Tonify the Middle and Augment the Qi Decoction
Chinese Prescription: Bu Zhong Yi Qi Tang
English Translation: Tonify the Middle and Augment the Qi Decoction
Formula Type: Tonifes the Qi of the Middle Burner and Raises Sunken Yang
Actions: Tonifies the middle burner, augments the qi, raises the yang, & lifts what has sunken.
Indications: Used to treat three different patterns that may occur alone or in conjunction with each other. 1. Spleen & Stomach deficiency with inability to raise the clear characterized by dizziness, unsteadiness, impaired or unclear vision, deafness, tinnitus, shortness of breath, laconic speech, a weak voice, a shiny, pale complexion, reduced food intake, loose stools, a pale tongue, & a frail pulse. 2. Qi deficiency fever. Typically this manifests as intermittent fever that worsens upon exertion, spontaneous sweating, aversion to cold, a thirst for warm beverages, a pale & swollen tongue, & a large but forcelss pulse. 3. Sinking of the middle burner qi characterized by hemorrhoids, rectal or uterine prolapse, prolapse of the internal organs, chronic diarrhea or dysentery, irregular uterine bleeding, reduced food intake, loose stools, a pale tongue, & a deficient & soft pulse.
Contraindications: Contraindicated for fever due to heat from yin deficiency or for excess disorders caused by contraction of external pathogens. Also contraindicated for patterns rooted in deficiency of the lower base. This formula is not indicated for all instances of prolapse, but only in those due to qi deficiency.
Pinyin | English | Suggested Dosage |
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view: Huang Qi |
Astragalus | 3g (12-24g) |
view: Ren Shen |
Panax Ginseng | 0.9g (9-12g) |
view: Bai Zhu |
White Atractylodes | 0.9g (9-12g) |
view: Zhi Gan Cao |
Honey-fried Licorice | 1.5g (3-6g) |
view: Dang Gui |
Angelica Sinensis | 6g (6-12g) |
view: Chen Pi |
Tangerine / Citrus Peel | 0.9g (6-9g) |
view: Sheng Ma |
Black Cohosh/Bugbane Root | 0.9g (3-6g) |
view: Chai Hu |
Bupleurum | 0.9g (3-9g) |
Huang Qi / Astragalus | |||
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Taste: Sweet • Temperature: Slightly Warm • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage9-30g, 30-60g exceptional cases |
Actions1. Tonifies the Spleen & augments the qi: for Spleen deficiency presenting with lack of appetite, fatigue, & diarrhea.2. Raises the yang qi of the Spleen & Stomach: for prolapse disorders such as prolapsed uterus, stomach, or rectum; also for uterine bleeding. 3. Augments the protective qi & stabilizes the exterior: for deficiency with spontaneous sweating, as the herb stabilizes the protective qi. It also tonifies the Lungs & is used for frequent colds or shortness of breath. Depending on the combination of herbs, it may be used for excessive sweating associated with qi, yang, or yin deficiency. Its action in stabilizing the exterior may be used to produce a therapeutic sweat when diaphoretics do not work. 4. Tonifies the qi & blood: for post partum fever due to qi & blood deficiency. Also used in the recovery stage from severe loss of blood. 5. Promotes urination & reduces edema: for edema from deficiency. 6. Promotes the discharge of pus & generates flesh: for chronic ulceration & sores due to deficiency that have formed pus but have not drained or healed well. 7. In appropriate circumstances, for wasting & thirsting disorder, numbness of the limbs, paralysis, & painful obstruction. |
MeridiansLung, Spleen |
CautionsSince this herb raises the yang, tonifies the qi, & stabilizes the exterior, it should no be used in cases of exterior excess, qi stagnation, damp obstruction, food stagnation, yin deficiency with heat signs, or skin lesions neither in their early stages nor where there is heat toxin. |
Ren Shen / Panax Ginseng | |||
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Taste: Sweet, Slightly Bitter • Temperature: Slightly Warm • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage1-9g, up to 30 grams (hemorrhagic shock) |
ActionsRen Shen / Panax Ginseng is used in treating patterns of qi, yang & yin deficiency.1. Strongly tonifies the basal qi: for extreme collapse of the qi or abandoned conditions that manifest in shallow respiration, shortness of breath, cold limbs, profuse sweating, & a minute or weak pulse. The herb is used alone for this condition after severe loss of blood. 2. Tonifies the Lungs & augments the qi: for wheezing, shortness of breath, & labored breathing with exertion caused by Lung qi deficiency. There is usually also a concurrent failure of the Kidneys to grasp the qi. 3. Strengthens the Spleen & tonifies the Stomach: for lethargy, lack of appetite, chest & abdominal distention, chronic diarrhea, & in severe cases, prolapse of the stomach, uterus, or rectum. 4. Generates fluids & stops thirst: for wasting & thirsting disorders, as well as in cases when the qi & fluids have been injured by high fever & profuse sweating. 5. Benefits the Heart qi & calms the spirit: for palpitations with anxiety, insomnia, forgetfulness, & restlessness due to qi & blood deficiency. Notes: Red Ginseng is more warming than White Ginseng. American Ginseng is considered cool and is better suited for those patients having a tendency towards heat signs. |
