Gui Pi Tang

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归脾汤 (Restore the Spleen Decoction)

Source: Ji Sheng Fang (Formulas for Rescuing Lives) — Yan Yonghe (Song, 1253)

Last updated July 22, 2026

Heart Blood and Spleen Qi deficiencyInsomnia and palpitations from deficiencyForgetfulnessChronic fatiguePoor appetiteExcessive uterine bleeding from Spleen not holding BloodAnxiety and worry

Description

Gui Pi Tang (Restore the Spleen Decoction) treats the dual deficiency of Heart Blood and Spleen Qi, a pattern frequently seen in those who overwork mentally and physically. The Spleen's failure to generate adequate Blood leads to Heart Blood deficiency; meanwhile Spleen Qi deficiency causes fatigue and digestive weakness. The formula simultaneously tonifies Qi, nourishes Blood, and calms the spirit.

Composition

Herb Amount % Role Function
Huang Qi 12g 12.9% Jun (Chief) Strongly tonifies Spleen and Lung qi to generate blood
Long Yan Rou 12g 12.9% Jun (Chief) Nourishes Heart blood and calms the spirit
Ren Shen 6g 6.45% Chen (Deputy) Tonifies source qi and strengthens the Spleen
Bai Zhu 9g 9.68% Chen (Deputy) Strengthens the Spleen and augments qi
Dang Gui 9g 9.68% Chen (Deputy) Nourishes and generates blood
Suan Zao Ren 12g 12.9% Zuo (Assistant) Nourishes Heart yin and calms the spirit
Fu Shen 9g 9.68% Zuo (Assistant) Quiets the Heart and calms the spirit
Yuan Zhi 6g 6.45% Zuo (Assistant) Facilitates the Heart-Kidney axis and calms the spirit
Mu Xiang 6g 6.45% Zuo (Assistant) Moves qi and revives the Spleen so the tonics do not cause stagnation
Gan Cao 3g 3.23% Shi (Envoy) Tonifies qi and harmonizes the formula
Sheng Jiang 3g 3.23% Shi (Envoy) Harmonizes the middle burner
Da Zao 6g 6.45% Shi (Envoy) Harmonizes the middle and supports qi and blood

Total weight: 96g

Preparation

Decoct with small amount of Sheng Jiang and Da Zao. Simmer 30 minutes, take warm in 2 doses.

Dosage

Decoction: 1 dose/day. Pills: 6–9g twice daily. May be used long-term.

Conditions Addressed

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Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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