What Formula represents the “Four Gentlemen Decoction?”
Si Jun Zi Tang
What is the category for Si Jun Zi Tang?
Qi Tonic
What are you most likely to diagnose when you prescribe someone Si Jun Zi Tang? Please include Tongue & Pulse.
Dx: Spleen Qi Deficiency
T: Pale
P: weak pulse
What are the actions of the Four Gentlemen Decoction?
Tonifies Qi, strengthens Spleen
What is the Chief ingredient in Si Jun Zi Tang?
Ren Shen (Rx Ginseng) - a powerful qi tonic
Notes: Sweet & Warm
If a patient is laconic, fatigued, has a weak pulse, feels distention in abdomen after eating, and has a shiny & pale appearance, what are you most likely to diagnose them with?
Spleen Qi Deficiency
What are the four ingredients in Si Jun Zi Tang?
Ren Shen, Bai Zhu, Fu Ling, Zhi Gan Cao
What is a bitter and warm herb in Si Jun Zi Tang? It is known as the deputy ingredient.
Bai Zhu (Rx Atractylodis Macrocephalae) - qi tonic that also dries damp
What is the assistant in Si Jun Zi Tang?
Fu Ling (Poria) - drain damp & strengthens Spleen
What is the envoy of Si Jun Zi Tang?
Zhi Gan Cao - warms & regulates the MJ
Which ingredient in the Four Gentlemen Decoction is sweet & bland? It helps with draining damp & strengthening spleen.
Fu Ling (Poria)
Which herb can be substituted for Ren Shen in Si Jun Zi Tang?
Dang Shen (costs less money)
This herb, in Si Jun Zi Tang, is a qi tonic that also dries damp.
Bai Zhu - deputy ingredient
This herbal formula tonifies qi and regenerates fluids to bring back the pulse.
Sheng Mai San (Generate the Pulse Powder)
In addition to the four ingredients in Si Jun Zi Tang, what two herbs can be added to this formula to benefit someone with Spleen & Stomach Qi Deficiency with Phlegm-Damp?
Original - Ren Shen, Bai Zhu, Fu Ling, Zhi Gan Cao
Added:
Ban Xia (Crow-Dipper Rhizomes - directs Qi down, drying)
Chen Pi (Tangerine Peel - directs Qi downward, drying effect)
In a case where a patient is experiencing Spleen & Stomach Deficiency with Qi Stagnation, what is another ingredient you can add to Si Jun Zi Tang?
Chen Pi - this creates Yi Gong San (Extraordinary Merit Powder)
Case: A patient arrives with fatigue & symptoms of insomnia. You find out they have had chronic breathing issues for 3 years. Looking at their tongue you see it is a pale red color with a thin, dry coat. Their pulse is weak and rapid. What is a formula you should offer?
Sheng Mai San (Generate the Pulse Powder)
What are all of the ingredients in Sheng Mai San?
Ren Shen (Chief), Mai Men Dong (Deputy), & Wu Wei Zi (Assistant)
Which herb (Sheng Mai San) offers powerful qi tonifying properties, tonifies yuan qi, generates fluids & calms Shen?
Ren Shen
In Sheng Mai San, what herb can be substituted for Ren Shen?
None!
What is the Deputy ingredient in Sheng Mai San? What is a primary function from this herb?
Mai Men Dong - yin tonic, generates fluids, moistens lungs, clears xu heat to calm Shen
In Sheng Mai San, this ingredient is astringent, restrains LU Qi, stops sweating, and tonifies Kidneys
Wu Wei Zi
If there is an active external pathogen in the patient’s system, how much of Sheng Mai San should be prescribed?
Trick question! Do not prescribe Sheng Mai San if the patient has an active external pathogen residing in the body.
Is Sheng Mai San a Qi Tonic or Blood Tonic formula?
Qi Tonic!