HERB FORMULAS

SHI QUAN DA BU TANG - 十全大補湯 - ALL INCLUSIVE GREAT TONIFYING DECOCTION

English: All-Inclusive Great Tonifying Decoction
Also Known As: Ten Complete Great Tonification Decoction
The Tonification Decoction with Ten Ingredients
Ginseng and Dang Gui Ten Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Astragali Huang Qi 6-10g Strengthens the Spleen, tonifies Qi and nourishes Blood.
With Ren Shen, for Qi Deficiency.
With Bai Zhu, for Spleen Qi Deficiency.
With Dang Gui, for Qi and Blood Deficiencies.
With Dang Gui, Shu Di Huang, Ren Shen, Bai Zhu and Rou Gui, for flat sores that do not pustulate or ulcers that do not heal.
Cx. Cinnamomi Rou Gui 3-6g Warms Kidneys, strengthens Yang and assists the generation of Qi and Blood.
With Huang Qi and Dang Gui, for Yin-type boils due to Qi and Blood Deficiencies especially those that form but do not ulcerate.
With Dang Gui and Chuan Xiong, for dysmenorrhea, postpartum abdominal pain or amenorrhea due to Deficiency Cold of the Chong and Ren channels.
Rx. Ginseng Ren Shen 6-9g Tonifies Yuan Qi and Qi of the Spleen, Lungs and Heart.
With Shu Di Huang, for dysmenorrhea, postpartum abdominal pain or amenorrhea due to Deficiency Cold of the Chong and Ren channel.
With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
With Bai Zhu and Fu Ling, for Spleen and Stomach Qi Deficiencies with Dampness with anorexia, diarrhea, vomiting, abdominal distention and fatigue.
Rx. Rehmanniae Preparata Shu Di Huang 9-15g Tonifies the Blood, nourishes Yin, nourishes Jing and fills the Marrow.
With Dang Gui and Bai Shao, for dizziness, palpitations, insomnia and menstrual dysfunction due to Blood Deficiency.
With Dang Gui, Bai Shao and Chuan Xiong, for anemia.
With Ren Shen, Bai Zhu, Fu Ling, Dang Gui and Bai Shao, for anemia with fatigue and weakness.
Rz. Atractylodes Macrocephalae Bai Zhu 9-12g Tonifies the Spleen, tonifies Qi, dries Dampness and promotes water metabolism.
With Ren Shen and Huang Qi, for Restless fetus due to Qi Deficiency.
With Shu Di Huang, Dang Gui and Bai Shao, for restless fetus due to Blood Deficiency, often with palpitations.
With Fu Ling and Gan Cao, for Spleen and Stomach Qi Deficiencies.
With Bai Shao, Shu Di Huang and Chuan Xiong, for menstrual irregularity, amenorrhea, and dysmenorrhea due to Blood Deficiency.
With Fu Ling, Ren Shen and Huang Qi, for unstable pregnancy with severe Qi Deficiency.
Rx. Angelicae Sinensis Dang Gui 9-12g Tonifies the Blood, regulates the menses, invigorates and harmonizes the Blood, moistens the Intestines, unblocks the bowels, reduces swelling, expels pus, generates flesh and alleviates pain.
With Huang Qi, for Qi and Blood Deficiencies, pallor, debility, fatigue and/or low grade fever due to excessive blood loss and ulcerated abscesses with insufficient drainage or which drain a clear thin discharge.
With Bai Shao, nourishes, regulates and harmonizes Qi and Blood.
With Bai Shao, Shu Di Huang and Chuan Xiong, for menstrual irregularity, amenorrhea, and dysmenorrhea due to Blood Deficiency or Blood Stasis.
With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood.
With Gan Cao, moderates spasms and relieves abdominal pain.
With Bai Shao and Fu Ling, for diarrhea during pregnancy with mild abdominal pain.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
With Ren Shen, Bai Zhu, Shu Di Huang and Bai Shao, for general menstrual disorders with fatigue and weakness due to Qi and Blood Deficiencies.
Rx. Paeoniae Alba Bai Shao 6-9g Nourishes Blood and regulates menstruation.
With Gan Cao, for muscle spasms, especially in the calf, due to Blood Deficiency.
Rx. Chuanxiong Chuan Xiong 3-6g Activates Blood and regulates Qi.
With Rou Gui, for irregular menstruation with Cold in the Blood.
Poria Fu Ling 6-9g Promotes urination, resolves Dampness and strengthens the Spleen.
With Bai Zhu, strengthens the Spleen and resolves Dampness.
With Gan Cao, for Spleen and Heart Deficiencies causing facial edema, palpitations, and shortness of breath.
Rx. Glycyrrhizae Gan Cao 3-6g Tonifies the Spleen, tonifies Qi and moderates and harmonizes the properties of other herbs.
With Ren Shen, relieves palpitations and anxiety.

