HERB FORMULAS

SHEN LING BAI ZHU SAN

English: Ginseng, Poria and Atractylodis Macrocephalae Powder
Also Known As: Ginseng and Atractylodes Formula

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Ginseng Ren Shen 3-15g Strongly tonifies Spleen and Lung Qi.
 With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
With Bai Zhu and Fu Ling and Zhi Gan Cao, for Spleen and Stomach Qi Deficiency with anorexia, diarrhea, vomiting, abdominal distention and fatigue.
(Rx. Codonopsis) (Dang Shen) (18-30g) (Substitutes for Ren Shen.)
(Rx. Pseudostellariae) (Tai Zi Shen) (18-30g) (Substitutes for Ren Shen.)
Rz. Atractylodis Macrocephalae Bai Zhu 3-15g Strengthens the Spleen and dries Dampness.
With Fu Ling and Yi Yi Ren, for Spleen and Stomach Deficiency with Dampness.
With Fu Ling and Zhi Gan Cao, for Spleen and Stomach Qi Deficiency.
With Ren Shen, Fu Ling, Yi Yi Ren and Sha Ren, for diarrhea due to Spleen and Stomach Deficiency with Dampness.
Poria Fu Ling 3-15g Dries Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
 With Bai Zhu, strengthens the Spleen and dries Dampness.
With Ren Shen and Bai Zhu, for a weak and deficient Spleen with fatigue, anorexia and loose stools.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 1.5-9g Harmonizes, warms and strengthens the Middle Jiao.
With Dang Shen, for anorexia, fatigue and loose stools due to Spleen Deficiency.
Rx. Dioscoreae Shan Yao 1.5-15g Tonifies the Spleen and Lungs and stops diarrhea.
With Fu Ling and Bai Zhu, for Spleen Deficiency with loose, watery stools.
With Dang Shen, for Spleen and Kidney Deficiency with fatigue, weakness, anorexia, and watery stools.
With Ren Shen and Bai Zhu, for decreased appetite and lack of energy due to Spleen Deficiency.
Sm. Dolichorus Bai Bian Dou 4-20g Strengthens the Spleen and resolves Dampness.
With Lian Zi, strengthens the Spleen and stops diarrhea.
With Bai Zhu and Shan Yao, for diarrhea or vaginal discharge due to Spleen Deficiency.
With Ren Shen, Fu Ling, Bai Zhu and Yi Yi Ren, for Spleen and Stomach Deficiency with Dampness.
Sm. Nelumbinis Lian Zi 4-20g Tonifies the Spleen and astringes diarrhea.
With Ren shen, Bai Zhu and Shan Yao, for chronic Spleen Deficiency diarrhea.
With Dang Shen, Fu Ling and Bai Zhu , for Spleen Deficient diarrhea with poor appetite.
Sm. Coicis Yi Yi Ren 5-30g Strengthens the Spleen, drains Dampness and transforms Phlegm.
With Fu Ling, for Spleen Deficiency with Excess Dampness and edema.
With Fu Ling and Bai Zhu, for Spleen Deficiency diarrhea.
with Fu Ling, Bai zhu and Shan Yao, for Spleen and Stomach Deficiency with loose stools and reduced appetite.
Fr. Amomi Sha Ren 2-6g Aromatically transforms Dampness, moves Qi and stops diarrhea, allowing the formula to tonify without stagnating.
With Bai Zhu and Dang Shen, for abdominal pain and diarrhea due to Dampness Obstructing the Spleen and Stomach and morning sickness.
With Bai Zhu and Ren Shen, for Spleen and Stomach Deficiency.
Rx. Platycodi Jie Geng 2-9g Unblocks Lung Qi and expels Phlegm.
With Zhi Gan Cao, disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus for productive cough with hoarseness, pain and swelling of the throat due to Wind-Heat and Lung abscess with expectoration of pus and pain in the chest and flanks.
With Zhi Gan Cao and Yi Yi Ren, for Lung abscess with chest pain, fever, cough with foul-smelling, yellow, sticky sputum.

FORMULA ACTIONS

  • Augments Qi
  • Strengthens the Spleen
  • Resolves Dampness
  • Stops diarrhea

SYNDROMES

  • Lung and Spleen Qi Deficiency
  • Dampness due to Spleen Qi Deficiency

CLINICAL MANIFESTATIONS

  • Loose stools or watery diarrhea
  • Weak extremities
  • Weight loss
  • Distention and a stifling sensation in chest and epigastrium
  • Pale wan complexion
  • Abdominal distention
  • Indigestion
  • Vomiting
  • Fatigue
  • Chills
  • Maybe vomiting
  • Leukorrhea
  • Reduced appetite
  • Borborygmus
  • Edema
  • Reduced appetite
  • Diarrhea with onset of menstrual flow
  • Cough with copious sputum
  • Leukorrhea in obese women
  • T: Pale or Pale red
  • C: White - maybe greasy
  • P: Thready and even or Even and Deficient

TREATS

  • Chronic gastritis
  • Chronic hepatitis
  • Chronic bronchitis
  • Chronic nephritis
  • Diabetes mellitus
  • Malabsorbtion syndromes
  • Malnutrition (especially in children)
  • Chronic gastroenteritis
  • Anemia
  • Gastrointestinal side effects of radiation or chemotherapy
  • Chronic diarrhea
  • Duodenal ulcer
  • Proctitis
  • Liver cirrhosis
  • Cognitive impairment
  • Abnormal vaginal discharge
  • Ulcerative enterophthisis with diarrhea
  • Irregular menstruation
  • Proteinuria
  • Pulmonary tuberculosis
  • Chronic enteritis
  • Anorexia during convalescence
  • Infantile diarrhea
  • Severe fatigue during convalescence
  • Intestinal tuberculosis
  • Gastroptosis
  • Uterine bleeding
  • Hypothyroidism
  • Irritable bowel syndrome
  • Dyspepsia
  • Chronic colitis
  • Nephritis
  • Compromised immune system
  • Rhinitis
  • Obesity
  • Chronic pancreatitis with diarrhea

