HERB FORMULAS

SHI PI YIN

English: Bolster the Spleen Decoction
Also Known As: Magnolia and Atractylodis Combination
Spleen Reinforcing Cool Decoction
Bolster the Spleen Powder
Powder for Invigorating the Spleen
Spleen Tonic for Edema
Shi Pi San

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Aconiti Lateralis Preparata Zhi Fu Zi 4-30g Promotes the movement of Yang through all twelve channels, tonifies the Ming Men and disperses Cold.
With Bai Zhu, for Spleen Yang Deficiency with a Cold, painful abdomen, vomiting and watery diarrhea.
With Gan Jiang, warms and nourishes SP and KI.
With Bai Zhu and Fu Ling, for Kidney and Spleen Yang Deficiency with water retention.
With Bai Zhu and Gan Jiang, for Spleen Yang Deficiency with abdominal pain and Cold.
With Zhi Gan Cao and Gan Jiang, strengthens its actions of fortifying Qi and benefiting the Yang for Cold extremities and diarrhea with undigested food due to Collapse of the Spleen and Kidney Yang.
With Fu Ling, for lower body edema and dysuria.
Rz. Zingiberis Preparata Pao Jiang 4-30g Warms Spleen Yang , expels interior Cold, stopping bleeding associated with Deficiency Cold. stops bleeding associated with Deficiency Cold and reduces the toxicity of Zhi Fu Zi.
With Zhi Gan Cao, for vomiting and epigastric pain due to Spleen and Stomach Deficiency Cold.
With Hou Po, for congested Fluids due to Cold with epigastric distention and pain.
With Bai Zhu, for diarrhea due to Spleen Deficiency, .hematochezia (profuse menstrual bleeding) and char both herbs for treating bloody stools and excessive uterine bleeding.
With Zhi Fu Zi, warms the Spleen and Kidneys, benefits Yang, and disperses Cold for debilitated Spleen and Kidney Yang with incessant diarrhea.
With Fu Ling, Bai Zhu and Zhi Gan Cao, for Cold-Dampness in the Lower Jiao leading to a sense of heaviness and cold in the lower back.
Poriae Fu Ling 4-30g Promotes urination, resolves Dampness, strengthens the Spleen and harmonizes the Middle Jiao.
With Bai Zhu, strengthens the Spleen and resolves Dampness.
With Zhi Fu Zi and Sheng Jiang, for edema due to Spleen and Kidney Yang Deficiencies.
Rz. Atractylodis Macrocephalae Bai Zhu 4-30g Tonifies the Spleen, tonifies Qi and dries Dampness.
With Gan Jiang, eliminates Cold Dampness in the Spleen with loss of taste, a sticky sensation in the mouth, nausea, vomiting, diarrhea and a thick,white tongue coat, treats bleeding due to Deficiency of Spleen Yang with hemafecia or hematuria and frequent diarrhea due to Spleen and Stomach Deficiency Cold.
With Fu Ling and Zhi Gan Cao, for Spleen and Stomach Qi Deficiencies.
with Fu Ling and Sheng Jiang, for edema with Kidney Yang Deficiency.
Fr. Chaenomelis Mu Gua 4-30g Strengthens the Spleen, transforms Dampness, promotes urination and harmonizes the Stomach.
Cx. Magnoliae Officinalis Hou Po 4-30g Moves Qi, transforms Dampness and warms and invigorates the Spleen.
 With Mu Xiang, Da Fu Pi and Cao Guo, descends Qi, relieves stagnation, transforms Dampness and circulates Fluids.
With Gan Jian, for acute diarrhea from Cold attacking the Middle.
Rx. Aucklandiae Mu Xiang 4-30g Moves Qi, strengthens the Spleen and alleviates pain
With Bai Shao, for diarrhea with profuse pus and Blood.
Per. Arecae Da Fu Pi 4-30g Moves Qi, promotes urination, expels Dampness and reduces edema.
(Sm. Arecae) (Bing Lang) 4-30g (Regulates Qi, reduces accumulations, drains downward, unblocks the bowels, relieves nausea and Promotes urination. Substitutes for Da Fu Pi in some versions.)
(With Mu Xiang and Hou Po, for tenesmus.)
Fr. Amomi Tsaoko Cao Guo 4-30g Strongly dries Dampness, disperses Cold and resolves stagnation and distention.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 2-15g Tonifies Spleen Qi.
 With Sheng Jiang and Da Zao, regulates and harmonizes the other herbs, benefits the Spleen and harmonizes Middle Jiao.
Rz. Zingiberis Recens Sheng Jiang 5 slices Disperses Cold, warms the Middle Jiao, stops vomiting and reduces the toxicity of other herbs.
With Da Zao, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen, protects the Stomach Qi and reduces irritation of the gastrointestinal. tract by other herbs.
Fr. Jujube Da Zao 1 piece Strengthens the Spleen, tonifies Qi and moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Warms Yang
  • Strengthens the Spleen
  • Promotes Qi movement
  • Promotes urination

