• If there is loss of smell and taste , add Yingxiang LI-20 and Juliao ST-3 .
• If the stabbing pain in the chest is severe , add Gongsun P-4 and Yinxi HE-6 .
• If there is depression , add Taichong LIV-3 and Ganshu BL-18 .
• If there is lower back pain , add Shenshu BL-23 with moxibustion .
4 . Deficiency of Lung and Spleen qi Shortness of breath , fatigue , poor appetite , weakness , nausea , abdominal fullness , loose stools or watery diarrhoea , a pale tongue with a white coating , and a slippery , thready and weak pulse .
Principles of treatment Tonify qi , activate the Spleen , reinforce the Lung and relieve damp-phlegm .
Herbal treatment Bu Fei Tang ( Tonify the Lungs Decoction ) plus Si Jun Zi Tang ( Four Gentlemen Decoction )
• Ren Shen ( Ginseng Radix ) 5g
• Zhi Huang Qi ( Astragali Radix preparata ) 10g
• Wu Wei Zi ( Schisandrae Fructus ) 10g
• Zi Wan ( Asteris Radix ) 10g
• Shu Di Huang ( Rehmanniae Radix preparata ) 10g
• Sang Bai Pi ( Mori Cortex ) 10g
• Chao Bai Zhu ( dry-fried Atractylodis macrocephalae Rhizoma ) 10g
• Fu Ling ( Poria ) 15g
• Sha Ren ( Amomi Fructus ) 5g
• Zhi Ban Xia ( Pinelliae Rhizoma preparatum ) 10g
• Chen Pi ( Citri reticulatae Pericarpium ) 5g
• Zhi Ke ( Aurantii Fructus ) 10g
• Yu Jin ( Curcumae Radix ) 10g
• Hong Hua ( Carthami Flos ) 5g
• Zhi Gan Cao ( Glycyrrhizae Radix preparata ) 3g
Explanation The first six herbs , which comprise the formula Bu Fei Tang , tonify Lung qi and relieve cough . Ren Shen , Fu Ling , Bai Zhu and Zhi Gan Cao together comprise the formula Si Jun Zi Tang , tonify qi and relieve tiredness . Sha Ren promotes digestion and eliminates dampness in the middle jiao . Zhi Ban Xia and Chen Pi eliminate any remaining phlegm in the Lung and dampness in the body . Zhi Ke promotes qi circulation . Yu Jin and Hong Hua promote blood circulation , regulate the collaterals and relieve the pain .
Modifications
• If there is severe fatigue , add Dong Chong Xia Cao ( Cordyceps ) 1g and Sheng Ma ( Cimifugae Rhizoma ) 6g .
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