【Chinese Name】 |
歸脾湯
|
【Phonetic】 |
Gui Pi Tang
|
【English Name】 |
Spleen-Restoring Decoction |
【Classification】 |
Tonic formulas |
【Source】 |
《Categorized Synopsis of the Whole》Zheng Ti Lei Yao《正體類要》 |
【Combination】 |
Atractylodis Macrocephalae Rhizoma (Bai Zhu) 1 qian (3g), Angelicae Sinensis Radix (Dang Gui) 1 qian (3g), Poria (Fu Ling) 1 qian (3g), Astragali Radix (Huang Qi) 1 qian (3g), Polygalae Radix (Yuan Zhi) 1 qian (3g), Longan Arillus (Long Yan Rou) 1 qian (3g), Ziziphi Spinosae Semen (Suan Zao Ren dry-fried) 1 qian (3g), Ginseng Radix et Rhizoma (Ren Shen) 1 qian (6g), Aucklandiae Radix (Mu Xiang) 5 fen (1.5g), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 3 fen (1g) |
【Method】 |
Add all of the medicinals of the formula, plus sheng jiang and da zao, into water and decoct them. |
【Action】 |
Boosts qi, supplements blood; fortifies the spleen, and nourishes the heart. |
【Indication】 |
1. Qi and blood deficiency of the heart and spleen marked by palpitations, amnesia, insomnia, night sweat, deficiency-heat, tiredness, reduced food intake, withered-sallow complexion, a pale tongue with a thin, white coating, and thready, weak pulses. 2. Spleen deficiency that fails to control the blood marked by hematochezia, subcutaneous purpura, flooding and spotting (beng lou), early menstruation, profuse pale menses, persistent vaginal bleeding, a pale tongue, and thready, weak pulses. |
【Pathogenesis】 |
Gui Pi Tang is used to treat qi and blood depletion due to overthinking or overwork. Overthinking damages the spleen. The spleen controls thinking and keeps the blood within the vessels. Therefore, patients manifest tiredness, anorexia, and deficiency-heat. Overwork injures the heart. The heart stores the spirit and governs blood and vessels. Therefore, patients present with blood insufficiency signs including palpitations, amnesia, insomnia, and night sweat. The other symptoms such as withered-sallow complexion, a pale tongue with a thin, white coating, and thready, slow pulses all indicate qi and blood insufficiency. Spleen deficiency and qi-blood deficiency is the basic pathology. |
【Application】 |
1. Essential pattern differentiation Gui Pi Tang is commonly used to treat qi and blood deficiency of the heart and spleen. This clinical pattern is marked by palpitations, insomnia, lassitude, anorexia, hematochezia, flooding and spotting, pale tongue, thready, weak pulse. 2. Modern applications Gui Pi Tang is often used to treat the following diseases with patterns identified as spleen-heart qi-blood deficiency or spleen failing to govern the blood: bleeding resulting from gastro-duodenal ulcer, dysfunctional uterine bleeding, aplastic anemia, thrombopenic purpura, neurasthenia, and cardiopathy. |
【Remark】 |
1. Aucklandia lappa is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix I. This speice is highly protected and the wild specice for commercial trade purposes is banned. 2. Ginseng |
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