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Excess syndromes.
  • Modify for concurrent Heat from Yin Deficiency.
  • Use with caution during pregnancy.
  • Use with caution for those with Exterior or Interior Heat conditions.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For coughing up copious, watery sputum with generalized weakness and a stifling sensation in the chest: For Qi Stagnation:
+ Per Citri Reticulatae Chen Pi + Per Citri Reticulatae Chen Pi
+ Rz. Pinelliae Preparatum Zhi Ban Xia
For a dusky-yellow color of the skin and eyes with lethargy, focal distention in the epigastrium, hypochondriac pain and nausea:
+ Sm. Armeniacae Xing Ren
+ Frigid Extremities Powder
Si Ni San
For postpartum fever with spontaneous perspiration:
For diabetes mellitus:
+ Tangkuei Decoction to Tonify the Blood
Dang Gui Bu Xue Tang
+ Rx. Astragali Huang Qi
For strengthening the formula's ability to benefit the Spleen and resolve Dampness:
 + Fr. Schisandrae Wu Wei Zi
+ Per Citri Reticulatae Chen Pi + Endothelium Corneum Gigeriae Galli Ji Nei Jin
For Interior Cold with abdominal pain:
For reduced appetite:
+ Rz. Zingiberis Gan Jiang + Fr. Crataegi Shan Zha
+ Cx. Cinnamomi Rou Gui + Massa Medicata Fermentata Shen Qu
For childhood nutritional impairment:
+ Fr. Hordei Germinatus Mai Ya
- Rx. Platycodi Jie Geng
For chronic proteinuria with edema of the legs and signs of Spleen Deficiency:
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin + Rx. Astragali Huang Qi
For loose stools with Damp-Heat:
For Phlegm Accumulation:
+ Rz Coptidis Huang Lian + Rz. Pinelliae Preparatum Zhi Ban Xia
+ Sm. Plantaginis Che Qian Zi + Per Citri Reticulatae Chen Pi
+Rz. Alismatis Ze Xie
For constant diarrhea:
For frequent urination:
+ Sm. Euryales Qian Shi
+ Fr. Alpineae Oxyphyllae Yi Zhi Ren + Rx. Aucklandiae Mu Xiang
For Food Stagnation with vomiting and diarrhea:
For indigestion in children:
+ Calm the Stomach Powder
Ping Wei San
+ Fr. Crataegi Shan Zha
For vomiting:
 + Massa Medicata Fermentata Shen Qu
- Rx. Glycyrrhizae Preparata Zhi Gan Cao + Fr. Hordei Germinatus Mai Ya
- Rx Platycodi Jie Geng
For abdominal fullness due to Stagnation of Dampness and Qi:
For nasal congestion, chronic rhinitis and chronic sinusitis:
- Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ 6g Rz. Acori Tatarinowii Shi Chang Pu + Per, Arecae Bing Lang
+ 6g. Rx. Glycyrrhizae Preparata Zhi Gan Cao
For nasal congestion, chronic rhinitis and chronic sinusitis with sticky white Phlegm that is copious and very persistent:
For nasal congestion, chronic rhinitis and chronic sinusitis with Phlegm-Heat or if the congestion is severe or provoked by trigger foods:
+ 6g Rz. Acori Tatarinowii Shi Chang Pu
+ 6g Rz. Acori Tatarinowii Shi Chang Pu + 6g. Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ 6g. Rx. Glycyrrhizae Preparata Zhi Gan Cao + 9g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 12g Hb. Agastaches/ Pogostemi Huo Xiang + 6g Per. Citri Reticulatae Chen Pi
+ 12g Sp. Prunellae Xia Ku Cao
or
+ 6g Fr. Xanthii Cang Er Zi + 6g Rz. Acori Tatarinowii Shi Chang Pu
+ 6g Flos Magnoliae Xin Yi Hua + 6g. Rx. Glycyrrhizae Preparata Zhi Gan Cao
For nasal congestion and sinusitis due to Spleen Qi Deficiency:
+ Six Major Herb Combination
Liu Jun Zi Tang
+ Rx. Astragali Huang Qi
For a stronger effect:
+ 10g Fr. Xanthii Cang Er Zi + Rx. Astragali Huang Qi
+ 3g Hb. Asari Xi Xin + Rz. Alismatis Ze Xie
For severe nasal congestion:
For fibromyalgia due to Damp Stagnation Blocking the Channels:
+ Rx. Astragali Huang Qi
+ Pinellia Decoction to Extend Life
Yan Nian Ban Xia Tang
+ Rz. Alismatis Ze Xie
+ Three Painful Obstruction Decoction
San Bi Tang
+ Flos Magnoliae Xin Yi Hua
For fibromyalgia due to Spleen and Kidney Deficiency:
+ Rx. Angelicae Dahuricae Bai Zhi
+ Drive out Stasis in the Mansion of Blood Decoction
Xue Fu Zhu Yu Tang
For obesity with diarrhea and sliminess in the mouth:
+ Improve Vision Pill with Rehmannia
Ming Mu Di Huang Wan
- Fr. Amomi Sha Ren
- Rx. Platycodi Jie Geng
or
+ 9g Fr. Crataegi Shan Zha
+ Drive out Stasis in the Mansion of Blood Decoction
Xue Fu Zhu Yu Tang
+ 9g Fol. Nelumbinis He Ye
   
+ Improve Vision Pill with Rehmannia #2
Ming Mu Di Huang Tang #2