Shen Fu Tang - 蔘附湯 - Ginseng And Prepared Aconite Decoction

English:	Ginseng and Prepared Aconite Decoction
Also Known As:	Decoction of Ginseng and Aconite

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Ginseng	Ren Shen	12-30g	Heart Qi, Lung, Spleen, Strongly tonifies Yuan. With Zhi Fu Zi, for Collapsed Qi and Devastated Yang with spontaneous sweat, ice cold extremities, shortness of breath.
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	6-30g	Restores Devastated Yang, rescues from rebellion, warms the Ming Men Fire, assists Heart, Kidney and Spleen Yang, disperses Cold and Dampness, warms the channels and stops pain. With Ren Shen, for severe Deficiency of the Source Qi and Collapse of Yang with cold extremities, sweating, weak breathing, dizziness, and an extremely pale complexion.
(Rz. Zingiberis Recens)	(Sheng Jiang)	(3-6g)	(Decoct in water with Da Zao.)
(Fr. Jujube)	(Da Zao)	(3-6g)	(Decoct in water with Sheng Jiang.)

Formula Actions

• Restores Yang
• Strongly tonifies Yuan Qi
• Rescues Qi from collapse due to Vanquished Yang

Syndromes

• Heart Yang Deficiency Exhaustion: Vanquished Yang
• Phlegm Obstructs the Heart Orifice: Exhaustion Syndrome
• Shao Yin Cold
• Severe deficiency of the Source Qi with Sudden Collapse of the Yang Qi (Secondary source)

Clinical Manifestations

Cold extremities Spontaneous perspiration Weak breathing Shortness of breath Dizziness An extremely pale face

Intolerance of Cold Cold abdominal pain Loose stools Upset stomach T: Pale P: Minute (almost imperceptible)

Treats

Congestive Heart failure Myocardial infarction Cardiogenic shock Postpartum hemorrhage Post-surgical bleeding Common cold Dysentery Bleeding peptic ulcer Cor pulmonare Cholecystitis Hematemesis Coronary Heart disease Scleroderma Dyspnea Urinary incontinence Rheumatic fever Cough and asthma associated with AIDS/HIV

Uterine bleeding Hypovolemic shock Prostration Apoplexy Pulmonary failure Influenza Dizziness Asthma Cholelithiasis Palpitations Epistaxis Spontaneous perspiration Indigestion Pneumonia Lupus erythematosus AIDS/HIV

Contraindications And Herb/Drug Interactions

Notes

• Use only for emergency conditions.
• Discontinue use once patient has regained consciousness.
• Shen Fu Tang vs Du Shen Tang: Shen Fu Tang (Ren Shen 12g, Fu Zi 9g) is for chronic Yang deficiency that has reached a critical stage; Du Shen Tang (Ren Shen 30g alone) is for Qi collapse following blood loss.

