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Four Gentlemen Decoction
 

This formula comes from the Song Dynasty Tai Ping Hui Men He Hi Ju Fang (Tai Ping Imperical Grace Formulary). Our version is a 10:1 powdered extract in 500 mg gelatin capsules.

Rx:
Ren Shen (Radix Ginseng)
Bai Zhu (Rhizoma Atractylodis Macrocephalae)
Fu Ling (Poria)
mix-fried Gan Cao (Radix Glycyrrhizae)

Functions: Fortifies the spleen and supplements the qi

Indications: Spleen qi vacuity manifesting as gastrointestinal weakness, indigestion, chronic gastritis, anemia, nausea and vomiting, diarrhea, etc.

Signs & symptoms of spleen qi vacuity include:

• Fatigue

• Lack of strength

• Dizziness standing up

• Easy bruising

• Shortness of breath

• Possible lack of appetite

• Possible loose stools

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

• A forceless, possibly fine pulse

Formula explanation: Ren Shen is the sovereign medicinal in this formula. It is sweet, warm, and greatly supplements the source or original qi. It also fortifies the spleen and nourishes the stomach. Bai Zhu is the minister. It is bitter, warm, and fortifies the spleen and dries dampness. The assistant is Fu Ling which is sweet and bland, seeps dampness and fortifies the spleen. Used together, Fu Ling and Bai Zhu­'s ability to fortify the spleen and eliminate dampness are strengthened, thus promoting movement and transformation. The messenger or guide in this formula is mix-fried Gan Cao. It is sweet, warm, and regulates the center.

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 33 grams. Because of the 10:1 concentration ratio and the efficiency of our manufacturing process it would take only 5 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 patients does present the signs and symptoms of:

Spleen qi vacuity Yes No
 

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