TRADITIONAL INTERNAL MEDICINE – DISEASES & FORMULAS
Weakness and Deficiency
Strengthening and Tonic Formulas
“Those who have more Innate Spirit, or Natural Heat, and Radical Moisture are more strong and active, and they who have less are weak, and sooner die. And when that flourishing humor is consumed like Oil by the heat of the Spirit, by degrees, in age men grow more weak and dry”. (Platerus)
Weakness and Deficiency is caused by a weakness in any one of the following:
1. Three Faculties (Natural, Vital and Animal Spirits)
2. Three Treasures (Essence, Qi, Spirit)
3. Four Substances (Qi, Blood, Yin and Yang)
4. Five Organ-systems (Heart, Lungs, Liver, Spleen and Kidney)
5. Seven Constituents (Lymph/Chyle, Blood, Muscles/Flesh, Fat, Bone, Marrow/Nerves, Essence)
Each system tends to focus on one or 2 of these groupings. For example, the Greeks use Three Faculties and Organs as categorizing deficiency, the Chinese use Four Substances and Five Organs, while Ayurveda pays special importance to the Seven Constituents.
As can be seen, there are cross connections between these categories. The Vital Faculty produces Vital Spirit, which is Qi from the Chinese viewpoint; the Natural Spirits are largely akin to the Chyle of Ayurveda; Yin or Yang deficiency is associated with a particular Organ, which from another viewpoint can be classed as a weakness of that Organ. So there can be seen to be varying levels of overlap.
What is remarkably consistent within the different systems is the concept of Health and Longevity being essentially connected to the digestion. The origin of Qi, Blood, Yin, Yang, Essence, Spirit, the Organs and Constituents are all initiated in the digestive system.
Both Chinese and Western writers note an “Inherited” basis of the body, and an “Aquired”. That is, strength and constitution are partly related to family genetics, and partly from how that inherited constitution is fed throughout life. While some special medicines (like Ginseng) are said to be able to increase “Inherited” (Yuan or Source) Qi, the primary modality of increasing strength and longevity is primarily focused on that which is acquired through digestion. And if we take Hippocrate’s statement “All Disease begins in the Stomach” as relevent, the basic premise makes good sense.
One simple way of conveying a concept of treating weakness or deficiency is to focus on the Organs. Once we know the correspondances of the organs, we can use this to deduce a rational explanation to a given disorder. For example, the Kidneys control the Bones, and therefore, Osteoprosis is primarily a disease of Kidney deficiency. The Liver controls the Eyes, and chronic or degenerative Eye diseases are often associated with Liver (Yin or Blood) deficiency.
Using the 4 Elements concept, we can use 4 pairs of differing qualities to form a diagnosis of the weakness:
1. Cold and Dry
2. Cold and Moist
3. Warm and Dry
4. Warm and Moist
So for example, if the Heart is Cold and Moist, there will be a feeling of cold, slow and weak pulse, slow heart rate, pale tongue with a moist coating. This type of pattern can be associated with Congestive Heart Failure, and is what would be diagnosed in TCM as Heart Yang deficiency.
If the Lungs are Hot and Dry, there maybe dry, irritable Cough, red face, fast pulse, red tongue with a dry or slightly yellow coat. In both East and West this will be considered a Lung Heat condition, and cooling herbs appropriated to the Lungs will be given.
Strengthening and Tonic Formula
Strengthening and Tonic herbs and formulas are used either to strengthen the body when weak, support the body during chronic disease and old age, or as a health tonic.
They are also an important part of cleansing, such as Purging. After due purging, strengthening tonics are given to support the body after purging, and to strengthen the body to prevent the return of an illness.
A list of various Tonic Medicines used in the various systems can be found here Here.
Kitchen Tonic Recipes:
1. Rice boiled with Milk. with Honey added; Mastic, Cinnamon, Cardamon, Almond meal and others can be added.
2. Boil Walnut, Pistachio, Almond, Raisins, Dates and Figs together and drink the tea.
3. Powder Sesame seed and Walnut, mix with water to make a thick drink and add Honey.
4. Steep Dates in water, then blend with Milk and a little Cardamon and drink.
5. Chicken boiled in a closed pot in wine with Saffron.
6. Chicken and Parsley broth
7. Capon or Pigeon broth
8. Capon (or Chicken) broth boiled with Rice, with Borage, Egg Yolk, with a little Rose Vinegar or Sour Apple, or Citron, or Wine, with Marjoram, Nutmeg, Saffron and Salt.
