Yi Qi Ruan Gan Tang - 翊气软肝汤 - Boost The Qi And Soften The Liver Decoction

English:	Boost the Qi and Soften the Liver Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Astragali	Huang Qi	30g	Promotes urination, Reduces edema, Strengthens the Spleen, Tonifies Qi and Blood.
Rx. Rehmanniae	Sheng Di Huang	12g	Clears Heat, cools the Blood and nourishes Yin. With Bai Shao, for Blood Deficiency Heat. With Da Huang, for Deficiency Fire and parched, dry stools with damaged Yin.
Fr. Lycii	Gou Qi Zi	12g	Nourishes and tonifies Liver and Kidney Blood and Yin.
Rx. Paeoniae Alba	Bai Shao	12g	Nourishes the Blood, astringes Yin, softens the Liver and relieves pain. With Gan Cao, regulates the relationship between the Liver and Spleen and nourishes the sinews for abdominal pain due to disharmony between the Liver and Stomach and epigastric, hypochondriac or flank pain.
Fr. Corni	Shan Zhu Yu	12g	Stabilizes the Kidneys, astringes Jing and Body Fluids, tonifies Liver and Kidney Yin and strengthens Kidney Yang.
Hb. Artemisiae Scopariae	Yin Chen Hao	12g	Clears Damp-Heat from the Liver and Gallbladder and relieves jaundice. With Da Huang, for early-stage Damp-Heat Jaundice when Heat is stronger than Dampness.
Fr. Crataegi	Shan Zha	12g	Dissipates clumps, Invigorates Blood circulation, Reduces and guides out Food Stagnation, Transforms accumulations, Transforms Blood Stasis.
Rz. Polygoni Cuspidati	Hu Zhang	12g	Invigorates the Blood, dispels Blood Stasis, unblocks the channels, clears Heat, resolves Dampness and stops pain.
Processed Rx. et Rz. Rhei	Zhi Da Huang	9g	Dispels Blood Stasis, Drains Fire, Drains Heat, Invigorates the Blood, Promotes urination, Purges accumulations, Transforms Dampness.
Per. Citri Reticulatae	Chen Pi	6g	Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness and transforms Phlegm. With Qing Pi, for flank pain and chest and abdominal distention due to Liver Qi Stagnation.
Per. Citri Reticulatae Viride	Qing Pi	6g	Breaks up Stagnant Qi, Dries Dampness, Spreads Liver Qi, Transforms Phlegm.
Rx. Glycyrrhizae	Gan Cao	6g	Moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Clears Heat
• Drains Dampness
• Clears the Gallbladder
• Nourishes Qi and Yin

Syndromes

• Damp-Heat Damaging Qi and Yin

Clinical Manifestations

Right-sided rib distention and pain Abdominal distention and fullness Palpable pain in the Gallbladder region Nausea Vomiting Sluggish intake Dry mouth with a bitter taste Thirst with no desire to drink

Alternating chills and fever Maybe jaundice Dry stools Yellow urine T: Normal C: Greasy and yellow P: Wiry, slippery and rapid

Treats

Cholecystitis

Cholelithiasis

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe flank pain:		For simultaneous Heat signs:
+ 12g Rx Curcumae	Yu Jin	+ 9g Fr. Gardeniae	Zhi Zi
+ 12g Rz. Corydalis	Yan Hu Suo	+ 9g Rx. Scutellariae	Huang Qin
For accompanying Dampness:		For marked abdominal distention:
+ 20g Sm. Coicis	Yi Yi Ren	+ 9g Fr. Citri Sarcodactylis	Fo Shou
+ 12g Poria	Fu Ling
For dry, bound stools:		+ + 9g Per. Arecae	Da Fu Pi
- Processed Rx. et Rz. Rhei	Zhi Da Huang	For loose stools:
- Processed Rx. et Rz. Rhei	Zhi Da Huang
+ 9g Uncooked Rx. et Rz. Rhei	Da Huang
+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu