Guipi Pills is one of the classic Chinese medicine formulas, which originated from Guipi Decoction in the Song Dynasty. With "tonifying the heart and spleen, and replenishing both qi and blood" as the core, it is suitable for the symptoms of qi and blood deficiency and heart and spleen deficiency, manifested as shortness of breath and palpitation, insomnia and dream-disturbed sleep, dizziness, poor appetite, bleeding, and spotting and blood in the stool.
The following is a detailed formula, its efficacy and modern application:
I. Formula ingredients
The formula of Guipi Pills follows the principle of "tonifying qi and blood, strengthening spleen and nourishing heart", and the core herbal compatibility is as follows:
Qi-tonifying herbs:
Codonopsis (or ginseng): greatly replenishes vital energy, strengthens spleen and lungs.
Astragalus: tonifies the middle and replenishes qi, raises yang and consolidates the exterior.
Atractylodes: strengthens spleen and dries dampness, enhances transportation and transformation functions.
Roasted licorice: tonifies spleen and harmonizes the middle, harmonizes various drugs.
Blood-tonifying herbs:
Angelica: nourishes blood and activates blood circulation, regulates menstruation and relieves pain.
Longan meat: replenishes heart blood and calms the mind.
Tranquilizing herbs:
Ziziphus jujuba seeds: nourishes liver and calms the mind, improves insomnia.
Polygala: connects the heart and kidney, resolves phlegm and calms the mind.
Qi-regulating herbs:
Aucklandia: promotes qi and wakes up the spleen, prevents tonic drugs from nourishing the stomach.
Damp-removing herbs:
Poria: strengthens the spleen and eliminates dampness, calms the mind and calms the mind.
Auxiliary herbs:
Jujube, ginger (in some prescriptions): harmonize the spleen and stomach, and help the absorption of medical substances.
2. Efficacy and mechanism of action
Qi-nourishing and blood-nourishing:
Codonopsis, Astragalus, and Atractylodes nourish the spleen and replenish qi, and enhance the source of qi and blood biochemical transformation;
Angelica and longan meat directly replenish blood and improve blood deficiency symptoms (such as pale complexion and dizziness).
Strengthening the spleen and regulating qi:
Atractylodes and Poria strengthen the spleen and eliminate dampness, and restore the spleen and stomach transportation and transformation functions;
Aucklandia promotes qi and removes stagnation, prevents tonic drugs from stagnation, and promotes digestion and absorption.
Calming the mind and soothing the nerves:
Ziziphus jujuba seeds and Polygala tenuifolia regulate the mind and relieve palpitations, insomnia, and forgetfulness;
Poria lingering synergistically calms the mind and improves sleep quality.
The core of TCM theory: Promoting the production of qi and blood by "tonifying the spleen" and harmonizing the mind by "nourishing the heart" to achieve the effect of "harmony between the heart and spleen and replenishing both qi and blood".
The spleen and stomach are the foundation of acquired constitution. The stomach is responsible for receiving and the spleen is responsible for transportation and transformation. They are responsible for turning what is eaten into the nutrients and energy needed by the body, that is, qi and blood.
3. Modern application
Guipi Pills are widely used in the following fields in modern clinical practice:
Neuropsychiatric diseases:
Insomnia (heart and spleen deficiency type): Improve difficulty in falling asleep, dreaminess and easy awakening;
Anxiety and depression: Relieve depression and fatigue caused by insufficient qi and blood;
Neurasthenia: For those who have overused their brains for a long time and have memory loss.
Blood system diseases:
Anemia (iron deficiency anemia, chronic blood loss): assist in improving hemoglobin levels;
Thrombocytopenic purpura: regulate immunity and improve bleeding tendency.
Gynecological diseases:
Irregular menstruation (small menstrual volume, prolonged menstruation): regulate menstrual abnormalities caused by insufficient qi and blood;
Menopausal syndrome: relieve symptoms such as hot flashes, palpitations, and insomnia.
Digestive system diseases:
Functional dyspepsia: improve loss of appetite, abdominal distension, and loose stools;
Chronic gastritis (weak spleen and stomach type): assist in repairing gastric mucosa.
Others:
Chronic fatigue syndrome: improve physical strength and reduce fatigue;
Postoperative/postpartum conditioning: promote the recovery of qi and blood and accelerate recovery.
4. Applicable symptoms and contraindications
Applicable symptoms:
Pale complexion, palpitations and forgetfulness, shortness of breath and laziness, loss of appetite, pale menstruation, pale tongue with white fur, and weak pulse.
Contraindications and precautions:
Avoid using in patients with solid evidence (such as damp-heat, phlegm-fire);
Stop using during cold, fever, and acute gastroenteritis;
Use with caution in patients with diabetes (pills containing honey);
Regular liver and kidney function checks are recommended for those who need to take it for a long time.
5. Modern research and support
Pharmacological studies have confirmed that Guipi Pills can regulate immunity, improve microcirculation, and enhance antioxidant capacity;
Clinical studies have shown that it has a certain auxiliary effect on chronic heart failure and bone marrow suppression after chemotherapy.
《健康之路》千古名方——归脾汤
Important Note
Guipi Pills have become a classic prescription for regulating sub-health conditions (such as fatigue and insomnia) through the comprehensive effects of tonifying the spleen and generating blood, nourishing the heart and calming the mind. However, it is necessary to pay attention to the use of syndrome differentiation. It is recommended to adjust the dosage or compatibility according to the constitution under the guidance of a Chinese medicine practitioner.