by Health Concerns

Audio Description

Therapeutic Actions

  1. Addresses fatigue, sallow complexion, reduced appetite, spots before the eyes, cold limbs, shortness of breath, light headedness or vertigo
  2. Treats anemia from chronic illness or blood loss. If signs or symptoms indicate, this formula will treat delayed or irregular menstruation, amenorrhea, post menstrual fatigue, uterine bleeding and the chronic conditions that underlie many diseases. It has also been found to be helpful for dry skin, and dry brittle hair.
  3. The formula is modified to increase circulation, making it beneficial for athletes who frequently suffer from depletion of blood

Chinese Therapeutic Effects

Tonifies Qi and blood
Moves the blood


Internal: 3 tablets TID, between meals
90 tablets, 750 mg., 10 day supply
Contraindications: Pregnancy and excess conditions


Codonopsis root (dang shen), White Atractylodes rhizome (bai zhu), Poria sclerotium (fu ling), Rehmannia (cooked) root (shu di huang), White Peony root (bai shao), Tang Kuei root (dang gui), Ligusticum root (chuan xiong), Spatholobus stem (ji xue teng), Baked Licorice root (zhi gan cao), Ginger rhizome (gan jiang), Red Date fruit (da zao)

Pinyin Reference: Ba Zhen Tang


This formula is indicated for lack of both Qi and blood. The formula is the combination of two smaller formulas, The Four Gentlemen (Si Jun Zi Tang), to tonify Qi, and The Four Substances (Si Wu Tang) to tonify blood. Codonopsis (dang shen) tonifies the Qi while rehmannia (shu di huang) nourishes the blood. White atractylodes (bai zhu) and poria (fu ling) strengthen the spleen and remove dampness thereby assisting codonopsis. White peony (bai shao) and tang kuei (dang gui) nourish the blood and assist rehmannia in this capacity. An additional herb, spatholobus (ji xue teng) has been added to enhance the formula's ability to both move and tonify the blood. Along with ligusticum (chuan xiong), the formula now takes on the increased ability to create new blood, making it valuable to athletic performers who tend to have exhausted blood. Licorice (zhi gan cao) tonifies the Qi and harmonizes the middle burner. Ginger (gan jiang) and red date (da zao) regulate the absorbing function of the spleen and stomach.

Clinical Notes

  1. This is one of the most frequently used herbal preparations in Traditional Chinese Medicine. The formula is particularly indicated for Qi and blood deficiency, which can result from many different factors, particularly menstruation or childbirth. The formula is commonly prescribed during the menstrual cycle when it is appropriate to tonify the Qi and blood, i.e., from the end of menstruation to ovulation. If Qi stagnation is present, another formula, Woman's Balance, (Xiao Yao San) can be used during the time between ovulation and menstruation. Qi and blood deficiency can effect women or men
  2. See Health Concerns Newsletter: Vol. 12 No. 4 Diabetes II Complications of Diabetes (Gaeddert)

Additional Information

  • Woman's Balance for liver qi stagnation with signs of PMS
  • Postpartum for Qi and blood deficiency following delivery and to more strongly move Qi and blood
  • Three Immortals for menopause

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