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Classical formula · Tonify Qi

Bǔ Zhōng Yì Qì Tāng

Bǔ Zhōng Yì Qì Tāng (补中益气汤, “Tonify the Middle and Augment the Qi Decoction”) comes from Pi Wei Lun - Li Dongyuan (1249 CE). Tones the Qi of the Spleen and Stomach, raises the sunken Yang.

补中益气汤 · Tonify the Middle and Augment the Qi DecoctionUpdated on
Bǔ Zhōng Yì Qì Tāng

Main action

Tones the Qi of the Spleen and Stomach, raises the sunken Yang

Created by Li Dongyuan (Li Gao), founder of the 'Earth-Spleen' school. His concept of 'internal deficiency fever' was revolutionary in TCM.

Indications

  • Organ prolapse
  • extreme fatigue
  • deficiency fever
  • chronic diarrhea
  • Spontaneous sweating
Tongue
Pale, white coating
Pulse
Empty, big and without force

Composition

HerbRoleDoseFunction
Huáng Qí 黄芪Emperor (君 jūn)15gTonifies defensive Qi, elevates Yang
Rén Shēn 人参Minister (臣 chén)9gTonifies the primordial Qi
Bái Zhú 白术Minister (臣 chén)9gTones spleen, eliminates moisture
Zhì Gān Cǎo 炙甘草Minister (臣 chén)9gTonifies Spleen Qi
Dāng Guī 当归Assistant (佐 zuǒ)6gNourishes the Blood, harmonizes nutrition
Chén Pí 陈皮Assistant (佐 zuǒ)6gRegulates Qi, prevents stagnation
Shēng Má 升麻Envoy (使 shǐ)3gRaises the Yang of the Spleen and Stomach
Chái Hú 柴胡Envoy (使 shǐ)3gRaises the Yang of the Liver and Gallbladder

The emperor–minister–assistant–envoy hierarchy (君臣佐使) describes the role of each herb in the formula.

Preparation

Decoction: boil 30 min, take 2 times/day. Also available in pill (wan)

Classical modifications

Severe uterine prolapse

Add: Yi Mu Cao (益母草) 12g

With kidney deficiency

Add: Tu Si Zi (菟丝子) 9g, Sang Ji Sheng (桑寄生) 12g

Current uses being studied

  • Uterine prolapse
  • rectal prolapse
  • Myasthenia gravis
  • Chronic fatigue
  • aplastic anemia

Precautions

  • Do not use if there is real heat or fullness
  • Avoid Yin deficiency with empty heat

Formulas must be prescribed by qualified professionals; they can interact with medications.

Profile

Chinese name
补中益气汤
English name
Tonify the Middle and Augment the Qi Decoction
Source
Pi Wei Lun - Li Dongyuan (1249 CE)
Dynasty
Jin-Yuan
Category
Tonify Qi
Constitutions
Qi Deficiency Constitution

Health notice. Educational and study content. It describes concepts of Traditional Chinese Medicine and does not replace diagnosis or treatment by a healthcare professional. Needling, medicinal herbs and invasive techniques must be applied by trained professionals. Safety guide.