(Wu Wei) Yi Gong San - (五味)異功散 - Extraordinary Merit Powder

English:	Extraordinary Merit Powder
Also Known As:	Miracle Powder of Five Ingredients

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Ginseng	Ren Shen	3-9g	Replenishes Q and tonifies the Spleen, Stomach, Heart and Lung. With Bai Zhu, tonifies the transformation and transportation functions of the Spleen. With Bai Zhu and Fu Ling, for Spleen and Stomach Qi Deficiency with Dampness with anorexia, diarrhea, vomiting, abdominal distention and fatigue.
(Rx. Codonopsis)	(Dang Shen)	(6-27g)	(Substitutes for Ren Shen - easier to digest.)
Rz. Atractylodes Macrocephalae	Bai Zhu	6-9g	Tonifies the Spleen, augments Qi and dries Dampness. With Fu Ling and Zhi Gan Cao, for Spleen and Stomach Qi Deficiency.
Poria	Fu Ling	6-9g	Promotes urination, leaches out Dampness, strengthens the Spleen and harmonizes the Middle Jiao. With Ren Shen and Bai Zhu, for weak and deficient Spleen with fatigue, anorexia and loose stools. With Bai Zhu, strengthens the Spleen and resolves Dampness.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	3-6g	Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of the other herbs. With Dang Shen, for anorexia, fatigue and loose stools due to Spleen Deficiency. With Ren Shen, Fu Ling and Bai Zhu, strengthens the Spleen and augments Qi.
Per. Citri Reticulatae	Chen Pi	6-9g	Regulates Qi, improves the transportive function of the Spleen, adjusts the Middle Jiao, dries Dampness and helps prevent Stagnation caused by tonification herbs. With Sheng Jiang, for vomiting and hiccups due to Disharmony of the Stomach Qi and Cold-Dampness Obstructing the Middle with nausea and hiccup. With Bai Zhu, for anorexia and other symptoms of Damp-Obstruction due to Spleen Deficiency.
Rz. Zingiberis Recens	Sheng Jiang	3-6g	Warms the Middle and stops vomiting. With Da Zao, protects the Spleen and Stomach. With Chen Pi, for Cold-Dampness Obstructing the Middle with nausea and hiccup.
Fr. Jujube	Da Zao	3-6g	Tonifies the Spleen and Stomach and augments Qi and moderates and harmonizes the harsh properties of other herbs. With Ren Shen, Bai Zhu and Fu Ling, for weakness and lassitude due to Spleen and Stomach Deficiency. With Sheng Jiang, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen and prevents tonics from generating Dampness in the Middle Jiao.

Formula Actions

• Strengthens the Spleen
• Augments Qi
• Harmonizes the Stomach
• Circulates Qi

Syndromes

• Spleen Deficiency with Qi Stagnation
• Spleen/Stomach Qi deficiency + Qi stagnation (Secondary source)

Clinical Manifestations

Irregular appetite Stifling sensation in the chest and epigastrium Nausea Pale face Weak extremities Abdominal distention Diarrhea

Abdominal pain Anorexia Borborygmus Vomiting T: Pale C: White, may be greasy P: Weak or Weak and wiry

Treats

Irregular appetite Obesity Nausea/Vomiting Abdominal pain Anorexia associated with AIDS/HIV

Digestive disorders in children Stomach cancer Abdominal fullness and distention Anorexia

Contraindications And Herb/Drug Interactions

Notes

Modifications

For fullness and distention in the chest with throat obstruction:		For anorexia associated with AIDS/HIV:
+ Fr. Amomi	Sha Ren
+ Hb. Agastaches	Huo Xiang	+ Fr. Crataegi	Shan Zha
+ Fr. Amomi	Sha Ren