Sijunzi decoction is tonic formulae, which has the effects of invigorating qi and invigorating spleen. Indications are spleen and stomach qi deficiency syndrome, sallow complexion, low voice, shortness of breath, lack of appetite, loose stool, pale tongue with white fur, and weak pulse. Clinically, it is often used to treat chronic gastritis, peptic ulcer and other patients with spleen and stomach qi deficiency.

Prescription Mingsi Junzi Decoction

Source "Taiping Huimin Heji Bureau Prescription"

Ginseng, Rhizoma Atractylodis Macrocephalae, Poria, peeled (9g each) and roasted with licorice (6g each) were equally divided.

Fangge Sijun's basic prescription of invigorating qi, eating less and unable to defecate, ginseng Atractylodes macrocephala, poria cocos and grass, has strong effect of invigorating qi and strengthening spleen.

The usage is fine powder, two yuan (15g) and one cup of water are taken each time, and they are decocted to seven points, which can be taken orally at any time; Add a little salt, and you can get some white soup. Modern usage: decoct in water.

Efficacy: benefit qi and strengthen spleen.

Indications: spleen-stomach qi deficiency syndrome. Pale complexion, low voice, shortness of breath, lack of food, loose stool, pale tongue with white fur and weak pulse.

The prescription is caused by qi deficiency of spleen and stomach and lack of transport and transformation. Spleen and stomach are the foundation of the day after tomorrow, the source of qi and blood biochemistry, spleen and stomach deficiency, abnormal transport, then diet is reduced, stool is thin; Deficiency of spleen deficiency and malnutrition of viscera, tissues and organs will lead to pale complexion and low voice; Spleen governs muscles, and the muscles of the spleen and stomach have nothing to suffer, so the limbs are weak; Pale tongue with white fur and weak pulse are all signs of qi deficiency. Treatment should replenish the qi of the spleen and stomach in order to restore its function of transportation and acceptance. Ginseng in the prescription is a monarch drug, which can greatly replenish vitality, strengthen the spleen and nourish the stomach. Spleen likes dryness and hates dampness, and spleen deficiency does not transport, so it is easy to produce dampness. Therefore, Atractylodes macrocephala, which is sweet, bitter and warm, is used to strengthen the spleen and dry dampness to help transport and transform. Poria cocos permeates dampness and strengthens the spleen, which is an adjuvant medicine. Radix Glycyrrhizae Preparata tonifies qi, neutralizes middle energizer, and harmonizes various medicines, which is the medicine. The compatibility of the four drugs plays the role of benefiting qi and strengthening the spleen.

Compatibility features warm but not dry, tonic but not severe.

Clinical application

1, main points of use: This prescription is the basic prescription for treating spleen-stomach qi deficiency syndrome, and many prescriptions for invigorating spleen and benefiting qi in later generations have evolved from this prescription. The main points of clinical application are pale complexion, short breath, weak limbs, pale tongue with white fur and weak pulse.

2. Modern application of this prescription is often used to treat chronic gastritis, gastric ulcer and duodenal ulcer, etc. In addition, it can also be used for patients with spleen-stomach qi deficiency, such as hepatitis B, coronary heart disease, uneasy fetal movement during pregnancy, and spleen deficiency syndrome after infection in children.

Add Pinellia ternata to reduce adverse reaction and stop vomiting if vomiting is reduced; For patients with fullness of chest diaphragm, Fructus Aurantii and Pericarpium Citri Tangerinae are added to promote qi circulation and broaden chest; Palpitation and insomnia, add Ziziphus jujuba seed to calm the heart and soothe the nerves; If you feel cold, cold limbs and abdominal pain, add dried ginger and aconite root to warm the middle warmer and dispel the cold. Thirst, add astragalus; Cold stomach, vomiting and salivation, adding cloves; Nausea, plus agastache; Spleen and stomach disharmony, double atractylodes macrocephala, ginger, jujube; For spleen deficiency, Ginseng Radix, Radix Aucklandiae and Fructus Amomi are added; Spleen weakness and abdominal distension, do not think about diet, add lentils and millet; Eat food, add fried divine comedy; Chest full of shortness of breath, add cardamom.