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Bu Zhong Yi Qi Tang

From "Zang Fu Syndromes," by McDonald and Penner

English: Tonify the Middle and Augment the Qi Decoction

Also known as: Ginseng and Astragalus Combination or Decoction for Reinforcing the Center and Replenishing Qi

• Ingredients
• Actions
• Syndromes
• Clinical Manifestations
• Treats
• Contraindications
• Modifications

Latin	Pinyin	Dosage	Actions
Rx. Astragali	Huang Qi	4-24g	Strongly tonifies Qi, strengthens SP and raises SP Yang. With Ren Shen, for Qi Xu with general debility, anorexia and spontaneous perspiration. With Bai Zhu, for SP Qi Xu with weakness, lassitude and loose stools.
Rx. Ginseng	Ren Shen	4-12g	Strongly tonifies Qi, reinforces Yang and harmonizes MJ. With Bai Zhu and Zhi Gan Cao, assists Huang Qi in strengthening Qi.
(Rx. Codonopsis)	(Dang Shen)	(8-30g)	(Substitute for Ren Shen.)
Rz. Atractylodis Albae	Bai Zhu	4-12g	Strengthens SP and dries Dampness.
Rx. Glycyrrhizae (fried)	Zhi Gan Cao	1-6g	Tonifies SP and harmonizes.
Rx. Angelicae Sinensis	Dang Gui	3-12g	Tonifies Qi of Blood and invigorates and harmonizes Blood. With Huang Qi, Ren Shen, Bai Zhu and Zhi Gan Cao, augments Qi by Invigorating Blood.
Per. Citri Reticulatae	Chen Pi	2-9g	Regulates Qi, tonifies SP, assists raising Qi, aids digestion of tonics and prevents bloating which may accompany Qi tonics.
Rx. Cimicifugae	Sheng Ma	1-6g	Raises Yang, raises sunken Qi and guides other herbs upwards. With Chai Hu and Huang Qi, raises Sunken Yang.
Rx. Bupleuri	Chai Hu	2-9g	Raises Yang Qi and relieves stagnation.
(Rz. Zingiberis Recens)	(Sheng Jiang)	(2-6g)	(Variation of formula - with Da Zao, harmonizes and protects SP / ST.)
(Fr. Zizyphi Jujube)	(Da Zao)	(2-6g)	(Variation of formula.)

Tonifies MJ Qi, Regulates Qi and Raises Sunken Yang.

Central Qi Sinking

SP Not Governing Blood

Intermittent fever (worse on exertion) Aversion to Cold Shortness of breath Tendency to curl up Shiny, pale complexion Abdominal distention Anorexia Night sweats Bleeding

Spontaneous perspiration Desire for warm beverages Laconic speech Weak limbs Loose and watery stools Headache Prolapse of any organ Suppuration Maybe cough Vertigo

T: Pale Sensitivity of back to Cold and Wind

C: White Leukorrhea

P: Rootless at right - middle position or Weak and forceless or Big

Aftermath of severe illness First or second degree prolapsed uterus Gastric prolapse Functional Uterine Bleeding Post partum urinary incontinence Insufficient lactation Corneal ulcers Pernicious anemia Chronic nephritis Chronic gonorrhea Nephroptosis Neurasthenia Umbilical palpitations Hernia Uterine bleeding Chronic Functional Immune Deficiency Syndrome (CFIDS) Hemorrhage Early menstruation

Chronic bronchitis Prolapsed rectum Recurrent miscarriage Leukorrhea Post partum lochioschesis Chronic hepatitis Cerebral arterial sclerosis Leukopenia Myasthenia Gravis Ephidrosis Chronic gastritis Bleeding hemorrhoids Summer weight loss Irritable bowel syndrome Epstein Barr Monoplegia Persistent malaria Lethargy Chronic diarrhea

SP Xu.

For a stronger effect: + Fr. Citri Aurantii Zhi Ke + More Rx. Astragali Huang Qi

For SP Not Governing Blood: + Gel. Corii Asini E Jiao + Fol. Artemisiae Argyi Ai Ye

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