|
Chinese Name |
健脾丸 |
|
Phonetic |
Jian Pi Wan |
|
English Name |
Spleen-Fortifying Pill |
|
Classification |
Digestive formulas |
|
Source |
《Standards for Diagnosis and Treatment》Zheng Zhi Zhun Sheng《證治準繩》 |
|
Combination |
Atractylodis Macrocephalae Rhizoma (Bai Zhu dry-fried) 2.5 liang (75g), Aucklandiae Radix (Mu Xiang) 7.5 qian (22g), Coptidis Rhizoma (Huang Lian wine-fried) 7.5 qian (22g), Glycyrrhizae Radix et Rhizoma (Gan Cao) 7.5 qian (22g), Poria (Fu Ling) 2 liang (60g), Ginseng Radix et Rhizoma (Ren Shen) 1.5 liang (45g), Medicata Massa Fermentata (Shen Qu) 1 liang (30g), Citri Reticulatae Pericarpium (Chen Pi) 1 liang (30g), Amomi Fructus (Sha Ren) 1 liang (30g), Hordei Fructus Germinatus (Mai Ya) 1 liang (30g), Crataegi Fructus (Sha Zha) 1 liang (30g), Dioscoreae Rhizoma (Shan Yao) 1 liang (30g), Myristicae Semen (Rou Dou Kou) 1 liang (30g) |
|
Method |
Grind the medicinals and prepare into pills. Take 6-9g with warm water, twice daily. When prepared as a decoction, adjust the medicinal quantities based on the original ratio. |
|
Action |
Fortifies the spleen and harmonizes the stomach, promotes digestion and arrests diarrhea. |
|
Indication |
Food accumulation with spleen deficiency, marked by indigestion, fullness and oppression of the abdomen and stomach cavity, loose stool, greasy, yellow tongue coating, and a weak pulse. |
|
Pathogenesis |
This pattern is caused by food accumulation due to spleen and stomach deficiency. Spleen deficiency causes poor appetite and hinders transformation and transportation. The result is indigestion and loose stool. An insufficient source of qi and limited blood production results in tiredness, lack of strength, and a weak pulse. As food accumulation blocks qi movement and generates damp-heat, fullness and oppression of the abdomen and stomach cavity and a greasy, yellow tongue coating manifest. The therapeutic method is to fortify the spleen and harmonize the stomach, promote digestion and arrest diarrhea. |
|
Application |
1. Essential pattern differentiation
Jian Pi Wan serves as the most common formula applied for food accumulation due to spleen deficiency. This clinical pattern is marked by fullness and oppression of the abdomen and stomach cavity, indigestion, loose stool, slightly yellow, greasy tongue coating, weak pulse.
2. Modern applications
This formula may be used in the following biomedically defined disorders when the patient shows signs of food accumulation due to spleen deficiency: chronic enteritis and dyspepsia. |
|
Additonal formulae |
Zhi Zhu Wan (Immature Bitter Orange and Atractylodes Macrocephala Pill 枳朮丸)
[Source]《Clarifying Doubts about Damage from Internal and External Causes》Nei Wai Shang Bian Huo Lun《內外傷辨惑論》
[Ingredients] Zhi shi (fried) 1 liang (30g), bai zhu 2 liang (60g)
[Preparation and Administration] Grind the medicinals into fine powder and prepare into pills. Take 6-9g with decoction of he ye or warm water twice per day.
[Actions] Fortifies the spleen and disperses fullness
[Applicable Patterns] Food accumulation caused by spleen deficiency and qi stagnation. Symptoms include: fullness of the chest and abdomen, and poor appetite. |
|
Remark |
1. Aucklandia lappa is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix I. This speice is highly protected and the wild specice for commercial trade purposes is banned.
2. Ginseng (Panax ginseng) is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. |
Permanent URL:
https://sys01.lib.hkbu.edu.hk/cmed/cmfid/detail.php?id=F00178 |
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