9. Chicken Soup cooked with Dang Gui, Codonopsis Dang Shen, Goji berries, Chinese Red Dates (Qi and Blood tonic Soup)
10. “Wine does suddenly and greatly refresh”. (Platerus)
11. Prologed boiled feet of Deer, Sheep or Lamb makes a nourishing broth.
12. A German dish: Egg Yolks, Wine, Sugar and Butter cooked together “does restore excellently”. (Platerus)
Tonic Effect on the Body
Viscera confortant – Strengthen the Viscera
Confected Myrobalan
Sugar of Roses
Orange peel Confected
Syrup of Myrtle berry
Electuary of Costus (Diacostum)
The Great Electuary
Aromaticum Nardium
Powder of Cumin (Diacyminum) (Nicholas)
Diambra
Syrup of Fumitory Greater (Mesue)
Syrup of Wormwood (Mesue)
Troches of Gallia Alephangina
Triphera Minor (Triphera Phoenonis) (Mesue)
Diathamaron Magna (Nicholas)
Noble Confection for the Heart
Medicine to Defend the Base from all Danger
Oil of Quince
Oil of Wormwood
Ba Zhen Tang (TCM)
Ren Shen Yang Rong Tang
Essence Pills (Bcud len ril bu) (Tibetan)
The Melting Solar Disk (Ju byed nyi mai dkyil khor)
Health, to Protect
Vinegar of Squill
Pills to Clarify (Pilulae Lucis Majores) (Mesue)
Triphera Saracenica
Strengthen the Body
Restorative Cock Broth
Syrup of Balm (Fernelius)
Electuary of Calamus (Diacorum) (Mesue)
Restorative Electuary (Antidotus Analeptica)
Electuary of Ginger (Dia Zingiber) (Nicholas)
Electuarium Alcharif (Mesue)
Electuary of Life (Arnold de Villa Nova)
Royal Electuary (Mesue)
Restorative Confection
The Great Electuary
The Restorative of Nicolas (Pleres Arconticon)
Medicine to Defend the Base from all Danger
Powder to Restore
Diathamaron Magna (Nicholas)
Triphera Minor (Triphera Phoenonis) (Mesue)
Ba Zhen Tang (TCM)
Si Jun Zi Tang (TCM)
Bu Zhong Yi Qi Tang (TCM)
Ren Shen Yang Rong Tang
Shi Quan Da Bu Tang (TCM)
Essence Pills (Bcud len ril bu)
Restore Radical Moisture (Yin)
Electuary to Restore Humidity (Arnold de Villa Nova)
Tragacanth Cooling Powder (Diatragacanth Frigidum)
Cooling Pearl Powder (Diamargariton Frigidum)
Restorative Confection
Syrup Against Consumption
Liu Wei Di Huang Wan
Zuo Gui Wan
Zuo Gui Yin
Increase Natural Heat (Yang)
Confected Nutmeg
Confected Walnut
Electuary to Promote Fertility (Wirtzung)
Electuary of Orchis (Diasatyrion) (Nicholas)
Compound Galangal Powder (Diagalanga) (Mesue)
Electuary of Ginger (Dia Zingiber) (Nicholas)
Electuary of Steel (Unani)
Compound Cinnamon Powder (Diacinnamonum)
Powder of Placenta
Diathamaron Magna (Nicholas)
Ba Wei Di Huang Wan (TCM)
