Sì Jūn Zǐ Tāng

Four Gentlemen Decoction

Disclaimer    For educational purposes only.  Do not use as medical advice

AboutChinese MedicineCaution/Notes
Health Benefits
For: Irritable Bowel Syndrome (IBS) • Chronic Gastritis • Uterine Fibroids • Duodenal Ulcer • Diabetes
Atributes:
Products

Ground Up Herb

Tea Pills

Tincture

Capsules

Research

Category: Tonify Qi ⌕ 
Subcategory:  ⌕   Source: Tai Ping Hui Min He Ji Ju Fang 
Actions: Tonify qi • Strengthens spleen • Strengthens stomach
Diagnosis
Tongue: pale      Pulse: weak    Other:pale complexion 
Patterns: Qi Deficiency, Spleen Qi Xu, Stomach Qi Xu 
Indications: Key symptoms: pale complexion, poor appetite, short of breath, fatigue, pale tongue with white coating, weak pulse[Song]
Contraindications: Excess heat or deficient heat • Bloated, thirsty, and constipated at the same time • Other diabetes medication • Long term use
Description
Name Variations:Si Jun Zi Tang, 四君子汤, Four Gentlemen Decoction,
Herb List: Ren Shen(K) • Bai Zhu(M) • Fu Ling(A) • Gan Cao(G)
Commentary: Basic formula for warming the Middle Jiao.[Song] Ren Shen tonifies (add to skill set) all types of Qi. Can replace Ren Shen with Dang Shen (less potent). Bai Zhu invigorates (inspires) Qi and dries dampness. Fu Ling drains dampness. Gan Cao harmonizes. • YI GONG SAN: a pediatric formula. Tonify Qi, strengthen SP, move Qi. Very gentle. For SP/ST Qi Xu and Yu, loose stool, poor appetite, epigastric discomfort. Middle Jiao Qi Xu. • LIU JUN ZI TANG: tonify Qi, strengthen SP, resolve Phlegm. SP/ST Qi Xu + Phlegm, poor appetite, loose stools, vomiting, epigastric discomfort. Usually more suitable than Si Jun Zi Tang. Same as Si Jun Zi Tang + Er Chen TangXIANG SHA LIU JUN ZI TANG: SP/ST Qi Xu + Phlegm + Qi Stagnation. Tonify Qi, strengthen SP, resolve phlegm, move Qi. Vomiting, fatigue, poor appetite, abdominal distention, epigastric discomfort. Golden Flower Salvia 10 is based on Liu Jun Zi Tang and it includes treatment for anxiety (Suan Zao Ren Tang).
Related Formulas: Attachments: Yi Gong San (Si Jun Zi Tang + Chen Pi), Liu ZJun Zi Tang (Si Jun Zi Tang + Chen Pi + Ban Xia), Xiang Sha Liu Jun Zi Tang (Si Jun Zi Tang + Chen Pi + Ban Xia + Mu Xiang + Sha Ren + Sheng Jiang)
Herbs Cat/Dosage Actions Attributes
Ren ShenGinseng • 人参  Tonify Qi Tonify yuan qi • Tonify lung qi • Tonify heart qi • Calms Shen • Stop thirst • Helps impotence • Treats qi collapse • Tonify Spleen • Generate fluid • Stop thirst • Strengthen anti-pathogenic qi • Can go to all 5 zang organsUnlike Huang Qi, Ren Shen is adaptogenic and may be used by people with autoimmune disorders. adaptogen • anti-aging • anticoagulant • antiplatelet • antioxidant • antiplatelet • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant
Bai ZhuWhite Atractylodes Root • 白术 Tonify Qi Tonify Spleen Qi • Stop sweating • Calms fetus • Dry dampness • Stabilize exterior • Stop sweating Dao Di: Zhe Jiang Anti-inflammatory • Hepatoprotective • Immunity Booster • Hypoglycemic • Antibaterial
Fu LingPoria Mushroom • 茯苓  Drain Dampness Dry dampness • Tonify spleen • Calm spirit • Relief edema • Detox food poisoning • Promote urination Dao Di: Yun Nan Diuretic • Antibacterial • Anti-inflammatory • Anti-allergic • Hypoglycemic • Antacid • Sedative • Immunity booster
Gan CaoLicorice Root • 甘草 Tonify Qi Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effectsEnters all 12 channels, often serve as envoy in a formula. Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: 
Modifications For
+ Ban Xia Vomiting 31
+ Zhi Ke, Chen Pi Chest or epigastric distention31
+ Suan Zao Ren + Yuan Zhi Insomnia, palpitations31
+ Gan Jiang + Fu Zi Fear of cold, cold limbs, cold pain 31

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Ren Shen: Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat
Bai Zhu: Autoimmune disorder • Yin deficiency with heat • Dehydration • Foods: black carp, Chinese cabbage, peach, plum and coriander
Fu Ling: Foods: Vinegar, pickled food
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section.

Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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