HERB FORMULAS

GUI PI TANG

English:	Restore the Spleen Decoction
Also Known As:	Ginseng and Longan Combination Decoction to Strengthen Heart and Spleen Angelica Splenic Decoction

HERBS AND ACTIONS

Pharmaceutical Latin	*Pin Yin*	Dosage	Actions
Rx. Ginseng	Ren Shen	3-15g	*Tonifies Spleen, Heart and Yuan Qi.* With Bai Zhu, tonifies the transformation and transportation functions of the Spleen. With Huang Qi, Bai Zhu and Zhi Gan Cao, tonifies the Spleen to generate Blood. With Bai Zhu and Fu Ling, for Spleen and Stomach Qi Deficiencies. With Dang Gui, Long Yan Rou and Yuan Zhi, for Heart and Spleen Deficiencies.
(Rx. Codonopsis)	(Dang Shen)	(9-45g)	(May substitute for Ren Shen.)
Rx. Astragali	Huang Qi	2-30g	Tonifies Blood and Spleen Qi. With Dang Gui, generates and nourishes Blood. With Ren Shen, for Qi Deficiency with general debility, anorexia, and spontaneous sweat. With Bai Zhu, for Spleen Qi Deficiency with weakness, lassitude and loose stools. With Long Yan Rou, Dang Gui and Suan Zao Ren, for insomnia and other signs of Qi and Blood Deficiencies.
Rz. Atractylodis	Bai Zhu	3-30g	Strengthens the Spleen and dries Dampness.
Poria	Fu Ling	3-30g	*Strengthens the Spleen and harmonizes the Middle Jiao.* With Ren Shen and Huang Qi, tonifies the Spleen. With Ren Shen and Bai Zhu for weak and deficient Spleen with fatigue, anorexia and loose stools. With Gan Cao, for Spleen and Heart Deficiency causing facial edema, palpitations, and short-ness of breath. With Dang Shen, Suan Zao Ren and Long Yan Rou, for Insomnia due to Spleen and Heart Insufficiency.
(Scl. Poriae Pararadicis)	(Fu Shen)	(3-30g.)	*(Usually used in place of Fu Ling. Pacifies the Heart, calms the Shen* and soothes the nerves.)** (With Suan Zao Ren, calms the Shen.)
Sm. Zizyphi Spinosae	Suan Zao Ren	3-30g	*Nourishes Heart Yin* and tonifies Liver Blood.** With Ren Shen, Fu Shen and Long Yan Rou, for insomnia, palpitations and irritability due to Spleen Qi and Heart Blood Deficiencies.
Arillus Longanae	Long Yan Rou	3-30g	*Nourishes the Blood, calms the Shen, and tonifies and nourishes the Heart and Spleen.* With Ren Shen, Dang Gui and Suan Zao Ren, for palpitations and insomnia due to Heart Blood Deficiency, especially in cases with Spleen Qi Deficiency.
Rx. Aucklandiae	Mu Xiang	1-15g	Regulates Qi, strengthens the Spleen and prevents indigestion due to the rich nature of the other herbs. With Bai Zhu, especially effective.
Fried Rx. Glycyrrhizae	Zhi Gan Cao	1-7.5g	Harmonizes and tonifies Qi. With Fu Ling and Dang Shen, strengthens the Spleen, augments Qi and treats palpitations due to Heart Qi Deficiency. With Ren Shen, relieves palpitations and anxiety.
Rx. Angelicae Sinensis	Dang Gui	2-30g	Nourishes and harmonizes the Blood. With Huang Qi, for many Blood Deficiency patterns.
Fried Rx. Polygalae	Zhi Yuan Zhi	1-30g	*Calms the Shen, sedates the Heart and opens Orifices.* With Suan Zao Ren, it is especially effective because it balances the contracting, introverted and dispersing, extroverted manifestations of Spirit to ensure the proper balance of openness and sobriety. With Fu Shen and Suan Zao Ren, for symptoms of Heart Blood Deficiency. With Suan Zao Ren, Bai Zhu and Dang Gui, for palpitations and insomnia due to Qi Deficiency. With Huang Qi, Dang Gui and Long Yan Rou, for forgetfulness, palpitations and insomnia.
Rx. Zingiberis Recens	Sheng Jiang	1-12g	Aids in strengthening the Spleen. With Da Zao, improves the appetite and regulates the Ying and Wei, facilitating the actions of the formula.
Fr. Zizyphi Jujube	Da Zao	1-3g	*Nourishes the Blood, calms the Shen, tonifies the Qi and harmonizes.* With Bai Zhu and Dang Shen, for weakness and lassitude due to Spleen and Stomach Deficiency. With sheng Jiang, prevents tonics from generating Dampness in the Middle Jiao.