You Gui Wan
You Gui Yin
Gui Lu Er Xian Jiao (TCM)
Betel Nut 28 (Go yu nyer brgyad) (Tibetan)
Essence Pills (Bcud len ril bu) (Tibetan)
Gymnadenia 7 (Dbang lag skyin sgor) (Tibetan)
Gymnadenia 10 (Dbang lag bcu pa) (Tibetan)
Increase Natural Spirit (Essence) / Jing
Royal Confection of Kermes (Mesue)
Electuarium Alcharif (Mesue)
Medicine to Defend the Base from all Danger
Zuo Gui Yin
Zuo Gui Wan
Gui Lu Er Xian Jiao
Essence Pills (Bcud len ril bu) (Tibetan)
Gymnadenia 7 (Dbang lag skyin sgor) (Tibetan)
Gymnadenia 10 (Dbang lag bcu pa) (Tibetan)
Increase Vital Spirit / Qi
Confected Nutmeg
Confected Chebula
Confected Calamus
Confected Elecampane
Simple Syrup of Cinnamon
Tincture of Balm
Tincture of Lemon Peel
The Exhilarative Syrup
Letificans Almansoris (Rhasis)
Electuarium Alcharif (Mesue)
Electuary of Life (Arnold de Villa Nova)
Restorative Confection
Temperate Cordial Powder of Gems
New Rose Powder (Nicholas)
Ba Zhen Tang (TCM)
Bu Zhong Yi Qi Tang (TCM)
Si Jun Zi Tang (TCM)
Shi Quan Da Bu Tang
Support Animal Spirit / Shen, or Spirit proper
The Heavenly Cardiac
Royal Confection of Kermes (Mesue)
Restorative of Nicholas (Pleres Arconticon)
Medicine to Defend the Base from all Danger
Temperate Cordial Powder of Gems
Troches of Musk (Mesue)
Imperial Pills (Fernelius)
Nourish Blood–Anemia
Electuary of Life (Arnold de Villa Nova)
Triphera Minor (Triphera Phoenonis) (Mesue)
Antidotum Haemagogum (Nicholas)
Bu Zhong Yi Qi Tang (TCM)
Dang Gui Bu Xue Tang (TCM)
Ren Shen Yang Rong Tang (TCM)
Si Wu Tang (TCM)
Shi Quan Da Bu Tang (TCM)
Gui Lu Er Xian Jiao (TCM)
Raisin Tonic (Drakshadi Rasayana)
Weakened by Long Illness
Common Decoction
Syrup Against Consumption
Royal Confection of Kermes (Mesue)
New Rose Powder (Rosata Nouvelle)
Compound Rosemary Powder (Dianthos)
Electuary of Ginger (Dia Zingiber) (Nicholas)
Restorative Confection
Restorative Electuary (Antidotus Analeptica)
Restorative of Nicholas (Pleres Arconticon)
Letificans Almansoris (Rhasis)
Triphera Minor (Triphera Phoenonis) (Mesue)
Temperate Cordial Powder of Gems
Lohoch of Poppy
Ba Zhen Tang (TCM)
Bu Zhong Yi Qi Tang (TCM)
Liu Wei Di Huang Wan (TCM)
Ren Shen Yang Rong Tang (TCM)
Si Jun Zi Tang (TCM)
Shi Quan Da Bu Tang (TCM)
Gui Lu Er Xian Jiao (TCM)
Essence Pills (Bcud len ril bu) (Tibetan)
To Restore the Thin and Weak
1. “Chickpea meal and Broad bean meal, when mixed together, and wheat meal may be made into a fattening soup using milk”. (Rhazes)
