HERB FORMULAS

English: Four Gentlemen Decoction
Also Known As: Four Major Herb Combination
The Four Noble Ingredients Decoction
Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Ginseng Ren Shen 3-10g Tonifies Qi and strengthens the Spleen and Stomach.
With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
With Bai Zhu, Zhi Gan Cao and Fu Ling, for Spleen and Stomach Qi Deficiency.
(Rx. Codonopsis) (Dang Shen) (9-27g) (Tonifies the Middle Jiao and augments Qi. Substitutes for Ren Shen especially in Gu syndrome.)
(With Fu Ling, for Spleen and Stomach Deficiency with fatigue, a sensation of fullness in the abdomen, dizziness, lethargy, shortness of breath, anorexia and loose stools or diarrhea.
With Bai Zhu, for Spleen Qi Deficiency with anorexia, loose stools and vomiting.
With Fu Ling and Bai Zhu, increases the rate of natural rosette formation of lymph cells of peripheral blood vessels, Increases lymphocyte transformation rate and increases serum IgG. )
Rz. Atractylodis Macrocephalae Bai Zhu 4-10g Strengthens the Spleen, augments Qi and dries Dampness.
With Fu Ling and Zhi Gan Cao, for Spleen and Stomach Qi Deficiency.
Poria Fu Ling 4-10g Dries Dampness, strengthens the Spleen and moderates the drying nature of Zhi Gan Cao.
With Ren Shen and Bai Zhu, for weak and deficient Spleen with fatigue, anorexia and loose stools.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 1.5-6g Harmonizes, warms and strengthens the Middle Jiao and moderates the draining properties of Fu Ling.
With Dang Shen, for anorexia, fatigue and loose stools due to Spleen Deficiency and palpitations due to Heart Qi Deficiency.
With Ren Shen, Bai Zhu and Fu Ling, strengthens the Spleen and augments Qi.
  • Tonifies Qi
  • Strengthens the Spleen and Stomach
  • Spleen Qi Deficiency
  • Heart Qi Deficiency
  • Lung and Spleen Qi Deficiency
  • Heart and Lung Qi Deficiency
  • Gu Syndrome
  • Pale face
  • Sallow complexion
  • Anorexia
  • Rolled lips
  • Pale lips
  • Stiff tongue
  • Tired limbs
  • Heavy limbs
  • Abdominal and epigastric distention after meals
  • Maybe bleeding
  • Maybe nausea and vomiting
  • Maybe acid regurgitation
  • Shortness of breath
  • Loose stools or diarrhea
  • Fatigue
  • Lethargy
  • Thin muscles
  • Low, soft voice
  • Does not like to speak
  • Muscle weakness in arms and legs
  • Maybe enuresis
  • Weak abdomen
  • Maybe borborygmus
  • Epigastric or abdominal pain
  • T: Pale and flabby - may have teeth marks
  • C: White
  • P: Even, forceless and deficient
CONTRAINDICATIONS
  • Contraindicated for those with Excess Syndromes with high fever, irritability, thirst and constipation.
  • Contraindicated for those with Deficiency Heat, high fever or a combination of irritability, thirst and constipation unless modified.
