Tonifying Herbs Qi deficient symptoms: Sp. Qi Def.: lethargy, weakness in the extremities, lack of appetite, abdominal distention or pain, and loose stools or diarrhea Lu. Qi Def.: shortness of breath, shallow breathing, dyspnea on exertion, weak voice, pallid complexion, and spontaneous sweating. Blood deficient symptoms: Pallid face & lips, dizziness, vertigo, diminished vision, lethargy, palpitations, dry skin, menstrual irregularities, pale tongue, and a fine pulse Tonifying the Qi Ren Shen, Dang Shen, Huang Qi, Shan Yao, Bai Zhu, Da Zao, Gan Cao, Bai Bian Dou, Yi Tang, Tai Zi Shen, Huang Jing Tonify the Blood Shu Di Huang; Dang Gui; Bai Shao; E Jiao; Gou Qi Zi; Sang Shen; Long Yan Rou; He Shou Wu Contraindications

Herbs that tonify the Qi Ren Shen, 人参 Dang Shen, 党参 Huang Qi, 黄芪 Shan Yao, 山药 Bai Zhu, 白术 Da Zao, 大枣 Gan Cao, 甘草 Bai Bian Dou, 白扁豆 Yi Tang, 饴糖

Ren Shen 人参

Ren Shen 人参 ( slightly warm ) Actions Pharmaceutical Name Ginseng Radix Actions 1. Powerful tonifies the primal Qi 2. Strengthen the Spleen & tonifies the Stomach 2. Tonifies the Lungs & augments the Qi 3. Generates fluids & stops thirst 3. Benefits the Heart Qi & calms the spirit 4. Miscellaneous adjunctive effect Indications ( Deficiency ) Sp. & Lu Qi def. Wheezing, shortness of breath Wasting & thirsting disorder Papitations with anxiety, insomnia Dosage 3 – 9 g Cook Toxic Sym. Maculopapular rashes, headache, vertigo, fever, and bleeding

Ren Shen 人参 ( slightly warm ) Contraindications retention of a pathogen Liver Yang rising up Damp Heat Combinations Indications Formular Fu Zi 附子 Collapsed qi & devastated yang Shen Fu Tang Mai Dong 麦冬 WuWeiZi 五味子 Spontaneous sweating associated with Qi & Yin def. Sheng Mai San 生脉散 Shu Di Huang 熟地黄 Qi & Blood def. Bai Zhu 白术 Fu Ling 茯苓 Spleen & St. def. Si Jun Zi Tang 四君子汤 Huang Qi 黄芪 ChaiHu 柴胡 Prolapse Bu Zhong Yi Qi Tang 补中益气汤 Dang Gui 当归 LongYanRou Insomnia, palpitations Gui Pi Tang 归脾汤

Dang Shen 党参

Dang Shen 党参 ( Neutral ) Actions Pharmaceutical Name Codonopsis Radix Actions 1. Tonifies the middle burner & augments the Qi 2. Tonifies the Lungs 3. Also used with herbs that release the exterior or drain downward when presentation includes significant qi def. Indications ( def. ) Spleen Qi def.: diarrrhea, fatigue Chronic cough Significant qi def. Dosage 6 – 9 g Cook Toxic Sym. Very low toxicity: throat pain, vertigo, impaired vision, spasm of legs

Dang Shen 党参 ( Neutral ) Contraindications Excess pathogens Combinations Indications Formular Fu Ling 茯苓 Bai Zhu 白术 Spleen & St. def. Si Jun Zi Tang Dang Gui 当归 Sheng Di 生地 Qi & Blood def. Huang Qi 黄芪 Fatigue, shortness of breath Zi Wan 紫菀 Cough due to deficiency Da Huang 大黄 Interior excess accompanied by significant def. Zi Su Ye 紫苏叶 Exterior wind-cold contracted by one with underlying Qi def. Shen Su Yin 参苏饮

