Shi Pi Yin

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实脾饮 (Bolster the Spleen Decoction)

Source: Chong Ding Yan Shi Ji Sheng Fang (1253)

Last updated October 1, 2026

Not yet clinically reviewed

severe edema, especially abdomen and legscold hands and feetno thirstfullness and distension of chest and abdomensoft stool

Description

Shi Pi Yin (Bolster the Spleen Decoction), from the Chong Ding Yan Shi Ji Sheng Fang, is used to warm the Yang, strengthen the Spleen; move the Qi and drain water.

Presentation: severe edema, especially abdomen and legs; cold hands and feet; no thirst; fullness and distension of chest and abdomen; soft stool; tongue: thick and sticky coating; pulse: deep and slow.

Syndrome: Damp-cold syndrome.

Composition strategy:

  • Four approaches to drain water in severe edema: warm Yang, strengthen Spleen, regulate Qi, drain water
  • Sour, warm Mu Gua balances the pungent-hot and draining herbs

Source: Yang Y. Chinese Herbal Formulas: Treatment Principles and Composition Strategies. Churchill Livingstone Elsevier, 2010, p. 210.

Composition

Herb Amount % Role Function
Zhi Fu Zi
toxic mark * in source; as printed: Fu Zi (Aconiti radix lateralis preparata)
6g 10.53% Jun (Chief) warm Spleen and Kidney, expel cold
Gan Jiang
as printed: Gan Jiang (Zingiberis rhizoma)
6g 10.53% Jun (Chief) warm Spleen, accelerate water metabolism
Cao Guo
named both as chief and assistant; as printed: Cao Guo (Tsaoko fructus)
6g 10.53% Jun (Chief) warm the interior; also listed among Qi-moving assistants
Fu Ling
as printed: Fu Ling (Poria)
6g 10.53% Chen (Deputy) strengthen Spleen, leach out dampness
Bai Zhu
as printed: Bai Zhu (Atractylodis macrocephalae rhizoma)
6g 10.53% Chen (Deputy) strengthen Spleen, dry dampness
Gan Cao
as printed: Gan Cao (Glycyrrhizae radix)
3g 5.26% Chen (Deputy) strengthen the Spleen
Mu Gua
helping and corrective assistant; as printed: Mu Gua (Chaenomelis fructus)
6g 10.53% Zuo (Assistant) transform dampness and stabilize Yin
Hou Po
as printed: Hou Po (Magnoliae cortex)
6g 10.53% Zuo (Assistant) promote Qi movement, eliminate dampness
Mu Xiang
toxic mark ** in source; as printed: Mu Xiang (Aucklandiae radix)
6g 10.53% Zuo (Assistant) promote Qi movement
Da Fu Pi
as printed: Da Fu Pi (Arecae pericarpium)
6g 10.53% Zuo (Assistant) move Qi and water
Sheng Jiang
as printed: Sheng Jiang (Zingiberis rhizoma recens)
5slices 100% Zuo (Assistant) warm Middle-Jiao, promote digestion
Da Zao
as printed: Da Zao (Jujubae fructus)
1piece 100% Zuo (Assistant) tonify Qi and blood

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net warm (+1.05)

From 100% of the weighed grams.

neutral warm hot

Grams by band: neutral 16%, warm 63%, hot 21%.

Taste

pungent sweet sour bitter bland
  • pungent 47%
  • sweet 21%
  • sour 11%
  • bitter 16%
  • bland 5%

From 100% of the weighed grams.

Channels reached

  • Spleen 100%
  • Stomach 68%
  • Lung 37%
  • Heart 37%
  • Large intestine 32%
  • Kidney 21%

Share of the grams entering each channel, from 100% of the weighed grams.

2 herbs without a dose in grams, so left out of every figure above: Sheng Jiang, Da Zao.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Compare side by side with Gan Cao Gan Jiang Fu Ling Bai Zhu Tang →

Preparation

Powder and take 12g as a draft with 5 slices of fresh ginger and 1 jujube; now usually decocted at one-fifth the dose plus those additions. Arecae Pericarpium replaces the original Arecae Semen (bing lang).

Source: Scheid V, Bensky D, Ellis A, Barolet R. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. Eastland Press, 2009, p. 749.

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Formula family

Contains Bai Zhu Fu Zi Tang + Gan Cao Gan Jiang Fu Ling Bai Zhu Tang + Cao Guo, Da Fu Pi, Hou Po and 2 more Gan Cao Gan Jiang Fu Ling Bai Zhu Tang + Bai Zhu Fu Zi Tang + Cao Guo, Da Fu Pi, Hou Po and 2 more Zhu Fu Tang + Bai Zhu Fu Zi Tang + Gan Cao Gan Jiang Fu Ling Bai Zhu Tang + Cao Guo, Da Fu Pi, Hou Po and 2 more
Full herb lists
  • This formula = Bai Zhu Fu Zi Tang + Gan Cao Gan Jiang Fu Ling Bai Zhu Tang + Cao Guo, Da Fu Pi, Hou Po, Mu Gua and Mu Xiang
  • This formula = Gan Cao Gan Jiang Fu Ling Bai Zhu Tang + Bai Zhu Fu Zi Tang + Cao Guo, Da Fu Pi, Hou Po, Mu Gua and Mu Xiang
  • This formula = Zhu Fu Tang + Bai Zhu Fu Zi Tang + Gan Cao Gan Jiang Fu Ling Bai Zhu Tang + Cao Guo, Da Fu Pi, Hou Po, Mu Gua and Mu Xiang

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

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Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

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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