Shen Ling Bai Zhu San 參苓白術散
Ginseng, Poria and Atractylodes Powder

Tradition:

TCM

Source / Author:

Imperial Grace Formulary of the Tai Ping Era (Tai Ping Hui Min He Ji Ju Fang)

Herb Name

Latin

Amount

Ren Shen (Ginseng)

Panax ginseng

100 grams

Bai Zhu (Atractylodes)

Atracylodes macrocephala

Fu Ling (Poria)

Poria cocos

90 grams ea.

Zhi Gan Cao (Fried Licorice)

Glycyrrhiza uralensis

60 grams

Shan Yao (Chinese Yam)

Dioscorea opposita

100 grams

Bai Bian Dou (Hyacinth bean)

Dolichoris lablab

75 grams

Lian Zi (Lotus seed)

Nelumbo nucifera

Yi Yi Ren (Job’s Tears)

Coix lachryma

Sha Ren (Greater Cardamon)

Amomum villosum

Jie Geng (Platycodon)

Platycodum grandiflorum

50 grams ea.

Preparation:

Powder
It is also prepare a standard decoction, using approximately 9 grams for each of the herbs listed as 100 grams, and 6 grams of each of the herbs listed for 50 grams.

Function:

Strengthens the Spleen, Tonifies Qi, Clears Damp, stops Diarrhea

Use:

Loose stool or Diarrhea with poor appetite, weight loss, fatigue, distention of the chest and abdomen, pale tongue with a greasy tongue coat, weak pulse
1. Indigestion
2. Chronic Diarrhea
3. Chronic Gastritis
4. Chronic Gastroenteritis
5. Chronic Colitis
6. Irritable Bowel Syndrome
7. Ulcerative Colitis
8. Chronic Pancreatitis with Diarrhea
9. Malabsorption
10. Infantile Malnutrition
11. Chronic Hepatitis
12. Chronic Nephritis, Chronic Glomerulonephritis
13. Diabetes Mellitus
14. Chronic Fatigue Syndrome / Post-Viral Syndrome
15. Convalescence with Fatigue, Weight loss, Anorexia
16. Chronic Bronchitis or Chronic Asthma

Dose:

Powder, 3–6 grams with warm water.
If decocted, it is divided into 3 equal doses to be taken over the course of a day.

Cautions:

1. Not used in excess or heat
2. If used for Deficient Heat, add herbs to nourish Yin.
3. Not used in acute (excess) conditions such as beginning of Cold or Flu.

Modifications:

1. If with Internal Cold, add Cinnamon (Rou Gui), Ginger (Gan Jiang)
2. Severe Damp, take with Xiang Sha Liu Jun Zi Tang
3. Also for Dampness, add Magnolia Bark (Hou Po), Amomum Sha Ren, Citrus Chen Pi
4. If with Damp-Heat with loose stool, add Coptis Huang Lian, Alisma Ze Xie
5. Qi and Blood deficiency, add Astragalus Huang Qi and Angelica Dang Gui
6. Chronic Indigestion, add Hawthorn (Shan Zha), stir-fried Malted Barley (Chao Mai Ya), Citrus Chen Pi
7. Spleen Yang deficiency, take with Fu Zi Li Zhong Wan
8. Diarrhea, add Costus Mu Xiang, Euryales Qian Shi
9. Marked Fluid retention, add Poria Fu Ling, Alisma Ze Xie, Plantain seed (Che Qian Zi)
10. Food Stagnation with Vomiting and Diarrhea, take with Ping Wei San.
11. Also for Food Stagnation, add Hawthorn (Shan Zha), dry-fried Malted Barley (Chao Mai Ya)
12. Cough with excess clear mucus and chest congestion, add Citrus Chen Pi, Pinellia Ban Xia, Apricot kernel (Xing Ren).
13. Chronic Glomerulonephritis, add Astragalus Huang Qi, Motherwort (Yi Mu Cao), Alisma Ze Xie
14. Diabetes Mellitus, add Astragalus Huang Qi, Schisandra Wu Wei Zi, Alisma Ze Xie
15. Chronic Pancreatitis, add Costus Mu Xiang, Paeonia Bai Shao, Amomum Bai Dou Kou
16. Postpartum Fever, take with Dang Gui Bu Xue Tang
17. GIardia, add Artemisia Yin Chen Hao and Garlic


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