Huang Qi 黄芪

Huang Qi 黄芪 ( Warm ) Actions 1. Tonifies the qi & blood Pharmaceutical Name Astragali Radix Actions 1. Tonifies the qi & blood 1. Tonifies the Spleen & raises the yang 2. Augments the protective qi & stabilizes the exterior 3. Promotes urination and reduces edema 3. Promotes the discharges of pus & generates flesh Indications ( def. ) Severe loss of blood Lack of appetite, fatigue, & diarrhea Escessive sweating associated with qi def. Superficial edema & reduced urination Chronic ulcerations & sores due to def. Dosage 9 – 15 g Cook Toxic Sym. Headache, insomnia, dizziness, flushing, & high blood pressure

Huang Qi 黄芪 ( Warm ) Contraindications Significant heat toxin Combinations Indications Formular Ren Shen 人参 General debility Long Yan Rou 龙眼肉 Dang Gui 当归 insomnia Gui Pi Tang 归脾汤 San Qi 三七 E Jiao 阿胶 Bleeding due to qi def. Sheng Ma 升麻 Chai Hu 柴胡 Uterine prolapse Bu Zhong Yi Qi Tang 补中益气汤 Fang Feng 防风 Bai Zhu 白术 Spontaneous sweating Yu Ping Feng San 玉屏风散 Mai Dong 麦冬 Wu Wei Zi 五味子 Night sweat Fang Ji 防己 Wind edema

Shan Yao 山药

Shan Yao 山药 ( neutral ) Actions Pharmaceutical Name Dioscoreae Rhizoma Actions 1. Tonifies and augments the spleen & stomach 1. Tonifies the lung qi & augments the lung yin 2. Tonifies the kidneys & also stabilizes the binds Indications ( def. ) Diarrhea & fatigue Spontaneous sweating Chronic cough or wheezing Spermatorrhea, vaginal discharge Dosage 9 – 30 g Cook Toxic Sym. Allergic reactions: maculopapular rashes .

Shan Yao 山药 ( neutral ) Contraindications Accumulation of dampness Combinations Indications Formular Fu Ling 茯苓 Bai Zhu 白术 Loose, watery stools due to spleen def. Shen Ling Bai Zhu San 参苓白术散 MaiYa 麦芽 Ji Nei Jin 鸡内金 Food stag. Due to spleen def. Yu Zhu 玉竹 Shi Hu 石斛 Stomach yin def. Mai Dong 麦冬 Wu Wei Zi 五味子 Cough due to lung def. Shu Di Huang 熟地黄 Shan Zhu Yu 山茱萸 Spermatorrhea & night sweats due to kid. Def.

Bai Zhu 白术

Bai Zhu 白术 ( warm) Actions 1. Tonifies the Spleen & augments the qi Pharmaceutical Name Atractylodis macrocephalae Rhizoma Actions 1. Tonifies the Spleen & augments the qi 1. Dries dampness & promotes water metabolism 2. Stabilizes the exterior & stops sweating 3. Calms the fetus Indications ( Excess & def.) Diarrhea & fatigue Accumulation of fluids: edema Spontaneous sweating Restless fetus Dosage 6 – 15 g Cook Toxic Sym. Vomiting of blood, epistaxis, bloody stools

Diarrhea due to cold from def. Bai Zhu 白术 ( warm) Contraindications Internal heat from yin def. or thirst from exhausted fluids Combinations Indications Formular Dang Shen 党参 Gan Jiang 干姜 Diarrhea due to cold from def. Li Zhong Wan 理中丸 Fu Ling 茯苓 Yi Yi Ren 薏苡仁 Dampness due to sp. Def. Shen Ling Bai Zhu San Cang Zhu 苍术 Damp cold Gui Zhi 桂枝 Edema due to Sp. Def. Huang Qi 黄芪 Fu Xiao Mai 浮小麦 Spontaneous sweating Yu Ping Feng San 玉屏风散

Da Zao 大枣

Da Zao 大枣 ( warm ) Actions 1. Tonifies the Spleen & augments the qi Pharmaceutical Name Jujubae Fructus Actions 1. Tonifies the Spleen & augments the qi 2. Nourish the blood & calms the spirit 3. Moderates & harmonizes the harsh properties of other herbs Indications ( def. ) Lassitude, reduced appetite Irritability, and severe emotional lability Dosage 3 – 12 dates or 10 -30 g Cook Toxic Sym. Allergic reactions: Urticaria of the skin, edema of the eyelids and dyspnea .

