📚Educational reference only — not medical advice.
Spleen-Restoring Decoction
正體類要湯劑
Source-based · educational reference
Source
正體類要
Composition
Ginseng, Atractylodes macrocephala (earth-fried), Poria with hostwood, Ziziphus seed (fried), Longan aril 2 qian, Astragalus root (honey-fried) 1.5 qian, Angelica sinensis root (wine-washed), Polygala root 1 qian, Aucklandia root, Licorice root (honey-fried) 5 fen; decoct with ginger and jujube.
Preparation
Decoct in water and take.
Form
湯劑
Function
Tonify Qi and Tonify Blood, strengthen the Spleen and nourish the Heart.
Traditional indications
1. Pattern of dual deficiency of Heart and Spleen Qi and Blood. Palpitations, severe palpitations, forgetfulness, insomnia, night sweats, deficiency heat, poor appetite, fatigue, sallow complexion, pale tongue with thin white coating, fine and slow pulse.
2. Pattern of Spleen failing to manage Blood. Bloody stool, subcutaneous purpura, uterine bleeding in women, early menstruation, heavy flow with pale color, or incessant dripping, or leukorrhea.
Modifications
If menstrual irregularity with a wiry, thin pulse: combine with Xiaoyao San.
-- If Yang deficiency is severe, with easy fatigue, generalized lassitude, and a pale, enlarged tongue with teeth marks and a slippery, watery coating: add dried ginger: 10, prepared Aconite root: 10.
-- Gastrointestinal bleeding with cold predominance and a pale, enlarged tongue: add prepared ginger: 10, Panax notoginseng: 3.
-- Uterine bleeding with blood loss and cold predominance: add charred Mugwort leaf: 10, prepared ginger: 10.
-- Uterine bleeding with blood loss and heat predominance: add charred Rehmannia root: 10, yellow gelatin: 10, charred Trachycarpus petiole: 10.
-- Bleeding from gastric or duodenal ulcer: add Sanguisorba root: 10, Bletilla rhizome: 3, Panax notoginseng: 3.
-- Uterine bleeding: add yellow gelatin: 10, Mugwort leaf: 10.
-- Aplastic anemia: add Cuscuta seed: 10, salt-processed Morinda root: 10, Psoralea fruit: 10, Lycium fruit: 10.
-- Thrombocytopenic purpura: add Salvia root: 15, Spatholobus stem: 30, Agrimonia herb: 30, yellow gelatin: 10, peanut skin: 30.
-- Thrombocytopenic purpura that has not healed after long treatment: add prepared Polygonum multiflorum root: 10, Epimedium herb: 10, deer antler glue: 10, Panax notoginseng: 3.
-- Thrombocytopenic purpura with heat signs: add yellow gelatin: 10, prepared Polygonum multiflorum root: 10, Panax notoginseng: 3, Forsythia fruit: 10, Phellodendron bark: 10.
Cautions
It is contraindicated for all those with yin deficiency and fire hyperactivity but without Qi and Blood depletion.