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Shi Quan Da Bu Tang十全大补汤

All-Inclusive Great Tonifying Decoction (Ginseng & Tang-kuei Ten Combination)

Tonifying 补益剂Tonify Qi and Blood 气血双补

Ingredients10 herbs

人Ren Shen人参去芦6gStrongly tonifies the source qi肉Rou Gui肉桂去皮3gWarms yang and stirs the production of qi and blood川Chuan Xiong川芎6gMoves qi within the blood so tonification circulates
干干熟地黄12g
茯Fu Ling茯苓9gStrengthens the Spleen and drains damp so the rich herbs sit well白Bai Zhu白术9gFortifies the Spleen so qi and blood keep being made甘Zhi Gan Cao甘草炒3gAugments qi and harmonizes the whole黄Huang Qi黄芪12gAugments qi, secures the exterior, promotes closure of sores当Dang Gui当归去芦9gTonifies and moves the blood
白Bai Shao白芍药9gNourishes blood and preserves yin

Indications

Tonifies qi and blood togetherWarms and supports yangFortifies the Spleen and secures the exterior

Qi and blood dual deficiency with yang failing to warm. It is the Ba Zhen Tang picture grown cold: the two additions supply what plain tonification could not — Huang Qi to hold the exterior, Rou Gui to restore the warmth in which qi and blood are produced.

Clinical Manifestations

  • Long-standing fatigue with cold hands and feet
  • Pallor and dizziness of qi-and-blood depletion
  • Slow recovery after illness, surgery or childbirth
  • Chronic sores or wounds slow to close
  • Scanty pale periods with fatigue
TonguePale, thin white coating
PulseThin and weak, or deep and thin

Health Categories

Women's HealthSkin HealthHeart & CirculationEnergy & Fatigue

Modern Applications

AnemiaConvalescenceChronic fatigueChronic woundsPostpartum weaknessCold intolerance

Common adjustments

  • Pronounced cold in the limbs — increase Rou Gui 肉桂; add yang-warming herbs per pattern
  • Sores or wounds slow to close — increase Huang Qi 黄芪
  • Appetite falls or stools loosen on the formula — add Chen Pi 陈皮, Sha Ren 砂仁 to lighten the richness
  • Heat signs appear — remove Rou Gui 肉桂 — it is the piece that carries the warmth

Contraindications

Not during an acute exterior invasion or fever, and not for excess heat or yin-deficiency fire — the formula is warm and rich and will feed both. Its richness can also burden a damp, weak Spleen, so reduce or modify if appetite falls or stools loosen.

For licensed practitioners’ reference only — not a self-treatment guide.

Pregnancy

Practitioner supervision required — it contains Rou Gui and Chuan Xiong, which warm and move the blood; it is far more often used after childbirth than during pregnancy.

Related Formulas

References

Source Tai Ping Hui Min He Ji Ju Fang 《太平惠民和剂局方》 · Song dynasty

「治男子妇人诸虚不足，五劳七伤，不进饮食，久病虚损，时发潮热……」
— 《太平惠民和剂局方》(classical source, public domain)
  1. Classical source (public domain), cited in the source-quote section.
    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.