Jia Wei Jian Gu Tang - 加味建骨汤 - Augmented Bone Strengthening Decoction

English:	Augmented Bone Strengthening Decoction
Also Known As:	Strengthen and Consolidate Decoction

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Ginseng	Ren Shen	10g	Tonifies Spleen and Stomach Qi and treats impotence. With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
Rz. Atractylodis Macrocephalae	Bai Zhu	15g	Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism. With Fu Ling and Yi Yi Ren, for Spleen and Stomach Deficiency with Dampness.
Poria	Fu Ling	15g	Promotes urination, leaches out Dampness, strengthens the Spleen and harmonizes the Middle Jiao. With Ren Shen and Bai Zhu, for a weak and deficient Spleen with fatigue, anorexia and loose stools.
Rx. Morindae	Ba Ji Tian	15g	Tonifies the Kidneys and strengthens Yang. With Ren Shen and Shan Yao, for impotence or infertility.
Sm. Coicis	Yi Yi Ren	20g	Strengthens the Spleen and resolves Dampness. With Fu Ling, for Spleen Deficiency with Excess Dampness and edema. With Fu Ling and Bai Zhu, for Spleen Deficient diarrhea. With Ren Shen, Shan Yao and Bai Zhu, for Spleen and Stomach Deficiencies with loose stools and reduced appetite.
Fr. Psoraliae	Bu Gu Zhi	10g	Astringes urine, Stabilizes Jing, Strengthens Yang, Tonifies and warms Spleen Yang and stops diarrhea, Tonifies the Kidneys.
Hb. Epimedii	Yin Yang Huo	10g	Tonifies the Kidneys, strengthens Yang and increases the libido. With Shan Yao, enhances its functions.
Rz. Dioscoreae	Shan Yao	15g	Tonifies the Spleen, nourishes Stomach Yin, stops diarrhea, tonifies Kidney Yin and astringes Jing. With Fu Ling and Bai Zhu, for Spleen Deficiency with loose watery stools. With Ren Shen and Bai Zhu, for decreased appetite and lack of energy due to Spleen Deficiency.

Formula Actions

• Warms the Kidneys
• Strengthens the Spleen
• Activates Qi
• Mobilizes water

Syndromes

• Spleen and Kidney Yang Deficiency

Clinical Manifestations

Edema of the face and limbs Lassitude Weakness Epigastric distention and pain Anorexia A sallow complexion Cold pain in the waist and knees

Watery feces Maybe vaginal bleeding of pale and watery blood T: Plump and may have indentations on the sides C: Thin and white P: Deep, thready and even

Treats

Menopause syndrome Premenstrual syndrome

Infertility

Contraindications And Herb/Drug Interactions

Notes

Modifications

For luteal phase:		For marked edema:
- Poria	Fu Ling	+ 10g Ram. Cinnamomi	Gui Zhi
- Fr. Psoraliae	Bu Gu Zhi	+ 20g Rx. Astragali	Huang Qi
- Hb. Epimedii	Yin Yang Huo	For nocturia or urinary incontinence:
+ Sm. Cuscutae	Tu Si Zi	+ 12g Ootheca Mantidis	Sang Piao Xiao
+ Cervi Cornu Degelatinum	Lu Jiao Shuang	+ 18g Fr. Rosae Laevigatae	Jin Ying Zi
For premenstrual syndrome:		+ 15g Fr. Alpiniae Oxyphyllae	Yi Zhi Ren
- Fr. Psoraliae	Bu Gu Zhi
- Hb. Epimedii	Yin Yang Huo	For premenstrual tension:
- Rz. Dioscoreae	Shan Yao	- Fr. Psoraliae	Bu Gu Zhi
- Rx Ginseng	Ren Shen	- Hb. Epimedii	Yin Yang Huo
+ 15g Rx. Codonopsis	Dang Shen	- Rz. Dioscoreae	Shan Yao
+ 9g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	- Rx Ginseng	Ren Shen
+ 15g Rx. Codonopsis	Dang Shen
+ 6g Cx. Cinnamomi	Rou Gui	+ 9g Rz. Cibotii	Gou Ji
+12g Rz. Alismatis	Ze Xie	+ 9g Rz. Alismatis	Ze Xie
+ 15g Sm. Plantaginis	Che Qian Zi