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Home > Education > Zang Fu Formulas > Bu Zhong Yi Qi Tang

Bu Zhong Yi Qi Tang

From "Zang Fu Syndromes," by McDonald and Penner

English: Tonify the Middle and Augment the Qi Decoction

Also known as: Ginseng and Astragalus Combination or Decoction for Reinforcing the Center and Replenishing Qi

    Latin Pinyin Dosage Actions
    Rx. Astragali Huang Qi 4-24g Strongly tonifies Qi, strengthens SP and raises SP Yang.

    With Ren Shen, for Qi Xu with general debility, anorexia and spontaneous perspiration.

    With Bai Zhu, for SP Qi Xu with weakness, lassitude and loose stools.

    Rx. Ginseng Ren Shen 4-12g Strongly tonifies Qi, reinforces Yang and harmonizes MJ.

    With Bai Zhu and Zhi Gan Cao, assists Huang Qi in strengthening Qi.

    (Rx. Codonopsis) (Dang Shen) (8-30g) (Substitute for Ren Shen.)
    Rz. Atractylodis Albae Bai Zhu 4-12g Strengthens SP and dries Dampness.


    Rx. Glycyrrhizae (fried) Zhi Gan Cao 1-6g Tonifies SP and harmonizes.
    Rx. Angelicae Sinensis Dang Gui 3-12g Tonifies Qi of Blood and invigorates and harmonizes Blood.

    With Huang Qi, Ren Shen, Bai Zhu and Zhi Gan Cao, augments Qi by Invigorating Blood.

    Per. Citri Reticulatae Chen Pi 2-9g Regulates Qi, tonifies SP, assists raising Qi, aids digestion of tonics and prevents bloating which may accompany Qi tonics.
    Rx. Cimicifugae Sheng Ma 1-6g Raises Yang, raises sunken Qi and guides other herbs upwards.

    With Chai Hu and Huang Qi, raises Sunken Yang.

    Rx. Bupleuri Chai Hu 2-9g Raises Yang Qi and relieves stagnation.
    (Rz. Zingiberis Recens) (Sheng Jiang) (2-6g) (Variation of formula - with Da Zao, harmonizes and protects SP / ST.)
    (Fr. Zizyphi Jujube) (Da Zao) (2-6g) (Variation of formula.)

Tonifies MJ Qi, Regulates Qi and Raises Sunken Yang.


    Central Qi Sinking

    SP Not Governing Blood

Clinical Manifestations
    Intermittent fever (worse on exertion)

    Aversion to Cold

    Shortness of breath

    Tendency to curl up

    Shiny, pale complexion

    Abdominal distention


    Night sweats



    Spontaneous perspiration

    Desire for warm beverages

    Laconic speech

    Weak limbs

    Loose and watery stools


    Prolapse of any organ


    Maybe cough


    T: Pale Sensitivity of back to Cold and Wind

    C: White Leukorrhea

    P: Rootless at right - middle position or Weak and forceless or Big

    Aftermath of severe illness

    First or second degree prolapsed uterus

    Gastric prolapse

    Functional Uterine Bleeding

    Post partum urinary incontinence

    Insufficient lactation

    Corneal ulcers

    Pernicious anemia

    Chronic nephritis

    Chronic gonorrhea



    Umbilical palpitations


    Uterine bleeding

    Chronic Functional Immune Deficiency Syndrome (CFIDS)


    Early menstruation

    Chronic bronchitis

    Prolapsed rectum

    Recurrent miscarriage


    Post partum lochioschesis

    Chronic hepatitis

    Cerebral arterial sclerosis


    Myasthenia Gravis


    Chronic gastritis

    Bleeding hemorrhoids

    Summer weight loss

    Irritable bowel syndrome

    Epstein Barr


    Persistent malaria


    Chronic diarrhea


    SP Xu.


    For a stronger effect:

    + Fr. Citri Aurantii Zhi Ke

    + More Rx. Astragali Huang Qi

    For SP Not Governing Blood:

    + Gel. Corii Asini E Jiao

    + Fol. Artemisiae Argyi Ai Ye

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