Modifications

For shock or cardiac failure:		For Exhausted Yin with a big forceless pulse:
+ Fossilia Ossis Mastodi	Long Gu	+ Rx. Rehmanniae Preparata	Shu Di Huang
+ Concha Ostreae	Mu Li	+ Fr. Corni	Shan Zhu Yu
+ Rx. Paeoniae Alba	Bai Shao	+ Fr. Schisandrae	Wu Wei Zi
+ Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ Rx. Ophiopogonis	Mai Men Dong
For stroke:
For bleeding:		+ Generate the Pulse Powder Sheng Mai San
+ Rx. Notoginseng	San Qi
For stroke with spontaneous sweating:		For epistaxis due to collapse of Yin and Yang:
+ Generate the Pulse Powder Sheng Mai San		+ Generate the Pulse Powder Sheng Mai San
+ Fossilia Ossis Mastodi	Long Gu	+ 12g Fossilia Ossis Mastodi	Long Gu
+ Concha Ostreae	Mu Li
+ Rx. Astragali	Huang Qi	For palpitations:
For severe sweating:		+ 15-30g Fossilia Ossis Mastodi	Long Gu
+ Two or three of the following
20g Fossilia Ossis Mastodi	Long Gu	+ 15-30g Concha Ostreae	Mu Li
20g Rx. Astragali	Huang Qi	Or
20g Concha Ostreae	Mu Li	+ 18g Rx. Astragali	Huang Qi
9g Fr. Schisandrae	Wu Wei Zi	For incessant perspiration:
12g Fr. Corni	Shan Zhu Yu	+ 30g calcined Fossilia Ossis Mastodi	Duan Long Gu
For incessant perspiration with severely chilled limbs:
+ 30 calcined Concha Ostreae	Duan Mu Li
+ 30g calcined Fossilia Ossis Mastodi	Duan Long Gu
For severe, incessant perspiration:
+ 30 calcined Concha Ostreae	Duan Mu Li	+ 30g calcined Fossilia Ossis Mastodi	Duan Long Gu
9g Rz. Zingiberis	Gan Jiang	+ 30 calcined Concha Ostreae	Duan Mu Li
For pneumonia due to Yuan Qi Deficiency with lack of communication between Yin and Yang:
+ 20g Rx. Astragali	Huang Qi
For lupus erythematosus with spontaneous sweating and cold limbs:
+ 30g Fossilia Ossis Mastodi	Long Gu
+ 30g calcined Concha Ostreae	Duan Mu Li	+ 15-20g Rx. Rehmanniae	Sheng Di Huang
+ 15g Rx. Salviae Miltiorrhizae	Dan Shen	+ 12g Rx. Glycyrrhizae Preparata	Zhi Gan Cao
+ 9g Rx. Ophiopogonis	Mai Men Dong	+ 9g Rx. Ophiopogonis	Mai Men Dong
+ 9g Fr. Schisandrae	Wu Wei Zi	+ 9g Colla Corii Asini	E Jiao
+ 9g Flos Carthami	Hong Hua	+ 6g Ram. Cinnamomi	Gui Zhi
+ 9g Rx. Paeoniae Rubra	Chi Shao	+ 6g Rz. Zingiberis	Sheng Jiang
+ 9-15g Fr. Jujube	Da Zao
+ 4.5g Rx. Glycyrrhizae	Gan Cao	For lupus erythematosus with spontaneous sweating, cold limbs and fright palpitations:
+ 4.5g Ram. Cinnamomi	Gui Zhi
For lupus erythematosus with spontaneous sweating, cold limbs and Blood Stagnation with chest pain:		+ 15-20g Rx. Rehmanniae	Sheng Di Huang
+ 15-20g Rx. Rehmanniae	Sheng Di Huang	+ 12g Rx. Glycyrrhizae Preparata	Zhi Gan Cao
+ 12g Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ 9g Rx. Ophiopogonis	Mai Men Dong
+ 9g Colla Corii Asini	E Jiao
+ 9g Rx. Ophiopogonis	Mai Men Dong	+ 6g Ram. Cinnamomi	Gui Zhi
+ 9g Colla Corii Asini	E Jiao	+ 6g Rz. Zingiberis	Sheng Jiang
+ 6g Ram. Cinnamomi	Gui Zhi	+ 9-15g Fr. Jujube	Da Zao
+ 6g Rz. Zingiberis	Sheng Jiang	+ 12g Fossilia Ossis Mastodi	Long Gu
+ 9-15g Fr. Jujube	Da Zao
+ 9g Rx. Salviae Miltiorrhizae	Dan Shen	+ 12g Concha Ostreae	Mu Li
For cough and asthma associated with AIDS/HIV due to Yang Deficiency on the verge of collapse:
+ 9g Rx. Paeoniae Rubra	Chi Shao
+ Fossilia Ossis Mastodi	Long Gu
+ 4.5g Rx. Glycyrrhizae	Gan Cao	+ Rx. Glycyrrhizae Preparata	Zhi Gan Cao