2. Orobus seed, dried and powdered, mixed with equal parts Honey. Take as much as a Walnut.
3. Starch, Sarcocolla (5 oz. each). Mix with butter into a paste. Bake until dry, then powder. Take 10 drams as a dose. (Secrets of Alexis)
Syrup Against Consumption
Powder to Fatten (Mesue)
Restorative of Nicholas
Diathamaron Magna (Nicholas)
Compound Rosemary Powder (Dianthos)
Electuary to Restore Humidity (Arnold de Villa Nova)
Electuary of Ginger (Dia Zingiber) (Nicholas)
Sweet Almond Oil
Sesame Oil
Coconut Oil
Poppy Seed Oil
Bu Zhong Yi Qi Tang (TCM)
Liu Wei Di Huang Wan (TCM)
Ren Shen Yang Rong Tang (TCM)
Si Jun Zi Tang (TCM)
Shi Quan Da Bu Tang (TCM)
Promote Youthfulness
Vinegar of Squill
Confected Chebulic Myrobalan
Triphera Saracenica (Mesue)
Electuarium Alcharif (Mesue)
Electuary of Life (Arnold de Villa Nova)
Diathamaron Magna (Nicholas)
Restorative Confection
Liu Wei Di Huang Wan (TCM)
Essence Pills (Bcud len ril bu) (Tibetan)
Promote Longevity
Tincture of Balm
Oxymel of Squill
Syrup Against Consumption
Electuarium Alcharif (Mesue)
Electuary of Life (Arnold de Villa Nova)
Electuary to Restore Humidity (Arnold de Villa Nova)
Triphera of the Saracens (Triphera Saracenica Magna)
Diacamaron Magna (Nicholas)
Medicine to Defend the Base from all Danger
Hiera of Abbas (Unani)
Troches of Viper (Trochisci Viperini)
The Melting Solar Disk (Ju byed nyi mai dkyil khor)
Strengthen the Organs
Strengthen the Head, Brain and Nerves
Royal Electuary (Mesue)
Syrup of Balm (Fernelius)
Tincture of Balm
Diambra
Restorative of Nicholas (Pleres Arconticum)
Medicine to Defend the Base from all Danger
Greater Cordial Powder
Special Powder for the Memory
Ren Shen Yang Rong Tang (TCM)
Strengthen the Eyes
Infusion for the Eyes
Powder to Benefit Eyesight (Rivierus)
Powder to Clarify the Eyes (Nicolas)
Confection of Eyebright (Confectio Humain) (Mesue)
Electuary for the Eyes (Grulingus)
Eyebright Wine
Pills to Clarify (Pilulae Lucis Majores) (Mesue)
Qi Ju Di Huang Wan
Strengthen the Lungs
Pectoral Decoction (Augustana)
Pectoral Decoction (London)
Syrup Against Consumption
Tragacanth Cooling Powder (Diatragacanth Frigidum)
Tragacanth Warming Powder (Diatragacanth Calidum)
Tincture of Honey
Tincture Against Asthma
Bai He Gu Jin Tang
Ren Shen Bu Fei Tang
Sheng Mai San
Strengthen the Heart
The Cordial Decoction
The Exhilarative Syrup (Laurent)
The Heavenly Cardiac
Syrup of Balm (Fernelius)
Royal Confection of Kermes (Mesue)
Compound Coral Electuary (Diacorallion) (Nicholas)
Confection of Hyacinth (Confectio de Hyacintho)
Letificans Almansoris (Rhasis)
Medicine to Defend the Base from all Danger
The Great Electuary
Noble Confection for the Heart
Royal Electuary (Mesue)
Tincture of Saffron
Tincture of Pearls
Aromatic Clove Powder (Aromatic Caryophyllatum)
Aromatic Rose Compound (Aromaticum Rosatum)
Compound Cinnamon Powder (Diacinnamonum)
Greater Cordial Powder
Temperate Cordial Powder of Gems
Cooling Powder of Gems
Powder of Happiness (Letificans)
Warming Pearl Powder (Diamargariton Calidum)
New Rose Powder (Rosata Nouvelle)
Compound Rosemary Powder (Dianthos)
Troches of Aloeswood (Mesue)
Troches of Saffron (Damocrates)
Pearled Manus Christi
Sheng Mai San
Zhi Gan Cao Tang
Bao Yuan Tang
Ren Shen Yang Rong Tang (TCM)
Tian Wan Bu Xin Dan
Essence Pills (Bcud len ril bu)
