Yi Qi Cong Ming Tang - 益氣聰明湯 - Ginseng, Astragalus And Pueriara

English:	Augment the Qi and Increase Acuity Decoction
Also Known As:	Ginseng, Astragalus and Pueraria Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Astragali	Huang Qi	15-30g	Tonifies Qi and Blood, strengthens the Spleen and raises the Yang Qi of the Spleen and Stomach. With Ren Shen, for Qi Deficiency with general debility, anorexia, and spontaneous sweat. With Sheng Ma, raises Yang Qi of the Spleen, allowing turbid Yin to descend and be eliminated, treating chronic diarrhea, a dragging sensation in the abdomen, fatigue, shortness of breath, uterine bleeding and prolapses.
Rx. Ginseng	Ren Shen	15g	Tonifies Spleen and Stomach Qi.
(Rx. Codonopsis)	(Dang Shen)	(30-60g)	(Substitutes for Ren Shen.) (With Huang Qi, for Lung and Spleen Qi Deficiencies with fatigue, shortness of breath, diarrhea and anorexia.)
Rx. Glycyrrhizae	Gan Cao	15g	Tonifies the Spleen and augments Qi. With Ren Shen, relieves palpitations and anxiety. With Dang Shen, for anorexia, fatigue and loose stools due to Spleen Deficiency.
Rz. Cimicifugae	Sheng Ma	6-10g	Raises Yang and lifts Sunken Qi.
Rx. Puerariae	Ge Gen	9-30g	Raises Spleen Yang and stops diarrhea.
Fr. Viticis	Man Jing Zi	4.5-10g	Disperses Wind, clears Heat and clears and benefits head and eyes. With Ren Shen and Huang Qi, for eye disease, tinnitus, dizziness, and deafness due to deficiency. With Bai Shao, soothes the Liver.
Rx. Paeoniae Alba	Bai Shao	3-18g	Nourishes Blood and astringes Yin. With Gan Cao, for abdominal pain due to disharmony between the Liver and Stomach, muscle spasms, especially in the calf, due to Blood Deficiency and regulates the relationship between the Liver and Spleen and nourish sinews. With Huang Qi and Ren Shen, astringes sweating from Deficiency.
Wine-fried Cx. Phellodendri	Jiu Chao Huang Bai	3-10g	Cools Upper Jiao Blood Heat, invigorates the Blood and disperses Stasis.

Formula Actions

• Strengthens and raises the Qi of the Middle Jiao
• Improves visual and aural acuity

Syndromes

• Long-term Middle Jiao Qi Deficiency with visual and aural disturbances

Clinical Manifestations

Pterygium Tinnitus Hearing loss Diminished visual and aural acuity Blurred vision Abdominal pain

Dizziness Light headedness Anorexia Spontaneous sweating Chronic diarrhea

Treats

Pterygium Tinnitus Hearing loss Obstructive visual disturbances Chronic visual disturbances Cognitive dysfunction Hypoacusis Dizziness Forgetfulness Cerebral thrombosis

Cerebral arteriosclerosis Cataract Vertigo Otitis media Colitis Tic douloureux Optic atrophy Anorexia Ulcerative colitis

Contraindications And Herb/Drug Interactions

Notes

• Remove Jiu Chao Huang Bai for patients with severe Spleen Qi Deficiency, and add more for patients more severe Heat signs.

Modifications

For blurred vision and dizziness:		For tinnitus due to Kidney Deficiency:
+ Flos Chrysanthemi	Ju Hua	+ Anemarrhenae, Phellodendron and Rehmannia Pill Zhi Bai Di Huang Wan
+ Fr. Lycii	Gou Qi Zi
For gradual deterioration of cognitive functions:		For fibromyalgia due to Qi Deficiency:
+ Rx. Pseudostellariae	Tai Zi Shen	+ Kidney Qi Pill Shen Qi Wan
+ Rx. Paeoniae Rubra	Chi Shao
For tinnitus:		+ Kudzu Decoction Ge Gen Tang
+ Dry-fried Rz. Atracty- Lodis Macrocephalae	Chao Bai Zhu
For tinnitus with loose stools:
+ Poria	Fu Ling	+ Dry-fried Rz. Atracty- Lodis Macrocephalae	Chao Bai Zhu
+ Rz. Acori Tatarinowii	Shi Chang Pu
+ Fr. Amomi	Sha Ren	+ Poria	Fu Ling
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ Rz. Acori Tatarinowii	Shi Chang Pu
+ Fr. Amomi	Sha Ren
For vertigo:		+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Rz. Gastrodiae	Tian Ma
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Rz. Dioscoreae	Shan Yao
+ Sm. Plantaginis	Che Qian Zi
+ Cx. Eucommiae	Du Zhong	For ulcerative colitis with Spleen and Stomach Deficiency:
+ Rx. Achyranthis Bidentatae	Niu Xi
+ 30g Rz. Dioscoreae	Shan Yao
For ulcerative colitis with more Dampness:		+ 10g Dry-fried Sm. Lablab Album	Bai Bian Dou
+ 10g Dry-fried Rz. Atractylodis	Cang Zhu
For ulcerative colitis with more Heat:
+ 20g Sm. Coicis	Yi Yi Ren	+ 20g Hb. Portulacae	Ma Chi Xian
For ulcerative colitis with Food Stagnation:		+ 6g Rz. Coptidis	Huang Lian
+ 10g Massa Medicata Fermentata	Shen Qu	For ulcerative colitis with Deficiency of Ming Men Fire:
+ 10g Dry-fried Fr. Crataegi	Shan Zha	+ 10g Fr. Psoraliae	Bu Gu Zhi
+ 10g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
For ulcerative colitis with constant diarrhea:
+ 6-10g Sm. Myristicae	Rou Dou Kou
+ 6-10g Per. Papaveris	Ying Su Ke
+ 6-10g Dry-fried Fr. Gardeniae	Chao Zhi Zi