HERB/DRUG INTERACTIONS
For indigestion, reduced appetite, abdominal distention and weight loss: For morning sickness:
+ Rz. Cyperi Xiang Fu + Fr. Amomi Sha Ren
+ Cx. Magnolia Officinalis Hou Po + Per. Citri Reticulatae Chen Pi
For edema during pregnancy:
+ Cx. Magnolia Officinalis Hou Po
+ Five-Peel Decoction
Wu Pi Yin
For periodic paralysis:
For uterine fibroids:
+ Rx. Astragali Huang Qi
+ Rz. Curcumae E Zhu + Rz. Sparganii San Leng
+ Rx. Achyranthis Bidentatae Niu Xi + Rx. Ophiopogonis Mai Men Dong
For urinary tract infection due to Damp-Heat with KI and Spleen Yang Deficiency:
+ Rx. Angelica Dahuricae Bai Zhi
+ Sm. Cuscutae Tu Si Zi + Rx. Saposhnikoviae Fang Feng
+ Rx. Polygoni Multiflori He Shou Wu
For palpitations and insomnia:
+ Sm. Plantaginis Che Qian Zi + Sm. Zizyphi Spinosae Suan Zao Ren
+ Rx. Phellodendri Huang Bai
For severe Spleen and Stomach Deficiency:
+ Rz. Smilax Tu Fu Ling + Rx. Astragali Huang Qi
for tidal fever due to Spleen Deficiency:
+ Rz. Dioscoreae Shan Yao
+ Rx. Bupleuri Chai Hu
for insomnia due to fear and fright:
+ Rx. Paeoniae Alba Bai Shao + Rz. Zingiberis Recens Sheng Jiang
For constipation due to Qi Deficiency:
+ Sm. Zizyphi Spinosae Suan Zao Ren
+ Rx. Angelicae Sinensis Dang Gui
For diarrhea due to Middle Jiao Deficiency Cold:
+Sm. Cannabis Huo Ma Ren
+ Regulate the Middle Decoction
Li Zhong Tang
For postpartum diarrhea:
For constant loose stools or diarrhea:
+ Fr. Mume Wu Mei + Fr. Chebulae He Zi
+ Per. Citri Reticulatae Chen Pi
For hemorrhoids:
for low grade fever due to chronic illness and Deficiency:
+ Rx. Astragali Huang Qi
+ Ram. Cinnamomi Gui Zhi + Sm Lablab Album Bai Bian Dou
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi
For edema due to Spleen Deficiency:
For Qi and Blood Deficiency:
+ Sm. Coicis Yi Yi Ren
+ Four Substances Decoction
Si Wu Tang
+ Ram. Cinnamomi Gui Zhi
For infantile malnutrition due to Yin Deficiency:
For infantile malnutrition due to Food Stagnation
+ Fr. Lycii Gou Qi Zi + Fr. Hordei Germinatus Mai Ya
+ Fr. Ligustri Lucidi Nu Zhen Zi
For Spleen and Stomach Qi Deficiency with Qi Stagnation:
For Spleen and Stomach Qi Deficiency with Phlegm-Dampness manifested as cough with profuse, white, diluted sputum:
+ Per. Citri Reticulatae Chen Pi
+ Per. Citri Reticulatae Chen Pi
For Spleen Deficiency with Phlegm Retention:
+ Rz. Pinelliae Preparatum Zhi Ban Xia + Per. Citri Reticulatae Chen Pi
+ Rz. Zingiberis Recens Sheng Jiang + Rz. Pinelliae Preparatum Zhi Ban Xia
+ Fr. jujube Da Zao + Rx. Aucklandiae Mu Xiang
For Qi and Blood Deficiency:
+ Fr. Amomi Sha Ren
+ Rx. Rehmanniae Preparata Shu Di Huang + Rz. Zingiberis Recens Sheng Jiang
+ Rx. Angelicae Sinensis Dang Gui
For Spleen Qi Deficiency with Excessive Dampness:
+ Rx. Paeoniae Alba Bai Shao + Rx. Astragali Huang Qi
+ Rx. Chuanxiong Chuan Xiong + Sm. Lablab Album Bai Bian Dou
For Gu Syndrome:
For hypothyroidism due to Spleen and Kidney Yang Deficiency:
+ Fol. Perillae Zi Su Ye