SYNDROMES

  • Spleen Deficiency Edema
  • Spleen and Kidney Yang Deficiency with Water Flooding (Yin edema)

CLINICAL MANIFESTATIONS

  • Generalized, severe edema, more severe below the waist
  • Cold extremities
  • Heavy sensation of the body
  • Chest and abdominal fullness and distention
  • Absence of thirst
  • Semi liquid, unformed stools
  • Scanty urine
  • Pitting edema
  • Loss of appetite
  • T: Pale
  • C: Thick and greasy
  • P: Deep and slow or Deep and thready

TREATS

  • Pitting edema
  • Chronic nephritis
  • Rheumatic valvular Heart disease
  • Congestive Heart failure
  • Cirrhosis of the Liver
  • Chronic hepatic diseases
  • Ascites
  • Hypothyroidism
  • Chronic enteritis
  • Intestinal tuberculosis
  • Cardiac edema
  • Anasarca
  • Menopause
  • Tympanites
  • Hydramnios

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Yang- type edema.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For ascites due to liver cirrhosis: For scanty urination and severe edema:
+ Rx. Codonopsis Dang Shen + Rz. Alismatis Ze Xie
+ Rz. Alismatis Ze Xie + Scl. Polypori Zhu Ling
+ Tub. Curcumae Yu Jin
Fro Qi Deficiency with shortness of breath, fatigue and disinclination to talk:
+ Per. Citri Reticulatae Chen Pi + Rx. Codonopsis Dang Shen
For abdominal distention:
+ Rx. Astragali Huang Qi
+ Per. Citri Reticulatae Chen Pi
or
+ Fr. Amomi Sha Ren + Rx. Codonopsis Dang Shen
For palpitations:
 + Rx. Astragali Huang Qi
+ Less Rx. Aconiti Lateralis Preparata Zhi Fu Zi + Rx. Atractylodis Macrocephalae
Bai Zhu
+ Fossilia Ossis Mastodi Long Gu
For proteinuria:
+ Magnetitum Ci Shi + Hb. Pyrolae Lu Xian Cao
For painful distention of the Liver area:
+ Sm. Euryales Qian Shi
+ Per, Citri Reticulatae Viride Qing Pi
For constipation:
+ Rz. Sparganii San Leng + Sm. Pharbitidis Qian Niu Zi
+ Rz. Curcumae E Zhu
For tympanites:
For diarrhea:
- Rx. Glycyrrhizae Preparata Zhi Gan Cao
- Rx. Glycyrrhizae Preparata Zhi Gan Cao + Ram. Cinnamomi Gui Zhi
+ Sm. Arecae Bing Lang
For fibromyalgia due to Cold Stagnation Blocking the Channels:
For fibromyalgia due to Spleen and Kidney Deficiencies:
+ Ephedra, Prepared Aconite and Asarum Decoction
Ma Huang Fu Zi Xi Xin Tang
+ Lycium Fruit, Chrysanthemum and Rehmannia Pill
Qi Ju Di Huang Wan
+ Pinellia Decoction to Extend Life
Yan Nian Ban Xia Tang
+ Restore the Left (Kidney) Pill
Zuo Gui Wan
For fibromyalgia due to Phlegm Stagnation Blocking the Channels:
 
+ Kudzu Decoction modified
Ge Gen Tang modified
 
+ Three Painful Obstruction Decoction
San Bi Tang