FORMULA ACTIONS

Augments the Qi
Nourishes the Blood
Strengthens the Spleen
Nourishes the Heart

SYNDROMES

Spleen Not Governing Blood
Heart Blood Deficiency
Heart (Blood) and Spleen (Qi) Deficiency due to worry (excessive deliberation or obsession)

CLINICAL MANIFESTATIONS

Memory loss
Forgetfulness
Absent-mindedness
Lack of concentration
Menorrhagia
Palpitations with or without anxiety
Insomnia (difficulty falling asleep)
Nightmares
Reduced appetite
Pale, wan complexion
Pale lips and nails
Early menstruation with copious pale blood
Continuous flow with little blood (spotting)
Excess perspiration
Night sweats
Irregular menstruation
Leukorrhea
Dizziness (mild and postural, worse with sitting or rising or lying down or when fatigued)
Blurred vision
Spots before the eyes
Low spirits

Depression
Bruising easily
Dream disturbed sleep
Short attention span
Anxiety
Phobias
Panic attacks
Fear
Low grade fever
Withdrawal
Fatigue and lethargy
Weakness
Genital itch
Impotence
Nocturnal emissions
Weak abdomen
Abdominal distention after eating
Premenstrual spotting
Dry skin and hair
T: Pale, maybe swollen
C: White
P: Thready and weak or Thready and moderate

TREATS

Anemia
Neurasthenia
Post-concussion syndrome
Myasthenia Gravis
Congestive heart disease
Supraventricular tachycardia
Thrombocytopenia
Thrombocytopenic purpura
Allergic purpura
Cervicitis
Functional Uterine Bleeding
Leukemia
Genital itching
Post illness convalescence
Drug abuse
Hypotension
Insomnia
Dizziness
Choroidopathy
Addiction
Irregular menstruation

Depression
Menopause
Personality disorders
Gastric ulcer
Duodenal ulcer
Aplastic anemia
Menorrhagia
Uterine cancer
Chronic bleeding
Chronic gonorrhea
Nervous exhaustion
Melancholy
Endometritis
Postconcussion syndrome
Multiple sclerosis
Postpartum convalescence
Headache
Neurological disorders
Hepatitis
Benzene poisoning

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS

Contraindicated for those with Interior Heat.
Contraindicated for those with Yin Deficiency with Heat signs.

HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For edema:		For enhancing the effect of tonifying Blood:
+ Sm. Coicis	Yi Yi Ren	+ Rx. Rehmanniae Preparata	Shu Di Huang
Rz. Alismatis	Ze Xie	For numbness in the upper extremities:
For numbness in the lower back and lower extremities:		+ Rx. et Rz. Notopterygii	Qiang Huo
+ Rx. Clematidis	Wei Ling Xian	+ Rx. Chuanxiong	Chuan Xiong
+ Rx. Angelicae Pubescens	Du Huo	For painful menstruation with clots:
+ Rz. Cyperi	Xiang Fu	+ Rx. Curcumae	Yu Jin
+ Rx. Achyranthis Bidentatae	Niu Xi	For very dark menstrual blood:
For irregular menstruation with increased Blood volume but light in color:		+ Flos Carthami	Hong Hua
+ Colla Corii Asini	E Jiao	+ Cx. Moutan	Mu Dan Pi
+ Hb. Taxilli	Sang Ji Sheng	+ Fr. Gardeniae	Zhi Zi
+ Rx. Polygoni Multiflori	He Shou Wu	For menstruation that suddenly changes in volume:
For soreness and weakness in the lumbar region and knees:		+ Fr. Corni	Shan Zhu Yu
+ Hb. Taxilli	Sang Ji Sheng	+ Fr. Schisandrae	Wu Wei Zi
Fr. Lycii	Gou Qi Zi	For indigestion and epigastric and abdominal fullness and distention:
+ Rx. Polygoni Multiflori	He Shou Wu	Massa Medicata Fermentata	Shen Qu
For Spleen Not Governing Blood with prolonged bleeding:		Fr. Hordei Germinatus	Mai Ya
+ Colla. Corii Asini	E Jiao	Fr. Crataegi	Shan Zha
+ Fol. Artemisiae Argyi	Ai Ye	For hemafecia due to Deficiency Cold:
+ Colla Cervi Cornus	Lu Jiao Jiao	- Rx. Polygalae	Yuan Zhi
or		+ Fried Rz. Zingiberis	Pao Jiang
- Rx. Aucklandiae	Mu Xiang	For forgetfulness:
- Rx. Polygalae	Yuan Zhi	+ 6g Rz. Acori Tatarinowii	Shi Chang Pu
+ Fr. Corni	Shan Zhu Yu	For marked Blood Deficiency with severe forgetfulness, palpitations and anxiety:
For marked Spleen Qi Deficiency:		+ 6g Rz. Acori Tatarinowii	Shi Chang Pu
- Arillus Longanae	Long Yan Rou	+ 30-50g Rx. Rehmanniae Preparata	Shu Di Huang
- Rx. Angelicae Sinensis	Dang Gui	+ 15g Rx. Paeoniae Alba	Bai Shao
For severe insomnia, add two or three of the following:		+ 15g Colla. Corii Asini	E Jiao
+ 6g Fr. Schisandrae	Wu Wei Zi	+ 6g 6g Fr. Amomi	Sha Ren
+ 9g. Sm. Platycladi	Bai Zi Ren	For Liver Heat:
+ 30g Caulis Polygoni Multiflori	Ye Jiao Teng	+ 9g Fr. Gardeniae	Zhi Zi
+ 9g. Cx. Albiziae	He Huan Pi	+ 6g Rx. Bupleuri	Chai Hu
+ 10g Dens Draconis	Long Chi	For Dampness causing abdominal and epigastric fullness, anorexia and a greasy or glossy tongue coat:
+ 30g Concha Ostreae	Mu Li	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+15g Fr. Hordei Germinatus	Mai Ya	+ Per. Citri Reticulatae	Chen Pi
For a very weak Spleen with loose stools, abdominal bloating and loss of appetite:		*For Spleen Yang* Deficiency:**
+ Dry-fried Rx. Angelicae Sinensis	Chao Dang Gui	+ 3g Cx. Cinnamomi	Rou Gui
+ More Rx. Aucklandiae	Mu Xiang	+ 6g Rz. Zingiberis	Gan Jiang
+ 12g Rx. Dioscoreae	Shan Yao	or
+ 9g Massa Medicata Fermentata	Shen Qu	+ Prepared Aconite Pill to Regulate the Middle Fu Zi Li Zhong Wan
For spontaneous sweating and frequent colds:		For bleeding due to Blood Deficiency:
+ More Rx. Astragali	Huang Qi	+ 15g Rx. Rehmanniae Preparata	Shu Di Huang
+ 9g Rx. Ephedrae	Ma Huang Gen	+ 9g Colla. Corii Asini	E Jiao
+ 6g Fr. Schisandrae	Wu Wei Zi	For fever:
or		+ Rx. Bupleuri	Chai Hu
+ Tonify the Middle and Augment the Qi Decoction Bu Zhong Yi Qi Tang		+ Fr. Gardeniae	Zhi Zi
For insomnia due to fear or fright:		For poor appetite:
+ Ram. Uncariae cum Uncis	Gou Teng	+ Per. Citri Reticulatae	Chen Pi
+Sm. Platycladi	Bai Zi Ren	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
For fatigue with decreased intake of food:		For cough:
+ Fr. Amomi	Sha Ren	+ Radix Asteris	Zi Wan
+ Rz. Atractylodis	Cang Zhu	+ Rx. Platycodi	Jie Geng
For the presence of Blood while coughing:		For uterine bleeding:
+ Hb. Cirsii	Xiao Ji	+ Colla. Corii Asini	E Jiao
+ Nodus Nelumbinis Rhizomatis	Ou Jie	+ Fol. Artemisiae Argyi	Ai Ye
For profuse menstrual bleeding:		+ Rx. Paeoniae Alba	Bai Shao
+ Rx. Sanguisorbae	Di Yu	For flooding and spotting due to Cold and Deficiency:
+ Colla. Corii Asini	E Jiao	+ Fried Rz. Zingiberis	Pao Jiang
For flooding and spotting due to Heat:		+ Fol. Artemisiae Argyi	Ai Ye
+ Charred Rx. Rehmanniae Preparata	Shu Di Huang Tan	+ Crinis Carbonisatus	Xue Yu Tan
+ Colla. Corii Asini	E Jiao	+ 6g Fr. Schisandrae	Wu Wei Zi
*For allergic rhinitis due to Wei Qi* Deficiency with concurrent Blood Deficiency:**		For fibromyalgia due to Blood Deficiency:
- Rx. Ginseng	Ren Shen	+ Ephedra, Apricot Kernel, Coicis and Licorice Decoction Ma Xing Yi Gan Tang
+ 12g Rx. Codonopsis	Dang Shen	+ Drive out Stasis in the Mansion of Blood Decoction Xue Fu Zhu Yu Tang
+ 12g Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 12g Per. Citri Reticulatae	Chen Pi
+ 12g Rx. Polygalae	Yuan Zhi
+ 12g Rx. Saposhnikoviae	Fang Feng
+ 9g Rx. Aucklandiae	Mu Xiang