+ Fr. Amomi
+ Hb. Menthae Bo He + Hb. Epimedii Yin Yang Huo
+ Rx. Angelicae Dahuricae Bai Zhi + Sm. Cuscutae Tu Si Zi
For childhood eczema with Damp-Heat:
+ Kidney Qi Pill from “Formulas to Aid the Living”
Ji Sheng Shen Qi Tang
+ Rx. Sophorae Flavescentis Ku Shen
For blepharitis due to Spleen and Kidney Yang Deficiency:
For childhood eczema with Stagnant Damp-Heat:
+ Restore the Right Pill
You Gui Wan
+ Cx. Dictamni Bai Xian Pi
For childhood eczema with itching:
For acne due to Phlegm-Dampness:
+ Fr. Kochiae Di Fu Zi
+ Decoction of Two Old (Cured) Drugs
Er Chen Tang
For acne due to Phlegm-Dampness with nodulations which are hard to disperse:
For chronic gastritis:
+ Decoction of Two Old (Cured) Drugs
Er Chen Tang
+ Fr. Aurantii Zhi Ke
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ 12g Spica Prunellae Xia Ku Cao
+ 12g Concha Ostreae Mu Li + Rx. Astragali Huang Qi
+ 9g Bul. Fritillariae Thunbergii Zhe Bei Mu
For peptic ulcer:
+ Rx. Astragali Huang Qi
For peptic ulcer with Liver Qi Stagnation and Spleen Qi Deficiency :
+ Rz. Sparganii San Leng
+ Endoconcha Sepiae Hai Piao Xiao
+ Rx. Astragali Huang Qi
For peptic ulcer with Liver and Stomach disharmony:
+ Rz. Sparganii San Leng
+ Endoconcha Sepiae Hai Piao Xiao + Rx. Astragali Huang Qi
+ Rx. Bupleuri Chai Hu + Rz. Sparganii San Leng
+ Rx. Paeoniae Alba Bai Shao + Endoconcha Sepiae Hai Piao Xiao
+ Fr. Gardeniae Zhi Zi
+ Frigid Extremities Powder
Si Ni San
For peptic ulcer with Spleen Deficiency:
+ Terra Flava Usta Fu Xiao Mai
For ulcerative colitis:
+ Rz. Bletillae Bai Ji + Rx. Astragali Huang Qi
For irritable bowel syndrome:
+ Rx. Angelicae Sinensis Dang Gui
+ Rz. Zingiberis Preparatum Pao Jiang + Rz. Corydalis Yan Hu Suo
For irritable bowel syndrome with abdominal pain:
+ Cx. Fraxini Qin Pi
+ Rx. Aucklandiae Mu Xiang + Rz. Zingiberis Preparatum Pao Jiang
For irritable bowel syndrome with abdominal pain causing urgent bowel movements:
+ Cx. Fraxini Qin Pi
+ Rz. Zingiberis Preparatum Pao Jiang + Rx. Aucklandiae Mu Xiang
+ Rz. Corydalis Yan Hu Suo
+ Cx. Fraxini Qin Pi + Rx. Paeoniae Alba Bai Shao
+ Rx. Aucklandiae Mu Xiang
For irritable bowel syndrome with a feeling of incomplete evacuation after defecation:
+ Per. Citri Reticulatae Chen Pi
+ Dry-fried Rx. Saposhnikoviae Chao Fang Feng + Rz. Zingiberis Preparatum Pao Jiang
For irritable bowel syndrome with mucus in the stools:
+ Cx. Fraxini Qin Pi
+ Rx. Aucklandiae Mu Xiang
+ Rz. Zingiberis Preparatum Pao Jiang + Per. Arecae Da Fu Pi
+ Fr. Aurantii Zhi Ke
+ Cx. Fraxini Qin Pi
For irritable bowel syndrome with profuse white mucus:
+ Rx. Aucklandiae Mu Xiang
+ Rx. Pulsatillae Bai Tou Weng + Rz. Zingiberis Preparatum Pao Jiang
+ Caulis Sargentodoxae Hong Teng
For irritable bowel syndrome with hematochezia:
+ Cx. Fraxini Qin Pi
+ Rx. Aucklandiae Mu Xiang
+ Rz. Zingiberis Preparatum Pao Jiang + Rz. Atractylodis Cang Zhu
For irritable bowel syndrome with "cock-crow" diarrhea:
+ Cx. Fraxini Qin Pi
+ Rx. Aucklandiae Mu Xiang + Rz. Zingiberis Preparatum Pao Jiang
+ Rx. Sanguisorbae Di Yu
+ Charred Flos Lonicerae Jin Yin Hua Tan + Cx. Fraxini Qin Pi
+ Rx. Aucklandiae Mu Xiang
For irritable bowel syndrome with frequent bowel movements along with loose stools:
+ Fr. Psoraliae Bu Gu Zhi
+ Sm. Myristicae Rou Dou Kou
+ Rz. Zingiberis Preparatum Pao Jiang
For irritable bowel syndrome with constipation along with Yang Deficiency:
+ Cx. Fraxini Qin Pi + Rz. Zingiberis Preparatum Pao Jiang
+ Rx. Aucklandiae Mu Xiang
+ Galla Chinensis Wu Bei Zi + Cx. Fraxini Qin Pi
+ Roasted Fr. Chebulae He Zi + Rx. Aucklandiae Mu Xiang
For irritable bowel syndrome with Blood Stagnation:
+ Hb. Cistanches Rou Cong Rong
For premenstrual syndrome:
+ Rz. Zingiberis Preparatum Pao Jiang + Rx. Astragali Huang Qi
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Cx. Fraxini Qin Pi
+ Rx. Aucklandiae Mu Xiang
For menstrual bleeding:
+ Sudden Smile Powder
Shi Xiao San
+ Rx. Astragali (large dose) Huang Qi
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi
For chronic tonsillitis:
+ Rx. Astragali Huang Qi
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi - Rx. Ginseng Ren Shen
+ Rx. Codonopsis (large dose) Dang Shen
For chronic hepatitis:
+ Rx. Codonopsis Dang Shen
For chronic hepatitis with Qi Deficiency:
+ Rx. Bupleuri Chai Hu + Rx. Codonopsis Dang Shen
For chronic hepatitis with indigestion and anorexia:
+ Rx. Bupleuri Chai Hu
+ Rx. Astragali Huang Qi
+ Rx. Codonopsis Dang Shen
For chronic hepatitis with loose stools:
+ Rx. Bupleuri Chai Hu + Rx. Codonopsis Dang Shen
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin + Rx. Bupleuri Chai Hu
+ Sm. Nelumbinis Lian Zi
+ Charred Fr. Hordei Germinatus Mai Ya Tan + Rz. Dioscoreae Shan Yao
+ Rz. Alismatis Ze Xie
For chronic hepatitis with hypochondriac pain:
For chronic hepatitis with hepatomegaly:
+ Rx. Codonopsis Dang Shen + Rx. Codonopsis Dang Shen
+ Rx. Bupleuri Chai Hu + Rx. Bupleuri Chai Hu
+ Rz. Corydalis Yan Hu Suo + Rz. Sparganii San Leng
+ Rx. Curcumae Yu Jin + Rz. Curcumae E Zhu
For chronic hepatitis with Blood Stagnation:
+ Carapax Trionycis Bie Jia
+ Rx. Codonopsis Dang Shen
For chronic hepatitis with Qi Stagnation:
+ Rx. Bupleuri Chai Hu + Rx. Codonopsis Dang Shen
+ Flos Carthami Hong Hua + Rx. Bupleuri Chai Hu
+ Hb. Leonuri Yi Mu Cao + Fr. Citri Sarcodactylis Fo Shou
For chronic hepatitis with jaundice:
+ Fr. Citri Xiang Yuan
+ Rx. Codonopsis Dang Shen
For chronic hepatitis with Yin Deficiency:
+ Rx. Bupleuri Chai Hu + Rx. Codonopsis Dang Shen
+ Hb. Artemisiae Scopariae Yin Chen Hao + Rx. Bupleuri Chai Hu
+ Hb. Dendrobii Shi Hu
For diabetes:
+ Rz. Polygonati Odorati Yu Zhu
+ Rx. Puerariae Ge Gen + Rx. Scrophulariae Xuan Shen
+ Rx. Aucklandiae Mu Xiang
For Stomach cancer with Middle Jiao Qi Deficiency:
+ Hb. Agastaches/ Pogostemonis Huo Xiang
+ Rx. Astragali Huang Qi