Da Zao 大枣 ( warm ) Contraindications Heat from excess Combinations Formular Sheng Jiang 生姜 Harmonize the middle Jiao Dang Shen 党参 Bai Zhu 白术 Spleen & St. weakness E Jiao 阿胶 Dang Gui 当归 Nourish blood Gan Cao 甘草 Xiao Mai 小麦 Restless organ disorder Gan Mai Da Zhao Tang 甘麦大枣汤

Gan Cao 甘草

Gan Cao 甘草 ( neutral ) Actions Pharmaceutical Name Glycyrrhizae Radix Actions 1. Tonifies the Spleen & augments the qi 2. Moistens the lungs & stops coughs 3. Moderates spasms & alleviates pain 3. Clears heat & resolves the toxicity Indications ( Excess & def. ) Commonly used for spleen def. Cough & wheezing Painful spasms of the abdomen or legs Sore throat due to fire toxin Dosage 1.5 – 9 g Cook Toxic Sym. Salt retention, hypertention, spasms & numbness, dizziness, and headache .

Gan Cao 甘草 ( neutral ) Contraindications dampness Combinations Formular Dang Shen 党参 Fu Ling 茯苓 Spleen def. Si Jun Zi Tang 四君子汤 Ma Huang 麻黄 Xing Ren 杏仁 Cough due to wind-cold invading Sang Ye 桑叶 Jie Geng 桔梗 Cough due to Wind-heat invading Chai Hu 柴胡 Dang Gui 当归 Hypochondriac pain due to liver qi constraint Xiao Yao San 逍遥散 Sore throat due to heat

Bai Bian Dou 白扁豆

Bai Bian Dou 白扁豆( neutral ) Pharmaceutical Name Lablab Semen album Actions 1. Strengthens the spleen, nourishes the stomach, transforms dampness, and harmonize the middle 1. Clears summer heat with dampness 2. Treats poisoning Indications ( Excess & def. ) Chronic diarrhea Summerheat patterns Variety of food related poisoning Dosage 9 – 30 g Cook Toxic Sym. Toxin: do not take without cook, Nausea, vomiting, abdominal pain, diarrhea

Vaginal discharge due to spleen def. Bai Bian Dou 白扁豆( neutral ) Contraindications Combinations Indications Formular Cang Zhu 苍术 Qian Shi 芡实 Vaginal discharge due to spleen def. Bai Zhu 白术 Sha Ren 砂仁 Lack of appetite Lu Gen 芦根 Puffer fish toxin

Yi Tang 饴糖

Yi Tang 饴糖 (warm) Actions 1. Tonifies the spleen & augments the qi Pharmaceutical Name Maltosum Actions 1. Tonifies the spleen & augments the qi 1. Tonifies the middle burner qi & slleviates pain 2. Moistens the lungs & stops coughs Indications ( Excess & Def. ) Shortness of breath Redueced appetite Nonproductive cough Sudden on set of cough Dosage 15 – 60 g Cook Toxic sym.

Insufficient of the middle qi Yi Tang 饴糖 (warm) Contraindications Damp heat Combinations Indications Formular Dang shen 党参 Zhi GanCao 炙甘草 Insufficient of the middle qi Huang Qi 黄芪 Severe deficiency Gan Jiang 干姜 Hua Jiao 花椒 Def. of the middle Yang

Herbs that tonify the Blood Shu Di Huang; 熟地黄 Dang Gui; 当归 Bai Shao; 白芍 E Jiao; 阿胶 Gou Qi Zi; 枸杞子 Sang Shen; 桑椹 Long Yan Rou; 龙眼肉

