Theory

Jian Pi Wan Strengthen Spleen Pills - TCM Herbal Formula


Jian Pi Wan Names

  • English Name: Strengthen Spleen Pills
  • Pinyin Name: Jian Pi Wan

Functional Groupings



Jian Pi Wan Clinical Usages and Indications

  • For stomach and spleen qi deficiency with dampness that has potentially generated mild interior-heat - diarrhea, abdominal pain, poor appetite, epigastric pain.
  • May be used in early pregnancy for more deficient patients particularly with a tendency towards miscarriage.
  • May be used with pediatric patients for poor appetite and looser stools.

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Clinician Notes

  • Compared with the four gentleman (si jun zi tang), from which this formula arises, this will better resolve dampness and stop diarrhea, whereas the four gentleman is arguably more tonifying.

Jian Pi Wan Has 14 Ingredients

Bai Zhu

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

Huang Lian

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  • Coptis Rhizome
    • Drains fire, relieves toxicity - high fever, irritability, disorientation, delirium, painful, red eyes, red tongue, sore throat, boils, carbuncles, abscesses.
    • Clears heat, drains dampness - for damp-heat in the stomach or intestine, diarrhea or dysenteric disorder, vomiting and/or acid regurgitation due to stomach heat.
    • Clears heart fire - irritability, insomnia.
    • Clears heat and stops bleeding - nosebleed, blood in the urine, stool, vomiting due to hot blood.
    • Topically for red, painful eyes and ulcerations of the tongue and mouth.
  • Herbs That Clear Heat and Dry Dampness

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.

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.

Dang Shen

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  • Codonopsis Root
    • Tonifies the middle warmer, augments the qi - lack of appetite, fatigue, diarrhea, vomiting, any spleen qi deficiency issues, prolapse of uterus, stomach, rectum.
    • Tonifies the lungs - lung deficiency w/chronic cough, shortness of breath, copious sputum due to spleen qi deficiency.
    • Nourishes fluids - xiao ke, thirst due to injury to fluids.
    • Often used with herbs that release the exterior when patient has significant qi deficiency.
  • Herbs That Tonify Qi

Shen Qu

Chen Pi

  • Tangerine Peel
    • Regulates Qi, improves transportive function of the spleen, relieves diaphragm - epigastric/abdominal distention, fullness, bloating, belching, nausea, vomiting (promotes movement of qi in general; specifically directing it downward - good for different types of nausea/vomiting).
    • Important herb for drying dampness and the transformation of phlegm - coughs with stifling sensation in the chest/diaphragm, and copious viscous sputum (qi-level herb).
    • Prevents stagnation - prevents cloying of tonifying herbs.
    • Ju Hong is the red part of the tangerine peel - it is more drying and aromatic.
  • Herbs That Regulate The Qi

Sha Ren

Mai Ya

Shan Zha

Shan Yao

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  • Chinese Yam
    • Tonify the spleen and stomach qi - diarrhea, fatigue, spontaneous sweating, lack of appetite.
    • Tonify the lung qi and yin - chronic cough/wheezing.
    • Strengthen the kidney yin and yang - not hot nor cold, benefits both yin and yang, xiao ke, also binds the jing - spermatorrhea, vaginal discharge, frequent urination.
  • Herbs That Tonify Qi

Rou Dou Kou

  • Nutmeg Seeds
    • Binds the intestines, stops chronic/daybreak diarrhea due to cold from spleen and kidney deficiency.
    • Warms the middle burner, moves Qi - alleviates pain in abdomen, vomiting due to cold from deficiency of the spleen and stomach.
  • Herbs That Stabilize and Bind

Zhi Shi

  • Immature Bitter Orange
    • Breaks up Qi stagnation, reduces accumulations, transforms phlegm - epigastric or abdominal pain and distention or indigestion w/focal distention or gas.
    • Directs qi downward and unblocks bowels - frequently used for abdominal pain and constipation by accumulation and stagnant Qi.
    • Transforms phlegm and expels focal.
    • Used with Qi tonifying herbs for the prolapse of organs.
    • Raises blood pressure.
  • Herbs That Regulate The Qi
  • Cautions
    • Avoid during Pregnancy.



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