HERB FORMULAS

HUANG QI REN SHEN TANG - 黄芪痰人汤 - ASTRAGALUS AND GINSENG DECOCTION

English: Astragalus and Ginseng Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Astragali Huang Qi 15g Tonifies Qi and Blood, strengthens the Spleen, raises the Yang Qi of the Spleen and Stomach, tonifies Wei Qi, stabilizes the exterior, tonifies the Lungs, promotes urination and reduces edema.
With Ren Shen, for Qi Deficiency with general debility, anorexia, fatigue, tired extremities and spontaneous sweat.
With Bai Zhu, for Spleen Qi Deficiency with weakness, lassitude and loose stools.
With Mai Men Dong and Wu Wei Zi, for night sweats.
With Sheng Ma, raises Yang Qi of the Spleen, allowing turbid Yin to descend and be eliminated, treating chronic diarrhea, a dragging sensation in the abdomen, fatigue, shortness of breath, uterine bleeding and prolapses.
Rz. Cimicifugae Sheng Ma 4.5g Releases the exterior, clears Heat, relieves toxicity, raises Yang and lifts Sunken Qi.
With Dang Gui, raises the clear Qi, allowing turbidity to descend and moistening the Intestines.
Per Citri Reticulatae Chen Pi 6g Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm, descends Qi and helps prevent Stagnation from tonic herbs.
With Bai Zhu, for anorexia and other symptoms of Damp-Obstruction due to Spleen Deficiency.
Rx. Ginseng Ren Shen 9g Powerfully tonifies Yuan Qi, tonifies Spleen and Stomach Qi, Lung Qi, Heart Qi and calms the Spirit. Generates Body Fluids, stops thirst and tonifies Qi in Deficiency patients with Exterior conditions.
With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
With Huang Qi, for Lung Qi Deficiency.
Rx. Ophiopogonis Mai Men Dong 12g Moistens the Lungs, nourishes the Yin, stops cough, nourishes Stomach Yin, generates fluids.
With Ren Shen and Wu Wei Zi, for symptoms associated with excessive loss of fluids in Summerheat disorders and Qi and Yin Deficiencies with fatigue, shortness of breath thirst and dry mouth.
With Huang Qi, Dang Gui and Wu Wei Zi, for irritability due to severe loss of fluids due to sweating.
Rz. Atractylodis Macrocephalae Bai Zhu 9g Tonifies the Spleen, augments Qi, dries Dampness, promotes water metabolism, stabilizes the exterior and stops sweating.
Rz. Atractylodes Cang Zhu 9g Strongly dries Dampness and tonifies the Spleen, i Induces sweating, expels Wind-Dampness and clears Dampness from the Lower Jiao.
With Xiang Fu, for chest, epigastric and abdominal pain, distention and discomfort due to Dampness and Qi Obstruction.
With Huang Bai, for pain, swelling, and weakness of the lower extremities or skin lesions due to Wind-Dampness.
With Bai Zhu, for musculoskeletal disorders of the arms and shoulders due to Phlegm Stagnation.
Cx. Phellodendri Huang Bai 9g Drains Damp-Heat especially from the Lower Jiao.
With Zhi Mu, for Lower Jiao Damp-Heat.
With Cang Zhu, eliminates Dampness and clears Heat.
Massa Medicata Fermentata Shen Qu 3g Reduces Food Stagnation, promotes digestion, harmonizes the Stomach and moves Qi.
With Bai Zhu, for Food Stagnation and diarrhea due to Spleen Deficiency.
Rx. Angelicae Sinensis Dang Gui 9g Tonifies, invigorates and harmonizes the Blood, disperses Cold, stops cough and treats dyspnea.
With Huang Qi, for Qi and Blood Deficiencies.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 4.5g Tonifies the Spleen, augments Qi, moistens the Lungs, resolves Phlegm, stops cough and moderates and harmonizes the harsh properties of other herbs.
Fr. Schisandrae Wu Wei Zi 9g Contains leakage of Lung Qi, stops cough, astringes sweat, generates fluids and tonifies Qi.
With Ren Shen and Mai Men Dong, for exhaustion of Qi and Yin with shortness of breath, cough, and thirst and spontaneous night sweats with Qi Deficiency.
With Huang Qi, for Yang Deficiency with spontaneous sweat.
Rz. Cyperi Xiang Fu 9g Spreads and regulates Liver Qi.
Rz. Anemarrhenae Zhi Mu 9g Clears Heat from the Qi Stage, from the Lung and from the Stomach, drains Fire, nourishes Yin, moistens Dryness, generates fluids, clears Deficiency Fire, quenches thirst and ameliorates the Dryness of tonifying or warming herbs.