FORMULA ACTIONS

  • Replenishes Yang
  • Warms and tonifies Qi and Blood

SYNDROMES

  • Qi, Blood and Yang Deficiency with Cold
  • Atrophy (Wei Syndrome) due to Qi Deficiency

CLINICAL MANIFESTATIONS

  • Anemia
  • Uterine bleeding
  • Cold extremities
  • Pale or sallow face
  • Dizziness
  • General fatigue
  • Coarse skin
  • Nocturnal emissions
  • Weak knees
  • Fatigue
  • Dyspnea
  • Night sweats
  • Irregular menstruation
  • Insomnia
  • Intolerance of Cold
  • Decreased eyesight after a prolonged illness
  • Anxiety
  • Intermittent fever
  • Jaundice
  • Deficient cough
  • Shortness of breath
  • Palpitations
  • Anorexia
  • Listlessness
  • Lassitude
  • Spontaneous sweating
  • Spermatorrhea
  • Continuous spotting
  • Leukorrhea
  • Weak legs and knees
  • T: Pale
  • C: Thin and white
  • P: Thready and weak

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Heat or Excess disorders.
HERB/DRUG INTERACTIONS
  • This formula may have a marked protective effect against chemotherapy- and radiation-induced toxicities.
  • This formula may have a marked protective effect against cyclophosphamide- or prednisone-induced immuno-suppression.
  • This formula may have a marked protective effect against carboplatin- or cisplatin-induced myclosuppression.
  • This formula may have a marked protective effect against cis-diamminedichloroplatinum-induced nephrotoxicity and bone marrow toxicity.
  • This formula may have a marked protective effect against interferon toxicity.
  • This formula may have a marked protective effect against rifampin-induced neutropenia.

