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Si Jun Zi Tang 四君子汤
Four Gentlemen Decoction

Tradition:
Western

Source / Author:
Formulary of the Pharmacy Service for Benefiting the People in the Taiping Era: 1107

Herb Name
Ren Shen ⼈参 (Ginseng)
Bai Zhu
白术 (White Atractylodes)
Fu Ling
茯苓 (Poria)
Zhi Gan Cao
制⽢草 (Fried Licorice)

Latin
Panax ginseng
Atractylodes macrocephala
Poria cocos
Glycyrrhiza uralensis

Amount
3–9 grams

6–9 grams ea.
3–6 grams


Preparation:
Decoction; often used in pill or powder form

Function:
Strengthens Spleen, increases Qi

Use:
Fatigue, pale face, poor appetite, weak limbs, loose stool, pale tongue, weak pulse
1. Chronic digestive disorders with weakness: chronic gastritis, chronic diarrhea, duodenal Ulcers
2. Irritable Bowel Syndrome
3. Celiac disease
4. Chronic Fatigue Syndrome
5. Childhood Nutritional Impairment
6. Hypoglycemia
7. Diabetes
8. Immunode
ficiency
9. Anemia
10. Neurasthenia
11. To strengthen following abdominal surgery


Dose:

the above is taken over the course of the day; often used as powder or pills in doses of 6–9 grams, 2–3 times daily.

Cautions:
None noted

Modifications:
1. Usually Codonopsis Dang Shen replaces Ginseng with double or triple the dose.
2. If Citrus Chen Pi and Pinella Ban Xia are added, it is stronger for Spleen weakness with Phlegm and Damp accumulation. This is then called
Liu Jun Zi Tang, Six Gentlemen Decoction.
3. If to
Liu Jun Zi Tang (above) is added Costus Mu Xiang and Amomum Sha Ren, it becomes Six Gentlemen Decoction with Saussurea and Amomum. This is more aromatic, and better to move the Qi and activate the digestion. In modern practice, when used as a powder, this last version is most applicable as most westerners with Spleen deficiency usually also have Damp accumulation.
4. Unless Qi de
ficiency is severe, Codonopsis Dang Shen usually replaces Ginseng. 5. If with Blood deficiency, take with Si Wu Tang.
6. Diarrhea due to cold, add Dry Ginger.
7. Chronic Diarrhea or loose stool, add Chebulic Myrobalan He Zi.
8. If there is food stagnation and Indigestion, add Hordeum Mai Ya (Barley sprout).


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