MeridiansLung, Spleen |
CautionsContraindicated in cases of yin deficiency with heat signs, heat excess, or in the absence of significant qi deficiency. Contraindicated for hypertensive patient with ascendant Liver yang, & in cases of very high blood pressure (systolic over 180mmHg). Overdose can lead to headache, insomnia, palpitations, & a rise in blood pressure. The traditional antidote is mung bean soup. This herb may antagonize wu ling zhi & may be incompatible with li lu. Patients taking this herb are advised to abstain from drinking tea & eating tunips, as this may reduce the effect of the herb. |
Bai Zhu / Atractylodes (White) Rhizome | |||
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Taste: Bitter, Sweet • Temperature: Warm • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage4.5-9g |
Actions1. Tonifies the Spleen & augments the qi: for Spleen or Stomach deficiency with such symptoms as diarrhea, fatigue, lack of appetite, & vomiting.2. Strengthens the Spleen & dries dampness: for digestive disorders due to Spleen yang failing to rise, with loss of its ability to transform & subsequent accumulation of dampness. Also for edema & reduced urination associated with Spleen deficiency. Used as an auxiliary herb for damp painful obstruction. 3. Stabilizes the exterior & stops sweating: for spontaneous sweating due to qi deficiency. 4. Strengthens the Spleen & calms the fetus: for restless fetus disorder, especially when due to Spleen deficiency. Also for other types of this disorder when combined with appropriate herbs. |
MeridiansSpleen, Stomach |
CautionsContraindicated in cases of yin deficiency with heat signs, or injured fluids. |
Zhi Gan Cao / Licorice Root, honey-baked | |||
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Taste: Sweet • Temperature: Warm • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage2-12g |
Actions1. Tonifies the Spleen & augments the qi: commonly used for Spleen deficiency with shortness of breath, lassitude, & loose stools. Also for qi or blood deficiency patterns with an irregular or intermittent pulse & /or palpitations.2. Moistens the Lungs & stops coughing: for coughing & wheezing. Because of its neutral properties, it can be used for either heat or cold in the Lungs. 3. Clears heat & relieves fire toxicity: used raw for carbuncles, sores, or sore throat due to fire toxin. For this purpose, it can be taken internally or applied topically. 4. Moderates spasms & alleviates pain: for painful spasms of the abdomen or legs. 5. Moderates & harmonizes the characteristics of other herbs: by virtue of its sweet, neutral, & moderating properties, this herb moderates hot & cold herbs, & mitigates the violent properties of other herbs. Since it is said to enter all 12 primary channels, it can lead & conduct other herbs into the channels. 6. Used as an antidote for a variety of toxic substances, both internally & topically. 7. The raw root clears heat & relieves toxicity, the honey-fried tonifies the middle & moderates spasms. |
MeridiansAll 12 channels (principally the Heart, Lung, Spleen, & Stomach) |
CautionsContraindicated in cases of excess dampness, nausea, or vomiting. May be in compatible with jing da ji, yuan hua, gan sui, & hai zao, & may antagonize yuan zhi. The toxicity of gan cao is very low, but if taken long-term it may cause hypertension &/or edema. Glycyrrhetinic acid has been reported to cause a reduction in the activity of the thyroid & a reducation in the basal metabolic rate. |
Dang Gui / Angelica (Chinese) Root | |||
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Taste: Sweet, Acrid, Bitter • Temperature: Warm • Category: Tonic • Sub Category: Tonify Blood | |||
Dosage3-15g |
