Theory

Jia Wei Gui Pi Wan Augmented Restore The Spleen Decoction - TCM Herbal Formula


Jia Wei Gui Pi Wan Names

  • English Name: Augmented Restore The Spleen Decoction
  • Pinyin Name: Jia Wei Gui Pi Wan
  • Alternate Names: Jia Wei Gui Pi Tang, Ginseng, Longan and Bupleurum Combination
  • Chinese Character: 加味归脾丸



Jia Wei Gui Pi Wan Clinical Usages and Indications

  • A combination of jia wei xiao yao wan and gui pi wan - similar effects but with more spleen qi and blood tonification.
  • A range of stress related issues - essentially mixes of stagnation with underlying deficiencies.
  • Potential uses with immune / idiopathic thrombocytopenic purpura (ITP) and other bruising/bleeding issues with appropriate diagnostic factors.

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Clinical Formula Combinations and Modifications


Jia Wei Gui Pi Wan Has 12 Ingredients

Huang Qi

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  • Astragalus Root
    • Tonifies spleen qi - lack of appetite, fatigue, diarrhea.
    • Raises yang qi of spleen and stomach - prolapse of uterus, stomach, rectum, uterine bleeding.
    • Augments the wei qi and stabilizes the exterior - deficiency w/spontaneous sweating, frequent colds or shortness of breath.
    • Tonify qi and blood due to loss of blood - postpartum fever.
    • Edema from deficiency.
    • Promote discharge of pus, generate flesh - sores due to deficiency.
  • Herbs That Tonify Qi

Bai Zhu

Fu Ling

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  • Poria, China Root
    • Promotes urination, drains dampness, transforms phlegm - urinary difficulty, diarrhea, edema, headache, dizziness, greasy tongue coat.
    • Strengthens the spleen, harmonizes the middle jiao - diarrhea, loss of appetite.
    • Quiets the heart and calms the spirit - palpitations, insomnia, forgetfulness.
  • Herbs That Drain Dampness
  • Cautions
    • Avoid Vinegar While Using This Herb.

Gan Cao

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  • Licorice Root
    • Tonifies the spleen and augments qi - spleen deficiency w/shortness of breath, fatigue, loose stools (si jun zi tong).
    • Qi and/or blood deficiency w/irregular pluse or palpitations (Zhi Gan Cao Tang).
    • Moistens the lungs and stops cough - heat/cold in the lungs (Ma Xing Shi Gan Tang).
    • Clears heat and toxic fire (raw) - carbuncles, sores, sore throat due to fire toxin (internally or topically).
    • Alleviates pain and stops spasms - abdomen or legs (Shao Yao Gan Cao Tang).
    • Often used to harmonize and/or moderate characteristics of other herbs.
    • Antidote for toxic substances (internally and topically).
  • Herbs That Tonify Qi
  • Cautions
    • Avoid with excess dampness, nausea, vomiting.
    • Incompatible with Gan Sui, Da Ji, Yuan Hua, Hai Zao (although used in some formulas with Hai Zao).
    • If taken for long periods of time, may cause hypertension and/or edema.

Da Zao

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  • Chinese Date, Jujube
    • Tonifies spleen qi - weakness, shortness of breath, reduced appetite, loose stools.
    • Nourishes the blood, calms the spirit - irritability, pale complexion, emotional disturbances, restlessness.
    • Useful to harmonize the harsh properties of other herbs.
  • Herbs That Tonify Qi
  • Cautions
    • May cause heat, dampness, and phlegm leading to fullness in the middle jiao, food stagnation.

Yuan Zhi

Suan Zao Ren

  • Sour Jujube Seed
    • Nourishes heart yin, tonifies liver blood, quiets the spirit - irritability, insomnia, palpitations, anxiety due to blood or yin deficiency.
    • Prevents abnormal sweating - spontaneous sweating, nightsweats.
  • Herbs That Nourish The Heart and Calm The Spirit

Mu Xiang

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  • Costus Root
    • Promotes the movement of Qi, alleviates pain - stagnant qi of the stomach and/or spleen causing lack of appetite, abdominal pain, distention, nausea; liver or gallbladder qi stagnation causing flank pain, distention.
    • Regulates stagnated Qi in the intestines - diarrhea, abdominal pain (common herb to treat tenesmus).
    • Strengthens the spleen and prevents stagnation, used with tonifying herbs to reduce side effects.
  • Herbs That Regulate The Qi

Dang Gui

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  • Chinese Angelica Root
    • Tonifies the blood, regulates menses - pallid, ashen complexion, tinnitus, blurred vision, palpitations, irregular menses, amenorrhea, dysmenorrhea.
    • Invigorates/harmonizes the blood, disperses cold - important herb to stop pain due to blood stasis - abdominal pain, trauma, carbuncles due to blood stasis, chronic bi.
    • Moistens dry intestines due to blood deficiency.
    • Reduces swellings, expels pus, generates flesh - sores.
  • Herbs That Tonify Blood

Zhi Zi

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  • Cape Jasmine Fruit, Gardenia
    • Clears heat (Heart and Liver), eliminates irritability - heat patterns with fever, restlessness, insomnia, delirium, stifling sensation in the chest.
    • Drains damp heat - lin (urinary dysfunction) syndrome due to damp-heat in the lower warmer, damp-heat and constrained liver and gallbladder causing jaundice, damp-heat in the gall bladder and triple heater channels of the face - eyes, nose, sores in the mouth and face.
    • Cools the blood, stops bleeding - nosebleed, blood in vomit, stool, urine; (needs to partially charred).
    • Topically for blood stasis due to trauma, reduces swelling.
  • Herbs That Drain Fire
  • Cautions
    • Avoid in patients with loose stools and/or loss of appetite due to cold from deficiency.

Chai Hu

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  • Thorowax Root, Bupleurum
    • Clears shao yang disorders and reduces fever - alternating chills and fever, bitter taste in the mouth, irritability, vomiting, stifling sensation in the chest.
    • Relieves liver qi stagnation (often used with Bai Shao) - vertigo, menstrual disorders, chest and flank pain, the most common herb to treat stress, irritability, depression, etc.; also for liver and spleen disharmony - bloating, nausea, indigestion, flank pain.
    • Raises yang qi in spleen and stomach deficiency patterns (often used with Sheng Ma) - prolapsed organ, diarrhea, hemorrhoids.
  • Herbs That Release The Exterior Wind Heat
  • Cautions
    • Due to its rising and dispersing nature avoid in yin deficiency or liver yang rising.
    • May cause nausea or vomiting - use a smaller dose if necessary.

Gan Jiang

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  • Dried Ginger Root
    • Warms the middle and expels cold - warms spleen and stomach both in conditions of excess due to externally contacted cold, as well as cold from deficiency due to yang qi deficiency.
    • Rescues devastated yang, expels interior cold - very weak pulse and cold limbs.
    • Warms the lungs and transforms phlegm - lung cold with thin, watery or white sputum.
    • Warms the channels, stops bleeding - hemorrhage of various types, especially for uterine bleeding (must be due to cold - chronic and pale in color, with cold limbs, soggy pulse).
  • Herbs That Warm the Interior and Expel Cold



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