Shu Di Huang 熟地黄

Shu Di Huang 熟地黄( slightly warm ) Pharmaceutical Name Rehamnniae Radix preparata Actions 1. Tonifies the blood 1. Nourishes the yin 2. Strongly enriches the yin & relieves wasting and thirsting disorder 2. Nourishes the blood & tonifies the essence Indications (Def.) Blood def.: facial pallor, dizziness, palpitations & insomnia Yin def.: weak lower back & limbs, dizziness tinnitus, tidal fever Ascendant fire due to exhaustion of kidney yin Impotence & memory loss Dosage 9 – 30 g Cook Toxic Sym. One report of an allergic skin reaction

Shu Di Huang 熟地黄( slightly warm ) Contraindications Qi Stag. & profuse phlegm, or dampness Indications Formular Dang Gui 当归 Blood def. E jiao 阿胶 Ai Ye 艾叶 Excessive uterine bleeding Jiao Ai Tang 胶艾汤 Sha Ren 砂仁 For patient suffered both blood def. & spleen qi def. Fu Zi 附子 Rou Gui 肉桂 Kidney Yang def. Jin Gui Shen Qi Wan 金匮肾气丸 Zhi Mu 知母 Huang Bai 黄柏 Low fever due to Yin def. Zhi Bai Di Huang Wan 知柏地黄丸 Shan Yao 山药 Ze Xie 泽泻 Ascendant fire due to exhaustion of kidney yin

Dang Gui 当归

Dang Gui 当归 ( warm ) Actions Pharmaceutical Name Angelicae sinensis Radix Actions 1. Tonifies the blood & regulates the menses 2. Invigorates & harmonizes the blood & disperses cold 3. Moistens the intestines & unblocks the bowels 3. Reduces swelling, expels pus, generates flesh, and alleviates pain 4. Treats coughs Indications (Def. & excess) Blood def.: especially when affecting the heart & Liver Stop pain due to blood stasis Chronic constipation due to qi & blood def. Sores & abscess Dosage 4.5 – 15 g Cook Toxic Sym. Mild lassitude, drowsiness, and urticaria

Menstrual irregularity, amenorrhea, & dysmenorrhea due to blood def. Dang Gui 当归( warm ) Contraindications Diarrhea or dampness Indications Formular Shu Di Huang 熟地 Blood def. Bai Shao 白芍 Chuan Xiong 川芎 Shu Di 熟地 Menstrual irregularity, amenorrhea, & dysmenorrhea due to blood def. Si Wu Tang 四物汤 Ru Xiang 乳香 Mo Yao 没药 Strains & fractures Xiang Fu 香附 Yan Hu Suo 延胡索 Dysmenorrhea Chai Hu 柴胡 Liver Qi stag. Xiao Yao San 逍遥散 Rou Cong Rong肉苁蓉 Niu Xi 牛膝 Chronic constipation Ji Chuan Jian 济川煎 Jin Yin Hua 金银花 Xuan Shen 玄参 Reduce the swelling of abscess

Bai Shao 白芍

Bai Shao 白芍 ( mildly cold ) Actions Pharmaceutical Name Paeoniae Radix alba Actions 1. Nourishes the blood & regulates the menses 2. Calms & curbs the liver yang & alleviates pain 2. Preserves the yin & adjusts the nutritive & protectives levels Indications (Def.) Blood def.: menstrual dysfunction, vaginal discharge Chest or abdominal pain due to liver qi stag. Spontaneous sweating . Dosage 6 – 15g Cook Toxic Sym. Allegic reaction

Bai Shao 白芍( mildly cold ) Contraindications None noted Indications Formular Shu Di Huang 熟地 Blood def. Bai Shao 白芍 Chuan Xiong 川芎 Shu Di 熟地 Menstrual irregularity, amenorrhea, & dysmenorrhea due to blood def. Si Wu Tang 四物汤 Ru Xiang 乳香 Mo Yao 没药 Strains & fractures Xiang Fu 香附 Yan Hu Suo 延胡索 Dysmenorrhea Chai Hu 柴胡 Liver Qi stag. Xiao Yao San 逍遥散 Rou Cong Rong肉苁蓉 Niu Xi 牛膝 Chronic constipation Ji Chuan Jian 济川煎 Jin Yin Hua 金银花 Xuan Shen 玄参 Reduce the swelling of abscess

E Jiao 阿胶

E jiao 阿胶( Neutral) Actions 1. Tonifies the blood Pharmaceutical Name Asini Corii Colla Actions 1. Tonifies the blood 2. Nourishes the blood & stops bleeding 2. Nourishes and moistens the yin Indications (Def.) Blood def.: dizziness, pale face color, palpitations Any type of bleeding Yin def. : irritability & insomnia Dosage 3 – 9 g Cook Toxic Sym. None noted

E jiao 阿胶( Neutral) Contraindications Spleen & st. def. Indications Formular Dang Shen 党参 Dang Gui 当归 Dizziness & palpitations due to blood def. Bai Shao 白芍 Ai Ye 艾叶 Escessive menstrual bleeding Jiao Ai Tang 胶艾汤 Bai Zhu 白术 Fu Zi 附子 Bleeding due to spleen def. Mai Dong 麦冬 Sha shen 沙参 Dry cough blood

Gou Qi Zi 枸杞子

Gou Qi Zi 枸杞子( Neutral) Actions Pharmaceutical Name Lycii Fructus Actions 1. Nourishes and tonifies the liver & kidney 2. Benefits the essence and brightens the eyes 2. Nourishes and moistens the lungs Indications (Def.) Blood & Yin def.: sore back & legs, impotence, noctrunal emissions, wasting & thirsting disorder Dizziness, blurred vision Consumptive cough Dosage 6 – 12 g Cook Toxic Sym. Allergic reactions

Gou Qi Zi 枸杞子( Neutral) Contraindications Spleen def. & dampness Formular Gu Sui Bu 骨碎补 Xu Duan 续断 Sore & painful lower back Shan Yao 山药 Gui Ban 龟板 Severe yin def. with lower back pain Rou Gui 肉桂 Fu Zi 附子 Kidney yang def. Jin Gui Shen Qi Wan 金匮肾气丸 Long Yan rou 龙眼肉 Blood Def. Ju Hua 菊花 Visual impairment Di Gu Pi 地骨皮 YinChaiHu 银柴胡 Steaming bone disorders

Sang Shen 桑椹

Sang Shen 桑椹( cold ) Actions 1. Tonifies the blood & enriches the Yin Pharmaceutical Name Paeoniae Radix alba Actions 1. Tonifies the blood & enriches the Yin 2. Moistens the Intestine Indications (Def.) Dizzziness, tinnitus, insomnia Premature greying fo the hair Constipation . Dosage 9 – 15 g Cook Toxic Sym. Hemorrhagic colitis, allergy skin reactions

Dizziness & blurred vision Constipation due to yin & blood def. Sang Shen 桑椹( cold ) Contraindications Diarrhea due to cold from spleen def. Indications Formular Ji Xue Teng 鸡血藤 Dizziness & tinnitus Han Lian Cao 旱莲草 Nu ZhenZi 女贞子 Prematue greying hair . Sheng Di Huang 生地 Shi Hu 石斛 Dizziness & blurred vision Mai Dong 麦冬 Tian Hua Feng 天花粉 Dryness of the mouth Hai Zhi Ma 黑芝麻 Huo Ma ren 火麻仁 Constipation due to yin & blood def.

Long YanRou 龙眼肉

Long Yan Rou龙眼肉( warm ) Actions Pharmaceutical Name Longan Arillus Actions 1. Tonifies & augments the Heart & spleen 1. Nourishes the blood 2. Calms the spirit Indications (Def.) Insomnia, heart palpitations, forgetfullness, or dizziness . Dosage 9 – 15g Cook Toxic Sym. One report of Allergic drug rash

Long Yan Rou龙眼肉( warm ) Contraindications fire Indications Formular Dang Gui 当归 Ren Shen 人参 Suan Zao Ren 酸枣仁 Palpitation & insomnia resulting from heart blood def. Gui Pi Tang 归脾汤 Bai he 百合 Mild case of insomnia . Sheng Jiang 生姜 Da Zao 大枣 Postpartum exhaustion