Strengthen the Stomach and Spleen
Compound Syrup of Mint
Compound Syrup of Quince
Syrup of Quince with Spices
Aromatic Rose Powder (Aromaticum Rosatum)
Pills of Mastic (Mesue)
Tincture of Mastic
Restorative of Nichoals (Pleres Arconticum)
Aromatic Clove Powder (Aromaticum Caryophyllatum)
Compound Cinnamon Powder (Diacinnamonum)
Compound Galangal Powder (Diagalanga)
New Rose Powder (Rosata Nouvelle)
Electuary of Quince with Spices
Electuary of Quince Compound
Triphera Minor (Triphera Phoenonis) (Mesue)
Ba Zhen Tang (TCM)
Bu Zhong Yi Qi Tang (TCM)
Si Jun Zi Tang (TCM)
Xiao Chai Hu Tang (TCM)
Shi Quan Da Bu Tang
Strengthen the Liver
Decoction for the Liver (Quercetan)
Decoction for the Liver (French Version)
Letificans Almansoris
Powder of Three Sandalwoods (Diatrionsantalum)
Triphera Minor (Triphera Phoenonis) (Mesue)
Si Wu Tang (TCM)
Xiao Yao San (TCM)
Ren Shen Yang Rong Tang (TCM)
Strengthen the Kidneys
The Strengthening Gelatin
Syrup Against Consumption
Electuary of Calamus (Diacorum) (Mesue)
Restorative Electuary (Antidotus Analeptica)
Electuary of Orchid (Diasatyrion) (Nicholas)
Compound Cinnamon Powder (Diacinnamonum)
Compound Galangal Powder (Diagalanga)
Triphera Minor (Triphera Phoenonis) (Mesue)
Liu Wei Di Huang Wan (TCM)
Ba Wei Di Huang Wan (TCM)
You Gui Wan (TCM)
Zuo Gui Wan (TCM)
Gui Lu Er Xian Jiao (TCM)
Betel Nut 28 (Go yu nyer brgyad) (Tibetan)
Essence Pills (Bcud len ril bu) (Tibetan)
Gymnadenia 7 (Dbang lag skyin sgor) (Tibetan)
Gymnadenia 10 (Dbang lag bcu pa) (Tibetan)
The Melting Solar Disk (Ju byed nyi mai dkyil khor)
Strengthen the Uterus
Hysteric Decoction
Syrup of Mugwort
Wine for the Womb
New Rose Powder (Rosata Nouvelle)
Aromatic Rose Powder (Aromaticum Rosatum)
Warming Pearl Powder (Diamargariton Calidum)
Antidotum Haemagogum (Nicholas)
Triphera Minor (Triphera Phoenonis) (Mesue)
Pills of Amber
Si Wu Tang (TCM)
Xiao Yao San (TCM)
Special Formulas:
To Refresh the Spirits:
1. Diamargariton Frigidum, Electuary of Gems ½ dram ea. Oil of Cinnamon 4 drops, Sugar dissolved in Rose Water 2 oz. Form lozenges.
2. Coral 1 dram, Precious Stones, Pearls ½ dram ea., Citron seed, Sorrel seed, Basil seed 1 scruple ea., Cinnamon, Mace 1 dram, ea., Aloeswood 1 scruple, with Sugar form Lozenges.
STRENGTHENING PILLS
Gum Arabic
Tragacanth ½ oz. ea.
Licorice juice 1 oz.
With Sapa, qs, form a pill mass. (Fuchs, Opera Didactica
TABLETS FOR LUNG WEAKNESS
Fox Lungs prepared 2 drams
Licorice juice 1 ½ drams
Annis
Fennel seed 1 drams
Sugar sufficient
Form Pectoral Tablets. Cough, Wheezing and Asthma from Lung weakness. (Fuchs, Opera Didactica)
POWDER FOR BLOOD WEAKNESS
Ginger
Pepper
Cinnamon
Pellitory
Peony
Elecampane 1 oz. ea.
Prepared Iron filings weight of the rest
Prepare a powder. This was listed for “Coldness of the Stomach, and to cause a good color”. “Let the sick take thereof in all his meals” (Alexis)
TO STRENGTHEN THE HEART AND ORGANS
Aqua Vitae 1 pint
Gold a piece
Saffron 1 dram
Cinnamon 2 drams
Take a piece of Gold, heat it red hot and quench in the Aqua Vitae a number of times, the more the better. Then add the Saffron and Cinnamon beaten. Steep 4 days, stirring every day. Strain and filter.
It warms the Heart and Stomach and strengthens all the Organs. It is especially good for the elderly and after long illness.
DISTILLED WATER TO RESTORE
Broth of Capon, or Ox, or Deer’s Heart 4 pints
Sack wine 1 pint
1 Orange or Lemon cut to pieces
Galangal, Balm 1 dram ea.
Cinnamon ½ oz.
Cloves 2 drams
Coriander seed, Basil
seed, Rose, Scabious,
Bugloss flower 1 dram ea.
Saffron 1 scruple
Deer Horn 1 dram
Distil a water. (Platerus)
TINCTURE TO RESTORE
Diamargariton Frigidum
Clove 1 dram ea.
Cinnamon 3 drams
Citron peel, Angelica,
Balm, Borage flower,
Basil seed ½ dram ea.
Infuse in Brandy. Give 1–2 spoonfuls with Sugar of Roses.
“CORDIAL POTION TO GIVE AT THE TIME OF DEATH”
Confectio Alkermes 1 scruple
Diamargariton Frigid. ½ dram
Syrup of Citrons ½ oz.
Syrup of Poppies 3 drams
Mix with Rose water and Cinnamon water. (Platerus)
“HOLY OIL OF MAN’S BLOOD”
Mans Blood 3 pints
Ox Marrow 1 pound
Distil in a Limbeck. “Keep the last water which is red, and they say it will change with the moon; give 3 drops in wine or Cordial Water”.
Platerus said “they attribute much” to this remedy and it was regarded as a potent restorative.
STRENGTHENING BATH
Sage, Rue, Betony, Mint,
Wormwood, Nettle root,
Marjoram, Mugwort,
Strawberry leaf, Lovage,
Juniper with berry 1 handful each
Bayberry half pound
Sulphur 1 pound
Cut the herbs, mix and divide into 2 bags. Boil a bag in sufficient water and bathe in it for 3 days, then use the second bag and repeat.
Very effective for the weak and during convalescence. It was said to be useful for corruption of the blood or marrow, and was said to give strength to the limbs and whole body. (Brunschwig, 1561)
SI JUN ZI TANG
Ginseng 3–9 grams
Atractylodes Bai Zhu 6–12 grams
Poria Fu Ling 9–12 grams
Fried Licorice (Zhi Gan Cao) 3 grams
This is the primary Qi tonic of TCM. It strengthens Qi and benefits the Spleen and Stomach. It is a foundation formula for various other formulas which add other herbs. (See more here)
SI WU TANG
Dang Gui 9–12 grams
Paeonia Bai Shao 9–12 grams
Rheumannia Shu Di Huang 9–15 grams
Ligusticum Chuan Xiong. 3–6 grams
This is the primary Blood tonic formula in TCM. It nourishes Blood and strengthens Liver Yin. It is a foundation formula which has many additions for various purposes. (See more here)
LIU WEI DI HUANG WAN
Rehmanna Shu Di Huang. 24 grams
Dioscorea Shan Yao
Cornus Shan Zhu Yu 12 grams ea.
Paeonia Mu Dan Pi
Alisma Ze Xie
Poria Fu Ling 9 grams ea.
This is the foundation Yin-tonic formula of TCM. It nourishes Liver and Kidney Yin, but can support Yin of the whole body. It is a foundation formula upon which many other formulas are based, not onbly to nourish Yin, but also to increase Yang. (See more here)
SHEN QI WAN
When 3–6 grams each of prepared Aconite Fu Zi and Cinnamon (Rou Gui) are added to Liu Wei Di Huang Wan (above), this forms Shen Qi Wan, a primary Yang tonic formula in TCM. (See more here)
ANEMIA FORMULA
Astragalus Huang Qi 30 grams
Dang Gui 15 grams
Jujubes (Da Zao) 5 grams
Chicken Breast 2 pieces
Steam for 4 or 5 hours. (The Formulas of Dr. John H.F. Shen)
QI AND BLOOD TONIC SOUP
Codonopsis Dang Shen 12 grams
Dang Gui 9 grams
Goji berries 9 grams
Jujubes (Da Zao) 5 pieces
Cook with a chicken to form a soup.
The same can be made substituting Astragalus for Codonopsis. Meat or Chicken can be added too.

