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Qi deficiency constitution refers to a state characterized by insufficient vital energy, with symptoms such as weak breath and low organ function. Qi deficiency often manifests as pale complexion, palpitations, shortness of breath, spontaneous sweating, dizziness, poor appetite, cold limbs, fatigue, lack of spirit, and poor memory. Women may experience irregular menstruation. Individuals with Qi deficiency feel a significant lack of physical and mental energy, easily becoming fatigued or uncomfortable with minimal activity, and are prone to colds.
The spleen is the source of Qi production, and the lungs are the hub of Qi. Therefore, individuals with Qi deficiency should strengthen their spleen and lungs. If the spleen is deficient, it cannot circulate Qi, leading to Qi stagnation and abdominal distension. In such cases, not only should one avoid purging, but also rely on Bu Zhong Yi Qi Wan (Tonify the Middle and Augment Qi Pill) to treat spleen deficiency. Strengthening the spleen can help circulate Qi and relieve abdominal distension.
Qi-tonifying patent medicines have the effect of tonifying Qi and strengthening the spleen, used to treat spleen and lung Qi deficiency syndrome. They are suitable for symptoms such as fatigue, shortness of breath, increased breathlessness with exertion, low voice, pale complexion, poor appetite, pale tongue with white coating, weak or deficient pulse, and in severe cases, spontaneous sweating, prolapse of the rectum, and uterine prolapse. Below, Yixian pharmacists introduce ten traditional Chinese patent medicines for Qi supplementation for your reference.
01 Si Jun Zi Wan
Composed of Dang Shen (Codonopsis), Bai Zhu (White Atractylodes, fried), Fu Ling (Poria), and Zhi Gan Cao (Honey-fried Licorice). This formula consists of only four ingredients: Dang Shen, Bai Zhu, Fu Ling, and Gan Cao, which are neither hot nor dry, providing moderate warming and tonifying of the middle Qi, akin to a gentle and refined gentleman, hence the name “Four Gentlemen”. This formula is a foundational remedy for spleen and stomach Qi deficiency syndrome, from which many subsequent Qi-tonifying and spleen-strengthening formulas have evolved. It is used for spleen and stomach Qi deficiency, poor appetite, and loose stools.
02 Liu Jun Zi Wan
Based on the Si Jun Zi Wan formula, it adds Ban Xia (Pinellia, processed) and Chen Pi (Aged Tangerine Peel). Therefore, in addition to the spleen-strengthening and Qi-tonifying effects, it also has the ability to dry dampness and transform phlegm. It is used for spleen and stomach weakness, low appetite, Qi deficiency with excessive phlegm, abdominal distension, and loose stools.
03 Xiang Sha Liu Jun Wan
Based on the Liu Jun Zi Wan formula, it adds Mu Xiang (Saussurea) and Sha Ren (Amomum). Therefore, in addition to tonifying Qi and strengthening the spleen, drying dampness, and transforming phlegm, it also has a harmonizing effect on the stomach. It is used for spleen deficiency with Qi stagnation, indigestion, belching, low appetite, abdominal fullness, and loose stools.
04 Bu Zhong Yi Qi Wan
Composed of Huang Qi (Astragalus), Dang Shen (Codonopsis), Zhi Gan Cao (Honey-fried Licorice), Bai Zhu (White Atractylodes), Dang Gui (Angelica), Sheng Ma (Cimicifuga), Chai Hu (Bupleurum), Chen Pi (Aged Tangerine Peel), Sheng Jiang (Fresh Ginger), and Da Zao (Jujube). Dang Shen and Zhi Huang Qi tonify Qi, Dang Gui nourishes blood; Zhi Gan Cao and Bai Zhu strengthen the spleen and regulate the stomach; Chai Hu and Sheng Ma lift Yang Qi; Chen Pi regulates Qi and harmonizes the stomach. Together, these herbs tonify the middle and augment Qi, lifting Yang and addressing sinking symptoms. It is used for fatigue, poor appetite, abdominal distension, chronic diarrhea, and a feeling of heaviness in the anus due to spleen and stomach weakness. Note: Not suitable for those with exterior cold and fever, excessive eating leading to abdominal fullness, or hypertension.
05 Shen Ling Bai Zhu Wan
Composed of Ren Shen (Ginseng), Fu Ling (Poria), Bai Zhu (White Atractylodes), Shan Yao (Chinese Yam), Bai Bian Dou (Lima Bean), Lian Zi (Lotus Seed), Yi Yi Ren (Job’s Tears), Sha Ren (Amomum), Jie Geng (Platycodon), and Gan Cao (Licorice). It strengthens the spleen and benefits Qi. It is used for fatigue, poor appetite, and loose stools.
