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New to this? Read about the Sovereign-Minister-Assistant-Courier hierarchy
The representative formula for concurrent Heart-Spleen vacuity with qi-blood insufficiency. First recorded by Yan Yonghe; Xue Ji later added dang gui and yuan zhi to form the current standard version. It treats overthinking damaging the Spleen causing palpitations, insomnia, forgetfulness, fatigue, poor appetite, and bleeding from Spleen failing to control blood. It supplements both qi and blood with emphasis on Spleen supplementation.
Source《医方集解》济生方 (original attribution: 严用和)| Herb | Role | Dosage | Notes |
|---|---|---|---|
| 黄芪Huáng Qí | 君Sovereign | 12g | 补中益气，与人参相须以补脾气，为君药 |
| 人参Rén Shēn | 君Sovereign | 9g | 大补元气，健脾养心，与黄芪共为君 |
| 白术Bái Zhú | 臣Minister | 9g | 健脾燥湿，助参芪益气补脾 |
| 当归Dāng Guī | 臣Minister | 9g | 补血养心，与黄芪相伍即当归补血汤意 |
| 茯苓Fú Líng | 臣Minister | 9g | 健脾渗湿，宁心安神（茯神更佳） |
| 酸枣仁Suān Zǎo Rén | 佐Assistant | 9g | 养心安神，与龙眼肉相伍补益心血 |
| 龙眼肉Lóng Yǎn Ròu | 佐Assistant | 9g | 补心脾，益气血，养心安神 |
| 远志Yuǎn Zhì | 佐Assistant | 6g | 宁心安神，交通心肾 |
| 木香Mù Xiāng | 佐Assistant | 6g | 行气醒脾，使补而不滞 |
| 生姜Shēng Jiāng | 使Courier | 3g | 和胃调中 |
| 大枣Dà Zǎo | 使Courier | 3 枚 | 益气补中，与生姜调和营卫 |
| 甘草Gān Cǎo | 使Courier | 6g | 益气和中，调和诸药；用炙甘草 |
水煎服，加生姜、大枣同煎。
@misc{bencaodian-gui-pi-tang,
author = {{Bencaodian Editorial}},
title = {Guī Pí Tāng 归脾汤 (Restore the Spleen Decoction)},
year = {2026},
howpublished = {Bencao Dian: A Bilingual Knowledge Graph of Traditional Chinese Medicine},
url = {https://bencaodian.org/en/formulas/gui-pi-tang},
urldate = {2026-04-17},
note = {CC BY-SA 4.0}
}© Bencaodian Editorial · Licensed under CC BY-SA 4.0