Wu Wei Zi Tang - 五味子汤 - Schisandra Decoction

English:	Schisandra Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fr. Schisandrae	Wu Wei Zi	6g	Tonifies Qi, astringes sweat, generates fluids, quiets the Spirit and calms and contains Heart Qi. With Ren Shen and Mai Men Dong, for exhaustion of Qi and Yin with shortness of breath, coughing, and thirst and spontaneous night sweats with Qi Deficiency. With Huang Qi, for Yang Deficiency with spontaneous sweating. With Mu Li, Huang Qi, Fu Xiao Mai, Ma Huang Gen and Suan Zao Ren, for spontaneous sweating due to Qi Deficiency.
Rx. Ophiopogonis	Mai Men Dong	9g	Clears the Heart and eliminates irritability.
Rx. Astragali	Huang Qi	12g	Tonifies Qi and Blood . With Mai Men Dong and Wu Wei Zi, for night sweats. With Fu Xiao Mai, for spontaneous sweating due to Qi Deficiency and night sweats due to Yin Deficiency.
Rx. Ginseng	Ren Shen	9g	Tonifies Heart Qi and calms the Spirit. With Huang Qi, for Qi Deficiency with general debility, anorexia and spontaneous sweat.
Sm. Zizyphi Spinosae	Suan Zao Ren	12g	Nourishes Heart Yin, tonifies Liver Blood, calms the Spirit, astringes sweat and generates fluids..
Sm. Platycladi	Bai Zi Ren	9g	Nourishes the Heart, calms the Spirit and astringes Yin Deficiency sweat. With Suan Zao Ren, strongly quiets the Spirit, calms the emotions, enriches Yin and Blood, stops night sweats and treats palpitations, irritability and insomnia due to Yin and Blood Deficiency failing to nourish the Heart and Liver.
Cx. Albizziae	He Huan Pi	9g	Calms the Spirit and relieves constraint.
Rx. Glycyrrhizae	Gan Cao	3g	Tonifies the Spleen, augments Qi, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

Formula Actions

• Reinforces and Strengthens Heart Qi

Syndromes

• Heart Qi Deficiency

Clinical Manifestations

Palpitations, initiated by exercise Symptoms worse after exertion or when tired Symptoms relieved by rest Restless sleep Insomnia May be arrhythmia Dizziness Shortness of breath Diminished vocal power

No desire to speak Physical and mental fatigue Excessive perspiration (in daytime) Facial pallor Weakness Suffocating sensation in the chest Cold extremities T: Pale and swollen C: White P: Weak or Big and weak or Intermittent

Treats

Heart palpitations Anxiety Premature ectopic beats Spontaneous perspiration

Anemia Sinus tachycardia Sick sinus syndrome Dyspnea

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe Qi Deficiency:		For copious sweating:
+ 12g Rz. Polygonati	Huang Jing	+ 18g Concha Ostreae	Mu Li
+ More (24g) Rx. Astragali	Huang Qi	+ 12g Rx. Ephedrae	Ma Huang Gen
+ 12g Sm. Tritici Levis	Fu Xiao Mai
For severe insomnia:
+ 15g Caulis Polygoni Multiflori	Ye Jiao Teng
+ 10g Dens Draconis	Long Chi