Jiàn Pí Wán

Strengthen the Spleen Pill

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Category: Eliminate Food Stagnation
Subcategory: Strengthen Spleen  Source: Zheng Zhi Zhun Sheng  
Actions: Strengthens Spleem, reduces food stagnation, and stops diarrhea [Song]
Diagnosis
Tongue: slightly yellow, greasy coat      Pulse: weak    Other: 
Patterns: Food Stagnation, Spleen Qi Deficiency 
Indications: SP deficiency with food stagnation: SP deficiency (fatigue, loose stools, weak pulse); Food stagnation (eat little, poor digestion, fullness and distention in abdomen); slightly yellow greasy tongue coating, weak pulse
Contraindications: 
Description
Name Variations: Jian Pi Wan, 健脾丸, Strengthen the Spleen Pill,
Herb List: Bai Zhu(K) • Fu Ling(K) • Shan Zha(M) • Shen Qu(M) • Mai Ya(M) • Ren Shen(M) • Bai Shao(M) • Mu Xiang(A) • Sha Ren(A) • Chen Pi(A) • Rou Dou Kou(A) • Huang Lian(A) • Gan Cao(E)
Commentary:
Related Formulas:
Herbs Cat/Dosage Actions Attributes
Bai Zhu
White Atractylodes Root • 白术
Tonify Qi Tonify Middle Jiao Qi • Calms fetus • Dry dampness • Stabilize exterior to stop sweatingDao Di: Zhe Jiang Anti-inflammatory • Hepatoprotective • Immunity Booster • Hypoglycemic • Antibaterial
Fu Ling
Poria 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
Shan Zha 
Hawthorn Fruit⼭楂 ♥
Food Stagnation Clear food stagnation • Promote digestion • Invigorate blood • Stop diarrhea Antibiotic • Cardiotonic • Hypotensive • Anticholesterol • Vasodilative • Gastrointestinal
Shen Qu
Medicated Leaven 神曲 ♥
Food Stagnation Clear food stagnation • Relief diarrhea • Move Qi facilitates digestion of carbohydrates
Mai Ya 
Sprouted Barley麦芽 ♥
Food Stagnation Promote digestion and clear Food Stagnation • Clear Liver Qi Stagnation • Promote/inhibit lactation • Facilitate digestion • Strengthen Middle Jiao antidiabetic, facilitate digestion of carbohydrates
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 organs adaptogen • anti-aging • anticoagulant • antiplatelet • antioxidant • adrenalcortical • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant
Bai Shao
White Root Peony 白芍 ♥ 
Tonify Blood Tonify Liver blood - regulate menses • Tonify Liver Yin • Relief pain and spasms • Harmonize Ying and Wei Qi Dao Di: Zhe Jiang • AKA Shao Yao analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative
Mu XiangCostus Root • 木香 Regulate Qi Tonify spleen • Tonify stomach • Moves Qi • Relief pain • Clear intestinal Qi stagnation • Clear food stagnation • Clear damp heat Move Qi in Intestinal area Anti-inflammatory • Antibacterial • Antibiotic • Anticancer • Anticoagulant • Antifeedant • Antioxidant • Insecticidal
Sha Ren
Amomum Fruit 砂仁 
Aromatic Transform Damp

 

Strengthen Spleen • Dispel dampness • Calm fetus • Warm Middle Jiao • Stop diarrhea • Regulate Qi • Promote Qi movement of MJ • Prevent cloying of Tonifying herbs Dao Di: Guang Dong antiplatelet, anticoagulant
Chen Pi
Dried Tangerine Rind 陈皮 
Regulate Qi

 

Stop cough • Stop vomiting • Regulate Qi • Harmonize middle burner • Transform phlegm • Dry damp • Prevent cloying of tonifying herbs regulate gastrointestinal smooth muscles, clear phlegm, hypertensive, aid digestion, hepatoprotective, anti-inflammatory, antioxidant, antiviral, expectorant
Rou Dou Kou
Nutmeg Seeds ⾁⾖蔻 
Stabilize + Bind

 

Binds intestines and stop diarrhea, warm Middle Jiao, regulate Qi, stop pain sedative, antibiotic, anesthetic[18]
Huang Lian
Coptis Root 黄连  
Clear Heat Dry Dampness

 

Drain Stomach fire, Heart heat, and intestinal heat • Dry intestine dampness • Sedate fire • Stop bleeding Antibiotic • anti-inflammatory • anti-pyretic • hypotensive • anti-ulcer • anti-diarrhea chologogic
Gan Cao
Licorice 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 effects • enters 12 channels Enters all 12 channels, often serve as envoy in a formula. Hypoglycemic • Antiarrhythmic • Hypertensive • 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
+ Che Qian Zi Severe Dampness 31
- Huang Lian + Gan Jiang With cold 31

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Bai Zhu: Autoimmune disorder • Yin deficiency with heat • Dehydration • Foods: black carp, Chinese cabbage, peach, plum and coriander
Fu Ling: Foods: Vinegar, pickled food
Shan Zha: Large doses are contraindicated during pregnancy, as this can lead to fetal death.[21]
Shen Qu:
Mai Ya:
Ren Shen: Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat • food: onion, garlic, radishes, tea, turnips
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Mu Xiang: Daisy allergy • Yin Xu Fire • Depleted Fluids • Blazing Fire.
Sha Ren: Yin Deficiency Heat, possible allergic reactions
Chen Pi: Excess internal heat • Dry cough from heat, yin deficiency or qi deficiency • Cough with blood • Red tongue • Fluid deficiency
Rou Dou Kou: Hot diarrhea, Stomach heat[42]
Huang Lian: Yang deficiency, yin deficiency, Spleen or Stomach deficiency, pork[42] • Pregnancy, newborns, lactation[49]
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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