FORMULA ACTIONS

  • Tonifies Qi and Blood
  • Strengthens the Spleen
  • Raises the Yang Qi of the Spleen and Stomach
  • Tonifies Wei Qi
  • Releases the exterior
  • Clears Heat
  • Relieves toxicity
  • Regulates Qi
  • Adjusts the Middle
  • Dries Dampness
  • Transforms Phlegm
  • Descends Qi
  • Nourishes the Yin
  • Generates fluids
  • Astringes sweat
  • Clears Deficiency Heat above
  • Clears Damp-Heat below
  • Strengthens Heart, Spleen and Kidney Qi
  • Rectifies the Chong Mai, Du Mai and Ren Mai
  • Promotes the ascension of the Clear and the descension of the turbid

SYNDROMES

  • Summerheat Damaging the Spleen Qi
  • Damp-Heat in the Middle Jiao with Heart, Spleen and Kidney Qi Deficiency

CLINICAL MANIFESTATIONS

  • Fatigue
  • Somnolence
  • Debilitated limbs
  • Insufficient essence spirit
  • Atonic flaccidity of the legs
  • Cold inversion in the mornings and evening, and Fire-like Heat coming back with the Yang Qi becoming effulgent at mid day
  • Pain in the upper and lower back
  • Frequent headache
  • Inability to take in food
  • No desire to eat
  • Particularly severe spontaneous sweating
  • A feeling of chills shrouding the skin and hair. 
  • All symptoms are exacerbated by hot weather
  • Inability to taste food
  • Fire sparks emitted in the eyes
  • Blurred vision
  • Frequent urination
  • Difficult voiding of bound stools
  • Ventral pain in the cardiac region
  • Flank pain Acute spasm or tightening below the umbilicus as if bound by ropes or in the extreme, stabbing lower abdominal pain
  • Difficulty relaxing the abdomen
  • Obstruction in the chest
  • Frequent retching or dry retching or coughing with phlegm, foaming at the mouth
  • Rigidity of the tongue
  • Pain in the eyes
  • Scapular pain
  • Lethargy
  • Anorexia
  • Maybe jaundice
  • No thirst or
  • Thirst with no desire to drink
  • Nausea
  • Vomiting
  • Afternoon fever
  • Body aches
  • A sallow complexion
  • Scanty urination
  • Diarrhea
  • Chest discomfort
  • Epigastric pain and distention
  • Dull appearance
  • Maybe disorientation
  • Loose stools
  • Maybe skin vesicles
  • Heavy extremities
  • T: Pink
  • C: Greasy and yellow
  • P: Soft and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For Fall allergic rhinitis where Summerheat has damaged the Spleen Qi: For Fall allergic rhinitis where Summerheat has damaged the Spleen Qi with marked Liver Qi Stagnation:
- Rx. Ginseng Ren Shen - Rx. Ginseng Ren Shen
- Rz Cyperi Xiang Fu - Rz Cyperi Xiang Fu
- Rz. Anemarrhenae Zhi Mu - Rz. Anemarrhenae Zhi Mu
+ 9g Rx. Saposhnikoviae Fang Feng + 9g Rx. Saposhnikoviae Fang Feng
For Fall allergic rhinitis where Summerheat has damaged the Spleen Qi with marked worry damaging the Heart and Spleen:
+ 3-9g Rx. Bupleuri Chai Hu
- Rx. Ginseng Ren Shen For candidiasis due to Damp-Heat in the Middle Jiao with Heart, Spleen and Kidney Qi Deficiency:
- Rz Cyperi Xiang Fu
- Rz. Anemarrhenae Zhi Mu - Rz. Cyperi Xiang Fu
+ 9g Rx. Saposhnikoviae Fang Feng - Rz. Anemarrhenae Zhi Mu
+ 6g Rx. Aucklandiae Mu Xiang For candidiasis due to Damp-Heat in the Middle Jiao with Heart and Spleen Qi Deficiency and Kidney Yang Deficiency:
+ 6g Fr. Amomi Sha Ren
    - Rz. Cyperi Xiang Fu
    - Rz. Anemarrhenae Zhi Mu
    - Massa Massa Medicata Fermentata Shen Qu
   
    - Fr. Schisandrae Wu Wei Zi
    + Hb. Curculiginis Xian Mao
    + Hb. Epimedii Yin Yang Huo