry damp • Chao - to tonify Spleen, stop sweating, calm fetus • Chao jiao - to stop diarrhea Antioxidant • Immune System Booster • Diuretic • Anti-aging • Hypoglycemic • Hypotensive • Hepatoprotective
Ren Shen • Ginseng • 人参 Tonify Qi
9g
Tonify yuan qi • Tonify lung qi • Tonify heart qi • Calms spirit • Stop thirst • Helps impotence • Treats qi collapse • Tonify Spleen • Generate fluid • Stop thirst • Strengthen anti-pathogenic qi adaptogen • anti-aging • anticoagulantantiplatelet • antioxidant • antiplatelet • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant
Bai Zhu • White Atractylodes Root • 白术 Tonify Qi
9g
Tonify Spleen Qi • Stop sweating • Calms fetus • Dry dampness • Stabilize exterior • Stop sweating Bai Zhu is more Spleen focused while Cang Zhu is more for dampness Anti-inflammatory • Hepatoprotective • Immunity Booster • Hypoglycemic • Antibaterial
Zhi Gan CaoHoney Fried Licorice • 炙甘草 Tonify Qi
9g
Increase the effectiveness of Gan Cao, particularly with: Tonify middle • Tonify Heart and Spleen Qi • Harmonize other herbs Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Antiulcer • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic
Dang Gui • Chinese Angelica • 当归 Tonify Blood
3g
Tonify blood • Move Blood and Qi • Regulate menses • Invigorate blood • Dispel cold • Unblock bowels • Reduce abscess swelling • Alleviate pain • Clear pus • Generate flesh • Moisten intestines Dang Gui Shen (body) - tonify blood • Quan Dang Gui - harmonize blood (tonify and invigorate) • Dang Gui Wei (tail) - invigorate blood • According to the Board Exams, this herb does not affect estrogen because it has not yet been determined in which way it does affect it. However, there are numerous research articles on Dang Gui and estrogen. phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost
Chen Pi • Tangerine Rind • 陈皮 Regulate Qi
3g
Stop cough • Stop vomiting • Regulate Qi • Harmonize middle burner • Transform phlegm • Dry dampness The older the Chen Pi, the better the quality. Anti-inflammatory • Antihistamine • Antioxidant • Antiviral • Expectorant • Hypertensive
Sheng Ma • Black Cohosh • 升麻   Release Exterior Wind Heat
6g
Vent measles • Resolve toxicity • Raise Yang Qi • Clear heat • Release exterior Antibiotic • Antipyretic • Analgesic • Hypotensive
Chai Hu • Thorowax • 柴胡 Release Exterior Wind Heat
9g
Harmonize interior and exterior • Reduce fevers • Reduce chills • Soothe liver Qi • Clear muscle layer heat • Tonify stomach QiPungent and dispersing Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: 2-3 times the amount of Dang Shen can be substituted for Ren Shen.14
Modifications For
+ Ze Xie + Mu Tong Urination difficulty (older adults) from sunken yang qi14
+ Sang Piao Xiao + Yi Zhi Ren Night bed wetting (children)14
+ Honey + Sesame Oil Constipation from spleen deficiency14
+ Pao Jiang + Huang Lian Premenstrual diarrhea14
+ Cang Er Zi + Xin Yi Hua Rhinitis14
+ Gu Jing Cao + Jue Ming Zi + Shan Yao Corneal Ulcers14
+ Zhi Shi +Hou Po + Mu Xiang + Sha Ren Abdominal fullness and distention 14
+ Ju He + Xiao Hui Xiang + Li Zhi He Hernia14
+ amount of Zhi Gan Cao + Bai Shao Abdominal pain14
+ Xi Xin Severe pain14
+ Chuan Xiong + Ban Xia Headache and dizziness14 
+Shan Zhu Yu + Yi Zhi Ren Ringing in ear (low pitch)14
+ Rou Gui Aversion to cold14
+ Man Jing Zi +Chuan Xiong Migraines14
+ Wu Ling San – Gui Zhi General discomfort and the body feels heavy14
+ Gou Qi Zi + Chuan Xiong Double vision 14
+ Gao Ben Headache at the vertex14

Caution
ALERT: Contraindications of each herb - use with caution under these conditions:
Huang Qi: Autoimmune diseases • Exterior excess • Qi stagnation • Damp obstruction • Food stagnation • Yin deficiency
Ren Shen: Autoimmune disorder • Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat
Bai Zhu: Autoimmune disorder • Yin deficiency with heat • Dehydration • Foods: black carp, Chinese cabbage, peach, plum and coriander
Gan Cao: High blood pressure • Low potassium • Pork • Seaweed • Chinese cabbage • Anti-diabetic drugs • Diuretic drugs
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Chen Pi: Excess internal heat • Dry cough from heat, yin deficiency or qi deficiency • Cough with blood • Red tongue • Fluid deficiency
Chai Hu: Do not use as intramuscular injections • Liver fire • Hyperactive liver yang • Cytochrome P450, 2C9, 2E1, 2D6, and 3A4 • Greater than 19g may lead to liver injury
Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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