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Anti-nue Boost the Qi

Kang Nue Bu Shong Yi Qi Tang   

This formula is based on Ye Tian-shi’s modification of Li Dong-yuan’s Bu Zhong Yi Qi Tang for the treatment of taxation nue or "malaria" as found in Ye Tian Shi Zhen Zhi Da Quan (A Great Compendium of Ye Tian-shi’s Diagnoses & Treatments) compiled by Chen Ke-zheng and published by the Chinese National Chinese Medicine & Medicinals Press, Beijing, 1995. Other ingredients have been added based on Bob Flaws’s research and clinical experience. The formula is made from a 10:1 concentrated extract.
 

Ingredients:
Huang Qi (Radix Astragali)
processed He Shou Wu (Radix Polygoni Multiflori)
Niu Xi (Radix Achyranthis Bidentatae)
Dang Shen (Radix Codonopsitis)
Bai Zhu (Rhizoma Atractylodis Macrocephalae)
Zhi Mu (Rhizoma Anemarrhenae)
Wu Mei (Fructus Mume)
Cao Guo (Fructus Amomi Tsao-kuo)
mix-fried Gan Cao (Radix Glycyrrhizae)
Dang Gui (Radix Angelicae Sinensis)
Chen Pi (Pericarpium Citri Reticulatae)
Sheng Ma (Rhizoma Cimicifugae)
Chai Hu (Radix Bupleuri)

Indications: This formula is for the treatment of lao nue or taxation malaria-like disorders characterized by chronic extreme fatigue and recurrent low-grade fevers due to a combination of qi and yin vacuities with vacuity heat harassing internally and liver depression qi stagnation. Many Western patients with chronic fatigue immune deficiency syndrome (CFIDS) exhibit this combination of patterns as well as many others with fibromyalgia.
 

The signs and symptoms of spleen qi vacuity include:

• Fatigue, especially after eating

• Abdominal bloating after eating

• A tendency to loose stools but possibly constipation

• Cold hands and feet

• Lack of strength in the four extremities

• Dizziness when standing up

• Easy bruising

• Easy contraction of colds and flus

• A swollen tongue with teeth-marks on its edges

• A fine pulse which is often soggy or soft in the right bar position

The signs and symptoms of liver blood-kidney yin vacuity with vacuity heat include:

• Night sweats

• Hot flashes

• Heat in the five hearts or centers

• Tinnitus

• Dizziness

• Thirst or a dry mouth but little or no desire to drink

• Recurrent, dry, sore throat, especially in the evening and upon waking

• Malar and/or auricular flushing in the afternoon or early evening

• Stiffness of the sinews

• Numbness and/or tingling of the extremities

• Matitudinal insomnia

• A pale red tongue or a pale tongue with red tip and scanty tongue fur

• A fine, rapid or possibly floating, surging pulse

The signs and symptoms of liver depression include:

• Premenstrual or menstrual lower abdominal distention

• Lower abdominal cramping

• Premenstrual breast distention and pain

• Irritability Emotional depression

• A bowstring pulse

Combinations
For insomnia and heart palpitations, this formula can be combined with Suan Zao Ren Tang Wan (Zizyphus Spinosa Decoction Pills) or with An Shen Bu Xin Wan (Quiet the Spirit and Supplement the Heart Pills). For dry, sore throat, this formula can be combined with Mai Wei Di Huang Wan (Ophiopogon & Schisandra Rehmannia Pills), Gu Ben Wan (Secure the Root Pills), or Sheng Mai San (Engender the Pulse Powder). However, do not use the first two of these formulas if there are loose stools or diarrhea. For swollen glands due to phlegm nodulation, this formula can be combined with Hai Zao San (Sargassum Pills). If liver-spleen disharmony is pronounced or there is pronounced menstrual irregularity, this formula can be combined with Xiao Yao Wan (Rambling Pills). For even stronger supplementation of the spleen and boosting of the qi, one can combine this formula with Shen Qi Da Bu Wan (Ginseng & Astragalus Greatly Supplementing Pills), while for even stronger supplementation of yin and clearing of vacuity heat, it can be combined with Da Bu Yin Wan (Great Supplementing Yin Pills), etc.

Dosage
Three capsules two times per day equal not less than 30 g of raw medicinals. However, because our extraction process is so much more efficient than stovetop decoction, we believe this amount of our extract is actually more like the equivalent of 45 g of bulk-dispensed herbs.
 

Formula explanation
Astragalus, Codonopsis, mix-fried Licorice, and Atractylodes Macrocephala all fortify the spleen and boost the qi. Astragalus and Atractylodes particularly supplement and secure the defensive qi. Bupleurum and Cimicifuga upbear yang and disinhibit the qi mechanism. Rectification of the qi is also aided by Citrus’s harmonizing of the stomach and downbearing of turbidity. Because Buplerum and Cimicifuga both also resolve the exterior, these two ingredients in small doses can out-thrust any lingering exterior evils as well as exteriorize evils hidden or latent in the blood division. Dang Gui and Polygonum Multiflorum both nourish and supplement the blood. Nourishment of liver blood indirectly promotes the liver’s function of coursing and discharging. Dang Gui also quickens the blood, while Polygonum Multiflorum has some ability to quiet the spirit. The combination of Dang Gui, Polygonum Multiflorum, and Achyranthes supplements yin and nourishes the sinews. Achyranthes also leads the blood and, therefore, ministerial fire back downward to its lower source, especially when combined with Anemarrhena which enriches yin and clears vacuity heat. Mume engenders fluids, kills parasites, astringes the lung and large intestine qi, and, according to Ye Tian-shi, restrains or controls liver repletion. Cao Guo strongly dries dampness, stops malarial disorders, and rectifies the qi. The combination of Cao Guo, Anemarrhena, and Bupleurum is a recognized anti-nue combination recommended by Bensky & Gamble. Likewise, Wiseman & Feng recommend the combination of Polygonum Multiflorum, Achyranthes, and Mume for taxation nue, while the Qing dynasty writer, Xin Fu -zhong, recommends the combination of Mume and Cao Guo for taxation nue. The idea that many cases of CFIDS manifest qi and yin vacuities with vacuity heat and liver depression is corroborated by Yin Heng-ze in Shang Hai Zhong Yi Yao Za Zhi (The Shanghai Journal of Chinese Medicine & Medicinals), #3, 1999, p. 19-20.
 

Research outcomes:
Thirty-three patients with wind cold allergic rhinitis and an underlying lung-spleen vacuity were given a single course of treatment with this formula and then followed for six months. In six cases, their symptoms disappeared and did not recur for the full six months of the study. In 23 cases, their symptoms recurred after more than three months but less than six months. However, repeat treatment was able to eliminate their symptoms. Only four cases got no effect. Thus the total effectiveness of this formula was 87.8%.

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