HERB FORMULAS

QI PI WAN - 啟脾丸 - OPEN THE SPLEEN PILL

English: Open the Spleen Pill
Also Known As: Guide the Spleen Pill
Lotus and Citrus Formula
Qi Pi Tang

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Ginseng Ren Shen 10-37.5g Tonifies Spleen and Stomach Qi.
With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
Rz. Atractylodis Macrocephalae Bai Zhu 10-37.5g Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism.
With Fu Ling and Gan Cao, for Spleen and Stomach Qi Deficiency.
Poria Fu Ling 10-37.5g Promotes urination, leaches out Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
With Bai Zhu, strengthens the Spleen and resolves Dampness.
With Ren Shen and Bai Zhu, for weak and deficient Spleen with fatigue, anorexia and loose stools.
Rz. Dioscoreae Shan Yao 10-37.5g Tonifies the Spleen, nourishes Stomach Yin and stops diarrhea.
With Fu Ling and Bai Zhu, for Spleen Deficiency with loose watery stools.
With Ren Shen and Bai Zhu, for decreased appetite and lack of energy due to Spleen Deficiency.
Sm. Nelumbinis Lian Zi 10-37.5g Tonifies the Spleen and astringes diarrhea.
With Shan Yao, Bai Zhu and Ren Shen, for Chronic diarrhea due to Spleen Deficiency.
Fr. Crataegi Shan Zha 5-19g Reduces and guides out Food Stagnation, transforms accumulations and stops diarrhea.
Per. Citri Reticulatae Chen Pi 10-19g Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness and transforms Phlegm.
With Bai Zhu, for anorexia and other symptoms of Damp Obstruction due to Spleen Deficiency.
Rz. Alismatis Ze Xie 5-19g Promotes urination and leaches out Dampness.
With Bai Zhu, for Spleen Deficiency leading to accumulation of Dampness with urinary difficulty, loose stools, diarrhea, Milky Lin or vaginal discharge.
With Fu Ling, facilitates the removal of water and leaches out Dampness to treat stagnant water and Dampness leading to edema, jaundice, diarrhea, Milky Lin, and scanty, difficult urination with abdominal distention.
Rx. Glycyrrhizae Gan Cao 5-19g Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Augments the Spleen
  • Transforms Dampness
  • Harmonizes the Stomach
  • Dispels Food Stagnation
  • Relieves diarrhea and vomiting

SYNDROMES

  • Middle Jiao Deficiency with Food Stagnation and Dampness

CLINICAL MANIFESTATIONS

  • No desire to eat or drink
  • Diarrhea
  • Abdominal pain
  • Nausea
  • Vomiting
  • Belching with a rotten or sour smell
  • T: Pale and thick
  • C: Greasy or Turbid
  • P: Weak and soggy

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For significant diarrhea: For cold abdominal pain:
+ Sm. Myristicae Rou Dou Kou + Rz. Zingiberis Gan Jiang
For a stronger effect on Food Stagnation: For childhood nutritional impairment:
+ Fr. Hordei Germinatus Mai Ya + Fr. Quisqualis Shi Jun Zi
+ Massa Medicata Fermentata Shen Qu For significant nausea, vomiting and epigastric fullness:
For significant abdominal pain and diarrhea: + Fr. Aurantii Immaturus Zhi Shi
+ Rx. Aucklandiae Mu Xiang + Rz. Pinelliae Preparatum Zhi Ban Xia
+ Fr. Amomi Sha Ren
For diarrhea caused by Wind-Cold:    
+ Minor Bupleurum Decoction
Xiao Chai Hu Tang