NOTES

MODIFICATIONS

For improving the function of the formula: For cancer:
+ 1-3g Rz. Zingiberis Recens Sheng Jiang + Anti-cancer herbs  
+ 1-3g Fr. Jujube Da Zao
For hypothyroidism:
+ Rx. Lateralis Aconiti Preparata Zhi Fu Zi + Rx. Salviae Miltiorrhizae Dan Shen
For palpitations:
+ Fr. Amomi Sha Ren
+ Fr. Schisandrae Wu Wei Zi + Rx. Dioscoreae Shan Yao
+ Sm. Zizyphi Spinosae Suan Zao Ren
For severe sweating:
For bronchial carcinoma or pulmonary tuberculosis due to Lung and Heart Yin Deficiencies or reduced function of all organs:
 + Concha Ostreae Mu Li
+ Rx. Polygalae Yuan Zhi + Fossilia Ossis Mastodi Long Gu
+ Fr. Schisandrae Wu Wei Zi
For malnutrition and emaciation with a poor appetite:
+ Fr. Aurantii Zhi Ke + Rz. Dioscoreae Shan Yao
For sores and abscesses due to Qi and Blood Deficiencies:
+ Sm. Euryales Qian Shi
+ Fr. Aurantii Zhi Ke
For spermatorrhea and nocturnal emissions:
+ Rz. Cyperi Xiang Fu + Fr. Corni Shan Zhu Yu
+ Fr. Forsythiae Lian Qiao + Fr. Schisandrae Wu Wei Zi
For steaming bone sensations:
+ Rx. Ophiopogonis Mai Men Dong
+ Rx. Bupleuri Chai Hu + Rz. Dioscoreae Shan Yao
+ Rx. Stellariae Yin Chai Hu
For fatigue and general aches and pains:
+ Hb. Artemisiae Annuae Qing Hao + Ram. Cinnamomi Gui Zhi
+ Carapax Trionycis Bie Jia + Rz. Pinelliae Preparatum Zhi Ban Xia
For general weakness and Deficiency:
For fatigue due to Spleen Deficiency:
+ Minor Construct the Middle Decoction
Xiao Jian Zhong Tang
+ Restore the Spleen Decoction
Gui Pi Tang
For palpitations, fear and fright:
For menopause symptoms that do not respond to Clear Deficiency Heat and Nourish Yin herbs:
+ Nourish the Heart Decoction
Yang Xin Tang
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi
For Bi syndrome:
For sinking Qi:
+ Rx. Achyranthis Bidentatae Niu Xi + Rx. Bupleuri Chai Hu
+ Rx. Dipsaci Xu Duan + Rz. Cimicifugae Sheng Ma
For insomnia and emotional disturbance:
For weak Lung Qi:
+ Arillus Longan Long Yan Rou + Fr. Schisandrae Wu Wei Zi
+ Sm. Zizyphi Spinosae Suan Zao Ren
For night sweats:
+ Rx. Polygalae Yuan Zhi + More Rx. Astragali Huang Qi
For chronic skin disorders:
 + Sm. Cuscutae Tu Si Zi
+ Sm. Coicis Yi Yi Ren
For spinal cord inflammation and low back pain:
For fibromyalgia due to Blood Deficiency:
 + Cx. Eucommiae Du Zhong
+ Drive Out Blood Stasis from a Painful Body Decoction
Shen Tong Zhu Yu Tang
+ Rz. Anemarrhenae Zhi Mu
+ Kudzu Decoction
Ge Gen Tang
+ Cx. Phellodendri Huang Bai
For vascular Bi:
For amenorrhea due to Qi, Blood, Yin and Yang Deficiency:
- Cx. Cinnamomi Rou Gui
+ 9g Ram. Cinnamomi Gui Zhi + Rx. Morindae Officinalis Ba Ji Tian
- Rz. Atractylodis Macrocephalae Bai Zhu
+ Per. Citri Reticulatae Chen Pi
- Rx. Paeoniae Alba Bai Shao
For chronic atrophic gastritis:
- Rz. Chuanxiong Chuan Xiong - Cx. Cinnamomi Rou Gui
- Rx. Glycyrrhizae Gan Cao - Rx. Ginseng Ren Shen
+ 5g Rx. Glycyrrhizae Melle Tosta Mi Zhi Gan Cao + Rx. Pseudostellariae Tai Zi Shen
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ 9g Rx. Salviae Miltiorrhizae Dan Shen
+ Fr. Amomi Sha Ren
+ 15g Caulis Spatholobi Ji Xue Teng + Rz. Sparganii San Leng
For chronic atrophic gastritis with Spleen and Stomach Qi Stagnation:
 + Myrrh Mo Yao
+ Rx. Linderae Wu Yao
- Cx. Cinnamomi Rou Gui
For chronic atrophic gastritis with Spleen and Stomach Yin Deficiency Heat:
- Rx. Ginseng Ren Shen
+ Rx. Pseudostellariae Tai Zi Shen - Cx. Cinnamomi Rou Gui
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin - Rx. Ginseng Ren Shen
+ Rx. Pseudostellariae Tai Zi Shen
