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Restore the Spleen Decoction
 

This formula comes from Yan Hong-he’s Song dynasty Ji Sheng Fang (Formulas to Aid the Living) published in 1253 CE. Our version is a 10:1 powdered extract in 500 mg gelatin capsules.

Rx:
Huang Qi (Radix Astragali)
Long Yan Rou (Arillus Longanae)
Fu Ling (Poria)
Suan Zao Ren (Semen Zizyphi Spinosae)
Ren Shen (Radix Ginseng)
Dang Gui (Radix Angelicae Sinensis)
Bai Zhu (Rhizoma Atractylodis Macrocephalae)
Yuan Zhi (Radix Polygalae)
Da Zao (Fructus Jujubae)
Mu Xiang (Radix Auklandiae)
Sheng Jiang (uncooked Rhizoma Zingiberis)
mix-fried Gan Cao (Radix Glycyrrhizae)

Functions: Boosts the qi and supplements the blood, fortifies the spleen and nourishes the heart

Indications: 1) Heart-spleen dual vacuity, taxation damage of the heart and spleen, qi and blood insufficiency, 2) spleen not containing the blood manifesting as neurasthenia, gastric and duodenal ulcers, functional uterine bleeding, thrombocytopenic purpura, aplastic anemia, common anemia, chronic hemorrhagic disorders, menorrhagia, post-concussion syndrome, myasthenia gravis, congestive heart disease, supraventricu­lar tachycardia, palpitations, cervicitis, uterine cancer, leukemia, insomnia, poor memory, genital itching, nocturnal emission, impo­tence, and chronic gonorrhea

Signs & symptoms of heart-spleen dual vacuity include:

• Heart palpitations

• Impaired memory

• Insomnia

• Profuse dreams

• Fatigue

• Lack of strength

• Shortness of breath

• Spontaneous perspiration

• Night sweats

• Pale nails, lips, under-eyelids, facial complexion

• A pale, enlarged tongue

Signs & symptoms of spleen not containing the blood include:

• Fatigue

• Lack of strength

• Easy bruising

• Orthostatic hypotension

• An enlarged tongue with teeth-marks on its edges and/or cracks in its center

• A fine, forceless pulse

• Pathological bleeding

Formula explanation: Within this formula, Ren Shen, Huang Qi, Bai Zhu, Gan Cao, Sheng Jiang, and Da Zao are all sweet and warm, supplement the spleen, and boost the qi. Dang Gui is sweet and acrid. It warms and nourishes the liver and engenders heart blood. Fu Ling, Suan Zao Ren, and Long Yan Rou are sweet and level or neutral in nature. They nourish the heart and quiet the spirit. Yuan Zhi joins and frees the flow between the heart and kidneys. It also stabilizes the mind and tranquilizes the heart. Mu Xiang rectifies the qi and arouses the spleen. This ingredient is added because qi-boosting, blood-supplementing formulas use enriching, slimy ingredients which may stagnate the qi and hinder the spleen and stomach's function of movement and transforma­tion. In addition, if the spleen becomes vacuous and weak, it a) commonly also becomes encumbered by dampness and B) the liver becomes depressed or more depressed.

Dosage: According to Him-che Yeung in Handbook of Chinese Herbs and Formulas, Vol. 2, the standard daily dose in decoction for this formula is 108 grams. Because of the 10:1 concentration ratio and the efficiency of our manufacturing process it would take only 15 capsules per day of Blue Poppy's version of this formula to equal the standard daily dose. The actual prescribed dose should be determined by the practitioner on a case by case basis.

My patient does present the signs and symptoms of:

Heart-spleen dual vacuity Yes No
Spleen not containing the blood Yes No

(Patient does not have to manifest both patterns simultaneously.)
 

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