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin + Exocarpium Citri Reticulatae Rubrum Ju Hong
+ Fr. Amomi Sha Ren + Fr. Amomi Sha Ren
+ Rx. Astragali Huang Qi
For Stomach with continuous salivation after eating followed by vomiting:
+ Rz. Atractylodis Cang Zhu
+ Sm. Coicis Yi Yi Ren + Flos Caryophylli Ding Xiang
For chronic fatigue syndrome, chronic laryngitis, pharyngitis, tonsillitis and a chronic sore throat:
+ Hb. Agastaches Huo Xiang
For diarrhea due to Liver Qi Stagnation Invading the Spleen with Spleen Qi Deficiency:
+ 18g Rx. Astragali Huang Qi
+ 12g Rx. Dioscoreae Shan Yao + 3-6g Dry-fried Rx. Paeoniae Albe Chao Bai Shao
+ 12g Rz. Polygonati Huang Jing + 9-12g Rx. Bupleuri Chai Hu
+ 9g Hb. Dendrobii Shi Hu
For cholecystitis and cholelithiasis:
+ 9g Rz Polygonati Odorati Yu Zhu
+ Drive Out Blood Stasis Below the Diaphragm Decoction
Ge Xia Zhu Yu Tang
+ 9g Bul. Lilii Bai He
+ 6g Fr. Jujube Da Zao - Faeces Trogopterori
Wu Ling Zhi
For cholecystitis and cholelithiasis with loose stools or diarrhea:
- Rz. Chuanxiong Chuan Xiong
- Rx. Paeoniae Rubra Chi Shao
+ Drive Out Blood Stasis Below the Diaphragm Decoction
Ge Xia Zhu Yu Tang
- Rx. Linderae Wu Yao
- Fr. Aurantii Zhi Ke
- Faeces Trogopterori
Wu Ling Zhi + 15g Rx. Scutellariae Barbatae Ban Zhi Lian
- Rz. Chuanxiong Chuan Xiong
- Rx. Paeoniae Rubra Chi Shao + 9g Rx. Bupleuri Chai Hu
- Rx. Linderae Wu Yao + 9g Hb. Artemisiae Scopariae Yin Chen Hao
- Fr. Aurantii Zhi Ke
For cholecystitis and cholelithiasis with accumulation lumps below the flanks:
- Cx. Moutan Mu Dan Pi
+ 15g Rx. Scutellariae Barbatae Ban Zhi Lian
+ Drive Out Blood Stasis Below the Diaphragm Decoction
Ge Xia Zhu Yu Tang
+ 9g Rx. Bupleuri Chai Hu - Faeces Trogopterori
Wu Ling Zhi
+ 9g Hb. Artemisiae Scopariae Yin Chen Hao - Rz. Chuanxiong Chuan Xiong
+ 9g Rz. Atractylodis Cang Zhu - Rx. Paeoniae Rubra Chi Shao
+ 9g Rx. Astragali Huang Qi - Rx. Linderae Wu Yao
For chronic pancreatitis due to Spleen and Stomach Deficiency Cold:
- Fr. Aurantii Zhi Ke
+ 15g Rx. Scutellariae Barbatae Ban Zhi Lian
+ 12g Rx. Dioscoreae Shan Yao
+ 9g Rx. Aucklandiae Mu Xiang + 9g Rx. Bupleuri Chai Hu
+ 9g Fr. Chebulae He Zi + 9g Hb. Artemisiae Scopariae Yin Chen Hao
+ 6g Rz. Zingiberis Gan Jiang
+ 6g Sm. Myristicae Rou Dou Kou + 15g Carapax Trionycis Bie Jia
+ 6g Fr. Amomi Sha Ren + 15g Rx. Salviae Miltiorrhizae Dan Shen
For chronic pancreatitis due to Spleen and Stomach Deficiency Cold without cold limbs:
For chronic pancreatitis due to Spleen and Stomach Deficiency Cold with Food Stagnation:
+ 12g Rx. Dioscoreae Shan Yao
+ 9g Rx. Aucklandiae Mu Xiang + 12g Rx. Dioscoreae Shan Yao
+ 9g Fr. Chebulae He Zi + 9g Rx. Aucklandiae Mu Xiang
+ 6g Sm. Myristicae Rou Dou Kou + 9g Fr. Chebulae He Zi
+ 6g Fr. Amomi Sha Ren + 6g Rz. Zingiberis Gan Jiang
    + 6g Sm. Myristicae Rou Dou Kou
    + 6g Fr. Amomi Sha Ren
    + 9g Fr. Crataegi Shan Zha
    + 9g Fr. Hordei Germinatus Mai Ya
   
    + 9g Massa Medicata Fermentata Shen Qu