06 Ren Shen Jian Pi Wan
Composed of Ren Shen (Ginseng), Bai Zhu (White Atractylodes), Fu Ling (Poria), Shan Yao (Chinese Yam), Chen Pi (Aged Tangerine Peel), Mu Xiang (Saussurea), Sha Ren (Amomum), Zhi Huang Qi (Honey-fried Astragalus), Dang Gui (Angelica), Suan Zao Ren (Sour Jujube Seed), and Yuan Zhi (Polygala). It strengthens the spleen and benefits Qi, harmonizes the stomach, and has calming effects. It is used for symptoms such as poor digestion, abdominal discomfort, nausea, vomiting, abdominal pain, loose stools, lack of appetite, and fatigue.
07 Ren Shen Gui Pi Wan
Composed of Ren Shen (Ginseng), Bai Zhu (White Atractylodes), Fu Ling (Poria), Gan Cao (Licorice), Huang Qi (Honey-fried Astragalus), Dang Gui (Angelica), Mu Xiang (Saussurea), Yuan Zhi (Polygala), Long Yan Rou (Longan), and Suan Zao Ren (Sour Jujube Seed). In addition to strengthening the spleen and benefiting Qi, it also has blood-nourishing effects. It is used for symptoms such as heart and spleen deficiency, insufficient Qi and blood leading to palpitations, anxiety, insomnia, forgetfulness, poor appetite, fatigue, pale complexion, and bleeding disorders such as hemoptysis, menorrhagia, and leukorrhea.
08 Huang Qi Ke Li
Huang Qi (Astragalus). Tonifies Qi and stabilizes the exterior, promotes diuresis, expels toxins, and promotes tissue regeneration. It is used for symptoms such as shortness of breath, palpitations, collapse, spontaneous sweating, physical weakness, edema, chronic nephritis, prolonged diarrhea, rectal prolapse, uterine prolapse, and non-healing sores.
09 Wu Jia Shen He Jie Jing
Composed of Ci Wu Jia (Eleutherococcus), He Jie (Gecko), Rou Cong Rong (Cistanche), Ren Shen (Ginseng), and Ginseng extract. It tonifies lung Qi and benefits essence and blood. It is used for symptoms such as Qi deficiency, lung weakness, cough, and post-illness weakness.
10 Ren Shen Jing Ye Zao Gan Jiao Nang
Composed of Ren Shen (Ginseng) stem and leaf saponins. It strengthens the spleen and benefits Qi. It is used for symptoms such as palpitations, shortness of breath, fatigue, and poor appetite due to Qi deficiency.
There are many traditional Chinese patent medicines for Qi deficiency, and their use must be differentiated. For example, for both Qi and Yin deficiency with spontaneous sweating, Sheng Mai Yin (Generate the Pulse Decoction) may be selected; for exterior deficiency and susceptibility to wind pathogens, Yu Ping Feng San (Jade Windscreen Powder) may be chosen; for coronary heart disease caused by Qi stagnation and blood stasis, Li Qi Shu Xin Wan (Regulate Qi and Calm the Heart Pill) may be appropriate; for both Qi and blood deficiency, Shi Quan Da Bu Wan (Ten Complete Great Tonifying Pill) may be selected; for insufficient Qi and blood, and heart and spleen deficiency, Shen Qi Wu Wei Zi Pian (Ginseng and Schisandra Tablet) may be chosen; for heart Qi deficiency type chest obstruction and pain, Bu Xin Qi Oral Liquid (Tonify Heart Qi Oral Liquid) may be selected; for spleen and kidney Yang deficiency with insomnia and vivid dreams, Ci Wu Jia Pian (Eleutherococcus Tablet) may be appropriate.
Additionally, the basis for using Qi-tonifying patent medicines is “tonify the deficient” and “benefit the damaged”, specifically designed for treating Qi deficiency syndrome. They are not suitable for excess conditions or mixed excess and deficiency syndromes. Therefore, patients must clearly distinguish the nature, location, and true or false deficiency of their condition when using these medicines. It is recommended to use them under the guidance of a physician or pharmacist, while also carefully reading the medication instructions to ensure safe and effective use.
Images sourced from the internet, thanks to the image authors. The varieties involving manufacturers are for learning and understanding purposes only and do not represent a recommendation!
Original article, reproduction must indicate the author and workplace, and unauthorized reproduction is prohibited.
Author: Chen Yongkang Chen Chuxiong
Editor: Shi Yonghui
Chief Editor: Xin Li
Initial Review: Qiu Kaifeng
Review: Wu Junyan
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