Gui Pi Tang 归脾汤
Restore the Spleen Decoction

Tradition:

TCM

Source / Author:

Categorized Essentials for Normalizing the Structure, 1529

Herb Name

Latin

Amount

Ren Shen (Ginseng)

Panax ginseng

3–6 grams

Huang Qi (Astragalus)

Astragalus membranaceus

Bai Zhu (White Atractylodes)

Atractylodes macrocephala

9–12 grams ea.

Zhi Gan Cao (Fried Licorice)

Glycyrrhiza uralensis honey-fried

Dang Gui (Chinese angelica)

Angelica sinensis

Long Yan Rou (Longan)

Dimocarpus longan

3–6 grams ea.

Suan Zao Ren (Jujube seed)

Zizyphus spinosa

Fu Ling (Poria)

Poria cocos

9–12 grams ea.

Yuan Zhi (Polygala)

Polygala tenuifolia

Mu Xiang (Costus)

Aucklandia lappa

3–6 grams ea.

Sheng Jiang (fresh Ginger)

Zingiber officinale

5 slices

Da Zao (Jujube fruit)

Ziziphus jujuba

1–2 pieces

Preparation:

Prepared as a decoction. It is also commonly used in pill or bolus form

Function:

Spleen Qi deficiency with Heart Blood deficiency

Use:

Mental dullness, forgetfulness, insomnia, anxiety with a Poor appetite or sensitive digestion, weakness, and a pale face. Tongue is pale and the pulse weak and thin.
1. Forgetfulness;
2. Palpitations with Anxiety; Arrhythmia; Tachycardia
3. Anxiety disorders; Panic Attacks
4. Withdrawal; Personality disorders
5. Postpartum Depression; Postpartum Weakness
6. ADD; ADHD; OCD
7. Insomnia; Dream-disturbed Sleep; Insomnia after long use of Sedatives
8. Anemia
9. Chronic Fatigue Syndrome
10. Chronic Bleeding Disorders
11. Early Menstruation with pale and copious Blood; Functional Uterine Bleeding
12. Premenstrual Syndrome
13. Infertility
14. Chronic Gastroenteritis; Peptic Ulcer
15. Chronic Leukemia
16. Supportive during Chemotherapy or Radiotherapy

Dose:

The above can be taken over 1–2 days in the form of decoction.
If taken in Pills or Bolus, 6–9 grams can be taken twice or thrice per day.

Cautions:

1. Not used for Internal Heat conditions
2. Not used for Yin deficient Heat (such as Night Sweat, dry mouth etc.)

Modifications:

1. Codonopsis Dang Shen is used substituted for Ginseng with 3 times the dose.
2. Menstrual pain with clots, add Cyperus Xiang Fu and Curcuma Yu Jin.
3. Dark colored Menstrual Blood, add Paeonia Mu Dan Pi, Gardenia Zhi Zi
4. If there is Fever (in conditions such as Chronic Fatigue) add Bupleurum Chai Hu and Gardenia Zhi Zi.
5. Poor Appetite with Damp, add Citrus Chen Pi and Pinella Ban Xia.
6. To more strongly nourish Blood, add Gelatin E Jiao.
7. Loss of Memory, add Calamus (Shi Chang Pu)
8. Restless Spirit, Insomnia, take with Pearl powder
9. Excess emotions, add Cyperus Xiang Fu, Paeonia Mu Dan Pi, Paeonia Bai Shao

Comment:

This is an elegant Tonic formula. Its basis is Si Jun Zi Tang, a primary formula to tonify Spleen and Qi. This formula strengthens the Spleen to help enrich Blood. The admixture of Qi and Blood tonics with Zizyphus Suan Zao Ren and Polygala Yuan Zhi benefits the Heart, and the combination with Spleen and Blood/Liver medicines supports the Nerves and Brain. It is very useful for Emotional and Mental imbalance associated with deficiency.


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