HERB FORMULAS

SI JUN ZI TANG

English: Four Gentlemen Decoction
Also Known As: Four Major Herb Combination
The Four Noble Ingredients Decoction

HERBS AND ACTIONS

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 Deficiencies.
(Rx. Codonopsis) (Dang Shen) (9-27g) (Tonifies the Middle Jiao and augments Qi. Substitutes for Ren Shen.)
(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 Deficiencies.
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.

FORMULA ACTIONS

  • Tonifies Qi
  • Strengthens the Spleen and Stomach

SYNDROMES

  • Spleen Qi Deficiency
  • Heart Qi Deficiency
  • Lung and Spleen Qi Deficiencies
  • Heart and Lung Qi Deficiencies
  • Gu Syndrome

CLINICAL MANIFESTATIONS

  • 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
  • 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

TREATS

  • Neurasthenia
  • Chronic gastritis
  • Peptic ulcer
  • Irritable bowel syndrome
  • Diabetes mellitus
  • Periodic paralysis
  • Chronic hepatitis
  • Recurrent nosebleeds
  • Adjunctive therapy in conjunction with chemotherapy or radiation therapy in cancer patients
  • Uterine fibroids
  • Chronic fatigue syndrome
  • Ulcerative colitis
  • Menstrual bleeding
  • Chronic fatigue syndrome
  • Candidiasis
  • Uterine fibroids
  • Reduces recovery time after gastric surgery
  • Gastroptosis
  • Malnutrition
  • Anemia
  • Monoplegia
  • Fever of unknown origin
  • Sequelae of infections, especially in children
  • Diabetes mellitus
  • Coronary artery disease
  • Chronic bronchitis
  • Gastroptosis
  • Premenstrual syndrome
  • Chronic tonsillitis
  • Leaky gut syndrome
  • Giardiasis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

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

NOTES

MODIFICATIONS

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 Deficiencies:
+ 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. Rx. Aconiti lateralis Preparata Zhi Fu Zi
For edema due to Spleen Deficiency:
For Qi and Blood Deficiencies:
+ 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 Deficiencies with Qi Stagnation:
For Spleen and Stomach Qi Deficiencies 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 Deficiencies:
+ 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 Deficiencies:
+ Fol. Perillae Zi Su Ye
+ Fr. Amomi
Sha Ren
+ Hb. Menthae Bo He + Hb. Epimedii Yin Yang Huo
+ Rx. Angelicae Dahuricae Bai Zhi + Sm. Cuscutae Tu Si Zi
   
+ Kidney Qi Pill from “Formulas to Aid the Living”
Ji Sheng Shen Qi Tang