Tonification may be directed towards the qi, blood, yin and/or yang aspects of the body. In mixed cases you must often think of the generating factors in the body to replenish certain substances. This may either be looking at the mutual interplay between qi, blood, yin and yang - so building qi to aid in the production of blood, for example. Or by the generation cycle within five elements - tonifying the the kidneys (water) to aid the liver (wood). The most important aspect to herbs in this section is to not go along with the often heard western adage - more is better. This is simply not true and can be harmful to patients. Proper diagnosis and distinguishing between deficiency and excess and the mutual relationship between those two levels must be properly analyzed.
For Spleen and Stomach Qi Deficiency - spontaneous sweating, aversion to cold, desire for warm beverages, shortness of breath, intermittent fever, weak speech/low voice, weak limbs, loose/watery stools.
The Pulse will be deficient and rootless in the spleen position or simply deficient overall and the Tongue will be pale with a thin white coat.
Pale complexion, fatigue, low stamina, light headedness, vertigo, palpitations (may be frequent), anxiety, poor appetite, reduced energy for speaking.
The Pulse will be thin and frail or large and weak and the Tongue will be pale with a white coat.
The formula is used to tonify both the spleen and heart which can be damaged from excessive overthinking, compulsions, etc. along with poor dietary habits and stressful lifestyle. General indications are anxiety, phobias, palpitations, insomnia, dream disturbed sleep, poor appetite, pallid complexion.
In women spleen and heart deficiencies may lead to prolonged periods with little flow or early periods, heavier with pale blood.
The Pulse will be thin and frail and the Tongue will be pale with a thin white coat.
Yin deficiency leading to rising fire - mallor flush, heat in the afternoon/evenings, night sweats, irritability, anxiety, steaming bone disorder, spontaneous emissions.
The Pulse will be rapid and forceful in the kidney positions and the Tongue will be red with little coating.
Classic formula for yin deficiency of the kidney and liver - vertigo, tinnitus, poor hearing, night sweats, heat in the five palms (hands, feet, a/or chest), spontaneous seminal emissions (a/or nocturnal), weak low back, light headedness.
The Pulse will be rapid and thin and the Tongue will be red with little (or no) coating.
Signs of Kidney Yang deficiency - cold extremities, fatigue, impotence, weak/aching low back, knees, waist, aversion to cold, infertility, loose stools, incontinence or other urinary issues (frequent, difficult to restrain), edema in the lower body.
The Pulse will be weak and the Tongue will be be pale with a thin white moist coat.