+ Fr. Amomi Sha Ren + Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ Rz. Sparganii San Leng
+ Myrrh Mo Yao + Fr. Amomi Sha Ren
+ Rx. Linderae Wu Yao + Rz. Sparganii San Leng
+ Fr. Aurantii Zhi Ke + Myrrh Mo Yao
+ Rx. Bupleuri Chai Hu + Rx. Linderae Wu Yao
For chronic atrophic gastritis with Middle Jiao Damp-Heat:
 + Rx. Glehniae/ Adenophorae Sha Shen
- Cx. Cinnamomi Rou Gui + Hb. Dendrobii Shi Hu
- Rx. Ginseng Ren Shen
For Meniere's disease:
+ Rx. Pseudostellariae Tai Zi Shen + Rz. Gastrodiae Tian Ma
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin + Rz. Pinelliae Preparatum Zhi Ban Xia
+ Fr. Amomi Sha Ren
For Sheehan's syndrome:
+ Rz. Sparganii San Leng - Rx. Astragali Huang Qi
+ Myrrh Mo Yao + Hb. Leonuri Yi Mu Cao
+ Rx. Linderae Wu Yao + Hb. Epimedii Yin Yang Huo
+ Hb. Hedyotis Bai Hua She She Cao + Placenta Hominis Zi He Che
+ Rz. Smilacis Glabrae Tu Fu Ling
For Stomach cancer with vomiting:
For Stomach cancer with thirst:
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 15g Hb. Dendrobii Shi Hu
+ 10g Rz. Polygonati Huang Jing + 10g Caulis Bambusae in Taeniam Zhu Ru
+ 15g Rx. Trichosanthis Tian Hua Fen
+ 10g Rx. Ophiopogonis Mai Men Dong + 15g Abelmoschus Esculentus Qiu Kui
+ 15g Rx. Adenophorae Nan Sha Shen
+ 6g Fr. Mume Wu Mei + 15g Calyx Kaki Ding Xiang
+ 15g Fr. Schisandrae Wu Wei Zi + 6g Rz. Zingiberis Recens Sheng Jiang
For Stomach cancer with hypersalivation:
+ 10g Pumex Fu Shi
For Stomach cancer with pain:
+ 15g Rx. Bupleuri Chai Hu
+ 3g Rz. Zingiberis Gan Jiang + 6g Rx. Aucklandiae Mu Xiang
For Stomach cancer with abdominal distention:
+ 10g Rz. Cyperi Xiang Fu
+ 30g Per. Arecae Bing Lang + 10g Sm. Momordicae Mu Bie Zi
+ 10g Cx. Magnoliae Officinalis Hou Po + 30g Hb. Chelidonii Bai Qu Cai
For Stomach cancer with dry stools:
+ 10g Fr. Aurantii Zhi Ke + Sm. Cannabis Huo Ma Ren
+ 15g Sm. Carbonisatus Arecae Bing Lang Tan + 15g Sm. Pruni Yu Li Ren
+ 6g Rx. et Rz. Rhei Da Huang
+ 15g Sm. Raphani Lai Fu Zi + 6g Natrii Sulfas Mang Xiao
For Stomach cancer with loose stools:
+ 30g Fr. Trichosanthis Gua Lou
+ Sm. Coicis Preparata Zhi Yi Yi Ren + 30g Hb. Cistanches Rou Cong Rong
+ 12g Rz. Atractylodis Cang Zhu + 6g Rx. Rumicis Yang Ti
+ 10g Catechu Er Cha
For Stomach cancer with hematochezia:
+ 10g Rz. Dioscoreae Shan Yao + 30g Hb. Agrimoniae Xian He Cao
+ 10g Fr. Chebulae He Zi + 3g Rx. Notoginseng San Qi
For Stomach cancer with hematemesis:
+ 10g Flos Sophorae Huai Hua Mi
+ 2g Chinese patent medicine
Yunnan Bai Yao
 + 10g Petiolus Carbon-
isatus Trachycarpi 		Zong Lu Pi Tan
+ 3g Rx. Notoginseng San Qi
For Stomach cancer with anemia:
+ 30g Hb. Agrimoniae Xian He Cao + Caulis Spatholobi Ji Xue Teng
+ 12g Crinis Carbonisatus Xue Yu Tan + Colla Corii Asini E Jiao
+ Rx. Salviae Miltiorrhizae Dan Shen
+ 30g Nodus Nelumbo Rhizomatis Ou Jie
+ Hb. seu Rx. Sedum Aizoom Jing Tian San Qi
+ 15g Hb. Ecliptae Mo Han Lian
For tinnitus with a stronger Yin and Blood tonifying action:
+ Placenta Hominis Zi He Che
For tinnitus with Heart Blood Deficiency:
+ 12g Cornu Cervi Degelatinum Lu Jiao Jiao + 9g Arillus Longan Long Yan Rou
+ 12g Sm. Zizyphi Spinosae Suan Zao Ren
+ 12g Plastrum Testudinis Degelatinum Gui Ban Jiao
+ 6g Fr. Alpiniae Oxyphyllae Yi Zhi Ren
For tinnitus with Liver Blood Deficiency:
+ 6g Fr. Chaenomelis Mu Gua + 9g Rx. Ophiopogonis Mai Men Dong
+ 12g Fr. Ligustri Lucidi Nu Zhen Zi
For tinnitus with Blood deficiency Heat:
+ 12g Hb. Ecliptae Mo Han Lian + 9g Rx. Bupleuri Chai Hu
For lateral epicondylitis:
