Qi Wei Bai Zhu San七味白术散
Seven-Ingredient Powder with Atractylodes Macrocephala
Ingredients7 herbs
Indications
Long-standing Spleen and Stomach deficiency with fluid damage and internal heat from deficiency. Repeated vomiting and diarrhoea exhaust the fluids, so thirst appears on top of the deficiency picture.
Clinical Manifestations
- Chronic diarrhoea in children with thirst
- Vomiting and diarrhoea that keep recurring
- Irritability and constant desire to drink after prolonged fluid loss
- Poor appetite with wasting in a long-weak digestion
Health Categories
Modern Applications
Common adjustments
- Severe fluid loss with a dry tongue — increase Ge Gen 葛根 and add Mai Men Dong
- Cold in the middle with clear watery stool — reduce Ge Gen and add Pao Jiang 炮姜
- Food stagnation with a foul smell to the stool — add Shan Zha 山楂 and Ji Nei Jin
Contraindications
Not for acute diarrhoea from damp-heat or food poisoning, where the priority is to clear rather than tonify. The thirst it treats comes from chronic fluid loss, not from a high fever.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Generally compatible in pregnancy at ordinary doses; Mu Xiang and Huo Xiang are used in modest amounts. Use under the guidance of the treating practitioner.
Related Formulas
References
Source Xiao Er Yao Zheng Zhi Jue 《小儿药证直诀》 · Northern Song
- Classical source as recorded in 《小儿药证直诀》 (public domain).
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
3. 《方剂学》（全国中医药行业高等教育规划教材）— pattern analysis cross-checked.
Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.