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Shi Pi Yin

From "Zang Fu Syndromes," by McDonald and Penner

English: Bolster the Spleen Decoction

Also known as: Magnolia and Atractylodis Combination or Spleen Reinforcing Cool Decoction

• Ingredients
• Actions
• Syndromes
• Clinical Manifestations
• Treats
• Modifications

Latin	Pinyin	Dosage	Actions
Rx. Aconiti Praeparata	Fu Zi	4-30g	Promotes movement of Yang through all twelve channels, tonifies Ming Men and disperses Cold. With Gan Jiang, warms and nourishes SP and KI. With Bai Zhu and Fu Ling, for KI and SP Yang Xu with water retention. With Bai Zhu and Gan Jiang, for SP Yang Xu with abdominal pain and Cold.
Rz. Zingiberis	Gan Jiang	4-30g	Warms SP Yang and expels interior Cold. With Gan Cao, for vomiting and epigastric pain due to SP / ST Xu Cold. With Hou Po, for congested Fluids due to Cold with epigastric distention and pain.
Scl. Poriae Cocos	Fu Ling	4-30g	Promotes urination, resolves Dampness, strengthens SP and harmonizes MJ. With Bai Zhu, strengthens SP and resolves Dampness.
Rz. Atractylodis	Bai Zhu	4-30g	Tonifies SP, tonifies Qi and dries Dampness.
Fr. Chaenomelis	Mu Gua	4-30g	Strengthens SP, transforms Dampness, promotes urination and harmonizes ST.
Cx. Magnoliae	Hou Po	4-30g	Moves Qi, transforms Dampness and warms and invigorates SP. With Mu Xiang, Da Fu Pi and Cao Guo, descends Qi, relieves stagnation, transforms Dampness and circulates Fluids.
Rx. Aucklandiae	Mu Xiang	4-30g	Moves Qi and strengthens SP.
Per. Arecae	Da Fu Pi	4-30g	Moves Qi, promotes urination, expels Dampness and reduces edema.
Fr. Amomi	Tsao-ko Cao Guo	4-30g	Strongly dries Dampness, disperses Cold and resolves stagnation and distention.
Rx. Glycyrrhizae (fried)	Zhi Gan Cao	2-15g	Tonifies SP Qi. With Sheng Jiang and Da Zao, regulates and harmonizes the other herbs, benefits SP and harmonizes MJ. (cont.)
Rz. Zingiberis Recens	Sheng Jiang	5 slices	Disperses Cold and warms the middle.
Fr. Zizyphi Jujube	Da Zao	1 piece	Strengthens SP, tonifies Qi and harmonizes.

Warms Yang, Strengthens SP, Promotes Qi movement and Promotes urination.

SP Xu Edema

SP and KI Yang Xu with Water Flooding (Yin edema)

Generalized edema, more severe below the waist Heavy sensation of the body Absence of thirst Scanty urine

Cold extremities Chest and abdominal fullness and distention Semi liquid, unformed stools Loss of appetite

T: Pale
C: Thick and greasy
P: Deep and slow or Deep and thready

Pitting edema Rheumatic valvular heart disease Cirrhosis of the liver Chronic enteritis Cardiac edema Menopause

Chronic nephritis Congestive heart failure Chronic hepatic diseases Intestinal tuberculosis Anasarca

For scanty urination and severe edema: + Rz. Alismatis Ze Xie + Scl. Polypori Zhu Ling

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