Tradition:

TCM

Source / Author:

Craft of Medicines and Patterns for Children; 1119

Preparation:

Powder, which is to be prepared as a decoction. The source text listed 1.5 grams of Ginseng and Ophiopogon, and 7 Schisandra fruit.
Today, it is often prepared as a decoction with the doses above.

Function:

Tonify Qi, Nourish Yin, Astringes and Stops Sweating

Use:

Fatigue, short of Breath, spontaneous Sweating, dry mouth and tongue, red tongue with a dry coat, weak, then pulse; or rapid and weak
1. Chronic Bronchitis
2. Coronary Heart disease, Cardiomyopathy
3. Cardiac failure, Myocardial Infarction
4. Rheumatic Heart Disease
5. Supraventricular Arrhythmias
6. Cardiac Shock
7. Pulmonary Tuberculosis
8. Emphysema
9. Heat Stroke
10. Neurasthenia, Anxiety
11. Cardio-pulmonary symptoms associated with COVID-19 (see research below)

Dose:

3–6 grams two or three times daily

Cautions:

1. Not used for cases with external pathogen (acute Cold or Flu).

Modifications:

1. Unless the Qi is markedly weak, Codonopsis Dang Shen is substituted using 2–3 times the dose of Ginseng.
2. If there is marked Yin deficiency or Heat, American or White Ginseng Xi Yang Shen is used.
3. Irritability, Insomnia, Neurasthenia, add Ziziphus Suan Zao Ren and Platycladus Bai Zi Ren.
4. Very weak pulse, risk of Shock, increase the dose of Ginseng.
5. Chronic Heart disease with Yin and Yang deficiency, add Astragalus Huang Qi and Licorice.
6. Yin deficiency due to Febrile disease, add Scrophularia Xuan Shen and Rehmannia Sheng Di Huang.
7. Chronic Lung diseases with Cough and excess Phlegm, add Bitter Almond (Bitter Apricot) kernel.

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