Sijunzi decoction is a tonic prescription, which has the effect of invigorating qi and strengthening spleen. Indications are spleen and stomach qi deficiency syndrome, sallow complexion, low voice, shortness of breath, loss of appetite, thin stool, pale tongue with white fur and weak pulse. Clinically, it is often used to treat patients with spleen and stomach qi deficiency such as chronic gastritis and peptic ulcer.

Prescription Mingsi Junzi Decoction

Source "Taiping Huimin Hutchison Bureau"

Ginseng, Atractylodes macrocephala, Poria, Peeling (9g each) and Radix Glycyrrhizae Preparata (6g each) are equally divided.

The four basic prescriptions of benefiting qi, eating less and not defecating, ginseng Atractylodes macrocephala, Poria cocos and grass, have strong functions of benefiting qi and strengthening spleen.

Usage: Fine powder, two yuan (15g), one cup of water for each dose, decocted until seven minutes are cooked, taken orally, regardless of time; Add some salt, or order white soup. Modern usage: decoction.

Efficacy: Yiqi Jianpi.

Indications: spleen and stomach qi deficiency syndrome. Pale face, deep voice, shortness of breath, eating less loose stool, pale tongue with white fur and weak pulse.

This prescription is caused by deficiency of spleen and stomach qi and insufficient transport. Spleen and stomach are the foundation of the day after tomorrow and the source of qi and blood biochemistry. If the spleen and stomach are weak and abnormal in transport, the diet will be reduced and the stool will be thin. Deficiency of spleen deficiency and malnutrition of viscera and organs will lead to pale face and low voice; Spleen governs muscles, and spleen and stomach muscles suffer nothing, so limbs are weak; Pale tongue with white fur and weak pulse are all manifestations of qi deficiency. Treatment should supplement the qi of the spleen and stomach to restore its function of transport, transformation and reception. Ginseng in the prescription is the monarch medicine, which can greatly replenish vitality, strengthen the spleen and nourish the stomach. Spleen likes dryness and hates dampness, spleen deficiency is unlucky and prone to dampness. Therefore, Atractylodes macrocephala is sweet, bitter and warm, which is used to strengthen the spleen and dry dampness, and help transport and transform. Poria cocos permeates dampness and strengthens the spleen, which is an adjuvant medicine. Radix Glycyrrhizae Preparata supplements qi, neutralizes moderate coke, and reconciles various medicines. The compatibility of the four drugs plays a role in invigorating qi and strengthening spleen.

Compatibility features warm but not dry, tonic but not strong.

clinical application

1, key points of prescriptions This prescription is the basic prescription for treating spleen-stomach qi deficiency syndrome, and many prescriptions for invigorating spleen and benefiting qi in later generations have evolved from this prescription. The main points of clinical application are pallor, shortness of breath, weakness of limbs, pale tongue with white fur and weak pulse.

2. Modern application is often used to treat chronic gastritis, gastric ulcer and duodenal ulcer. In addition, it can also be used for patients with spleen and stomach qi deficiency, such as hepatitis B, coronary heart disease, fetal movement during pregnancy, and spleen deficiency syndrome after infection in children.

Adding Pinellia ternata can reduce adverse reactions, and reduce vomiting can stop vomiting; For patients with fullness of chest diaphragm, Fructus Aurantii and Pericarpium Citri Tangerinae are added to promote qi circulation and broaden chest; Palpitation and insomnia, add Ziziphus jujuba seeds to calm the heart and soothe the nerves; If you have cold limbs and abdominal pain, add dried ginger and aconite to warm the middle and dispel the cold. Thirst, add astragalus; Stomach cold, vomiting and salivation, plus cloves; Nausea, add agastache; Disharmony between spleen and stomach, double atractylodes rhizome, ginger and jujube; Ginseng Radix, Radix Aucklandiae and Fructus Amomi are added for patients with spleen deficiency; Spleen deficiency and abdominal distension, do not think about diet, add lentils and millet; Eat food, add fried divine comedy; Chest full and short of breath, add cardamom.