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Chinese Medicinal Material
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【Chinese Name】 |
實脾散
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【Phonetic】 |
Shi Pi San
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【English Name】 |
Spleen-Strengthening Powder |
【Classification】 |
Dampclearing formulas |
【Source】 |
《Yan’s Revised and Expanded Formulas to Aid the Living》Chong Ding Yan Shi Ji Sheng Fang《重訂嚴氏濟生方》 |
【Combination】 |
Magnoliae Officinalis Cortex (Hou Po processed with ginger juice) 1 liang (30g), Atractylodis Macrocephalae Rhizoma (Bai Zhu) 1 liang (30g), Chaenomelis Fructus (Mu Gua) 1 liang (30g), Aucklandiae Radix (Mu Xiang) 1 liang (30g), Tsaoko Fructus (Cao Guo) 1 liang (30g), Arecae Semen (Bing Lang) 1 liang (30g), Aconiti Lateralis Radix Praeparata (Fu Zi processed) 1 liang (30g), Poria (Fu Ling) 1 liang (30g), Zingiberis Rhizoma Praeparatum (Gan Jiang processed) 1 liang (30g), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 0.5 liang (15g) |
【Method】 |
Add 5 pieces of sheng jiang and da zao, and prepare the formula as a decoction. |
【Action】 |
Warms yang and fortifies the spleen, moves qi, and promotes urination. |
【Indication】 |
Shi Pi San is indicated for a pattern of yin edema caused by spleen-kidney yang deficiency and retention of water-dampness in the interior. The symptoms are swelling of the lower limbs, cold hands and feet, no thirst, fullness and distention of chest and abdomen, loose stool as well. The tongue coating is white and greasy and the pulse is deep, wiry and slow. |
【Pathogenesis】 |
Edema in this pattern is caused by spleen-kidney yang deficiency leading to retention of water-dampness in the interior. Excessive water-dampness in the interior that overflows to the skin leads to swelling of limbs. Water is a yin pathogen that is descending in nature so it is recognized by swelling of the lower limbs. When spleen-kidney fails to warm the body there will be cold hands and feet. Blockage of qi movement due to water accumulation leads to fullness and distention of chest and abdomen. Spleen yang deficiency results in a disorder of decomposing and digesting water and food which leads to loose stool. Absence of thirst, a white and greasy tongue coating, and a deep, wiry and slow pulse are also signs of yang deficiency. The therapeutic methods are to warm yang and fortify the spleen, move qi, and promote urination. |
【Application】 |
1. Essential pattern differentiation Shi Pi San is the commonly used formula to treat edema due to spleen-kidney yang deficiency. This clinical pattern is marked by swelling of the lower limbs, fullness and distention of chest and abdomen, pale tongue and greasy coating, deep and slow pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of spleen-kidney yang deficiency and qi stagnation: chronic glomerulonephritis, cardiac edema, and cirrhosis. 3. Cautions and contraindications It is not applicable for patients with yang edema. |
【Remark】 |
1. Officinal Magnolia (Magnolia officinalis) is listed as "Endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. 2. Aucklandia lappa is listed in the Conventi |
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