Actions1. Tonifies the blood & regulates the meses: for patterns of blood deficiency with such symptoms as a pallid, ashen complexion, tinnitus, blurred vision, & palpitations. Also very commonly used fro blood deficiency associated with menstrual disorders such as irregular menstruation, amenorrhea, dysmenorrhea, etc.2. Invigorates & harmonizes the blood & disperses cold: an important herb for stopping pain due to blood stasis. Commonly used for abdominal pain, traumatic injury, & carbuncles due to blood stasis, especially when there is also cold from deficiency. Also used in the treatment of blood deficiency with chronic wind-damp painful obstruction. 3. Moistens the Intestiones & unblocks the bowels: for dry Intestines due to blood deficiency. 4. Reduces swelling, expels pus, generates flesh, & alleviates pain: used in treating sores & abscesses where its ability to both tonify & invigorate the blood leads to improvement. |
MeridiansHeart, Liver, Spleen |
CautionsUse with caution in cases of diarrhea or abdominal distention due to damp obstruction. Contraindicated for yin deficiency with heat signs. |
Chen Pi / Citrus (Tangerine) Peel - Aged, Matured | |||
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Taste: Acrid, Bitter • Temperature: Warm • Category: Regulate Qi • Sub Category: | |||
Dosage3-9g |
Actions1. Regulates the qi, improves the transportive funaction of the Spleen, adjusts the middle, & relieves the diaphragm: for Spleen or Stomach, stagnant qi patterns with such symptoms as epigastic or abdominal distention, fullness, bloating, belching, & nausea & vomiting. This herb promotes the movement of qi in general while specifically directing it downward. Its is therefore commonly used in treating many different types of nausea & vomiting.2. Dries dampness & transforms phlegm: an important herb for phlegm-damp coughs with a stifling sensation in the chest & /or diaphragm, & copious, viscous sputum. Also used for damp turbidity obstructing the middle with a stifling sensation in the chest, abdominal distention, loss of appetite, fatigue, loose stool, & a thick, greasy tongue coating. An important qi-level herb of both the Spleen & Lung channels, it is especially appropriate for disorders involving both channels. 3. Helps prevent stagnation: used with tonifying herbs to prevent their cloying nature from causing stagnation. |
MeridiansLung, Spleen, Stomach |
CautionsContraindicated in cases of dry cough due to yin or qi deficiency. Use with caution when the tongue is red, & in cases with hot phlegm or dry heat coughs, or spittting of blood. |
Sheng Ma / Black Cohosh Rhizome (Chinese) - True | |||
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Taste: Sweet, Acrid • Temperature: Cool • Category: Exterior Releasing - Cool • Sub Category: | |||
Dosage1.5-9g |
Actions1. Releases the exterior & vents measles: for headache due to exterior wind-heat or the early stages of measles.2. Clears heat & relieves toxicity: for various manifestations of fire toxin in the upper or superficial aspects of the body. It is commonly used for sore teeth, swollen or painful gums, ulcerated lips or gums, canker sores, painful & swollen throat, sores, or blotches from warm-febrile diseases. 3. Raises the yang & lifts the sunken: for middle qi deficiency leading to such symptoms as shortness of breath, fatigue, & prolapse. Also used as a messenger to guide the effects of other herbs upward. |
MeridiansLarge Intestine, Lung, Spleen, Stomach |
CautionsContraindicated in cases of heat due to yin deficiency, & for patterns where the upper is excessive & the lower is deficient. Also contraindicated in cases of fully erupted measles, & in patients with breathing difficulty. Toxicity: Overdose in humans causes headaches, dizziness, vomiting, tremor, gastroenteritits, & pathogenic erections. |
Chai Hu / Bupleurum Root | |||
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Taste: Bitter, Acrid • Temperature: Cool • Category: Exterior Releasing - Cool • Sub Category: | |||
Dosage3-12g |
Actions1. Resolves lesser yang disorders & reduces fever: for alternating chills & fever accompanied by a bitter taste in the mouth, flank pain, irritability, vomiting, & a stifling sensation in the chest associated with the lesser yang stage of externally contracted disorders.2. Spreads Liver qi & relieves constraint: for constrained Liver qi with such symptoms as dizziness, vertigo, chest & flank pain, emotional instability, or menstrual problems. Also used for disharmonies between the Liver & the Spleen with such symptoms as epigastric & flank pain, a stifling sensation in the chest, abdominal bloating, nausea, & indigestion. 3. Raises the yang qi in patterns of Spleen or Stomach deficiency: for hemorrhoids, anal or uterine prolapse, & diarrhea due to collapse of the Spleen qi. |
MeridiansGallbladder, Liver, Pericardium, Triple Burner |
CautionsContraindicated in cases of yin deficiency cough or Liver fire ascending to the head. May occasionally cause nausea or vomiting; should this occur, use only a very small dose. |