+ 9g Fr. Gardeniae Zhi Zi
- Cx. Cinnamomi Rou Gui
For polyneuritis:
- Rx. Ginseng Ren Shen - Rx. Ginseng Ren Shen
+ 6g Ram. Cinnamomi Gui Zhi + 10g Rx. Codonopsis Dang Shen
+ 9g Rx. Codonopsis Dang Shen - Poria Fu Ling
+ 12g Caulis Spatholobi Ji Xue Teng + 10g Poria Rubra Chi Fu Ling
For postpartum convulsions of the four limbs, facial pallor and a floating, dispersed pulse:
+ 10g Colla Cervi Cornus Lu Jiao Jiao
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi
For secondary dysmenorrhea with Liver Qi Stagnation including hypochondriac pain and breast and abdominal fullness and pain:
For secondary dysmenorrhea with severe Blood Deficiency including dizziness, palpitations and insomnia:
+ Fr. Toosendan Chuan Lian Zi
+ Rx. Bupleuri Chai Hu
+ Caulis Spatholobi Ji Xue Teng + Rx. Linderae Wu Yao
+ Fr. Jujube Da Zao
For secondary dysmenorrhea with Kidney Deficiency including low back and leg weakness and pain:
+ Sm. Zizyphi Spinosae Suan Zao Ren
For ear pain due to Qi and Blood Deficiency:
+ Rx. Dipsaci Xu Duan
- Cx. Cinnamomi Rou Gui
 + Hb. Taxilli Sang Ji Sheng
- Poria Fu Ling + Cm. Cuscutae Tu Si Zi
- Rx. Glycyrrhizae Gan Cao
For ear pain due to Qi and Blood Deficiency with a feeling of fullness in the ear:
+ 10g Rx. Glycyrrhizae Preparata Zhi Gan Cao
- Cx. Cinnamomi Rou Gui
+ 5g Rz. Cimicifugae Sheng Ma - Poria Fu Ling
+ 10g Rz. Polygonati Huang Jing - Rx. Glycyrrhizae Gan Cao
For ear pain due to Qi and Blood Deficiency with tinnitus:
+ 10g Rx. Glycyrrhizae Preparata Zhi Gan Cao
- Cx. Cinnamomi Rou Gui
 + 5g Rz. Cimicifugae Sheng Ma
- Poria Fu Ling + 10g Rz. Polygonati Huang Jing
- Rx. Glycyrrhizae Gan Cao + 10g Rz. Acori Tatarinowii Shi Chang Pu
+ 10g Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ 5g Flos Carthami Hong Hua
+ 5g Rz. Cimicifugae Sheng Ma
For ear pain due to Qi and Blood Deficiency with a discharge of diluted, white Phlegm from the ear:
+ 10g Rz. Polygonati Huang Jing
+ 15g Magnetitum Ci Shi - Cx. Cinnamomi Rou Gui
+ 3g Rx. Bupleuri Chai Hu - Poria Fu Ling
For ear pain due to Qi and Blood Deficiency with a poor appetite:
- Rx. Glycyrrhizae Gan Cao
+ 10g Rx. Glycyrrhizae Preparata Zhi Gan Cao
- Cx. Cinnamomi Rou Gui
- Poria Fu Ling + 5g Rz. Cimicifugae Sheng Ma
- Rx. Glycyrrhizae Gan Cao + 10g Rz. Polygonati Huang Jing
+ 10g Rx. Glycyrrhizae Preparata Zhi Gan Cao + 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 5g Rz. Cimicifugae Sheng Ma + 10g Rz. Atractylodis Cang Zhu
+ 10g Rz. Polygonati Huang Jing
For ear pain due to Qi and Blood Deficiency with diarrhea:
+ 10g Fr. Oryzae Germinatus Gu Ya
- Cx. Cinnamomi Rou Gui
For ear pain due to Qi and Blood Deficiency with a numb face:
- Poria Fu Ling
- Rx. Glycyrrhizae Gan Cao
- Cx. Cinnamomi Rou Gui
 + 10g Rx. Glycyrrhizae Preparata Zhi Gan Cao
- Poria Fu Ling
- Rx. Glycyrrhizae Gan Cao + 5g Rz. Cimicifugae Sheng Ma
+ 10g Rx. Glycyrrhizae Preparata Zhi Gan Cao + 10g Rz. Polygonati Huang Jing
+ 10g Rx. Puerariae Ge Gen
+ 5g Rz. Cimicifugae Sheng Ma
For ear pain due to Qi and Blood Deficiency with cold hands and feet:
+ 10g Rz. Polygonati Huang Jing
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia - Cx. Cinnamomi Rou Gui
- Poria Fu Ling
+ 10g Pheretima Di Long - Rx. Glycyrrhizae Gan Cao
For vaginal flatulence due to Qi and Blood Deficiency:
+ 10g Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ Rz. Cimicifugae Sheng Ma + 5g Rz. Cimicifugae Sheng Ma
+ Rx. Bupleuri Chai Hu + 10g Rz. Polygonati Huang Jing
    + 5g Ram. Cinnamomi Gui Zhi