Traditional Chinese Medicine attributes dizziness, fatigue, and insomnia primarily to blood deficiency. The heart governs blood vessels and houses the spirit, while the spleen governs transformation and transportation, serving as the source of blood production. Excessive worry and imbalance between work and rest injure both heart and spleen. Insufficient nourishing blood deprives the heart of sustenance, leading to palpitations and forgetfulness.When yin fails to contain yang, the spirit loses its anchor, resulting in restless sleep. Worry not only depletes heart and spleen blood but also damages heart qi and spleen qi. Insufficient blood fails to nourish the brain, while deficient qi prevents clear yang from ascending, causing dizziness and vertigo. Deficiency of qi and blood leads to limb fatigue and mental exhaustion.Guipi Decoction improves bone marrow microcirculation, enhances hematopoietic tissue function, promotes multipotent stem cell proliferation and differentiation, facilitates maturation of immature neutrophils, and extends neutrophil lifespan. It also stimulates albumin synthesis, increases hemoglobin levels, and replenishes multiple vitamins and trace elements.
Gui Pi Tang Ingredients:
Atractylodes macrocephala (Bai Zhu) 3g, Angelica sinensis (Dang Gui) 3g, Poria cocos (Bai Fu Ling) 3g, Astragalus membranaceus (roasted) (Huang Qi) 3g, Longan aril (Long Yan Rou) 3g, Polygala tenuifolia (Yuan Zhi) 3g, Ziziphus jujuba seed (roasted) (Suan Zao Ren) 3g, Aquilaria agallocha (Mu Xiang) 1.5g, Glycyrrhiza uralensis (roasted) (Gan Cao) 1.5g, Panax ginseng (Ren Shen) 3g.Efficacy: Nourishes blood and calms the spirit, tonifies the heart and spleen, regulates menstruation. Indications: For spleen deficiency due to mental strain, fever with fatigue, insomnia with poor appetite, palpitations and startling fears, spontaneous sweating and night sweats, hematemesis and hematochezia, irregular menstruation in women, leukorrhea with blood, as well as deficiency-syndrome conditions like consumptive diseases, stroke, cold extremities, mania, and vertigo presenting with heart-spleen blood deficiency.Modern clinical applications include thrombocytopenic purpura, neurasthenia, traumatic brain injury syndrome, and functional uterine bleeding associated with heart-spleen blood deficiency.
Gui Pi Tang Effects and Functions:
1. Palpitations, forgetfulness, insomnia, poor appetite, fatigue, sallow complexion, pale tongue, and weak pulse due to deficiency of both heart and spleen, with insufficiency of qi and blood.
2. Irregular menstruation, metrorrhagia, leukorrhea, and subcutaneous hemorrhage due to spleen deficiency failing to retain blood.
Clinical Application of Guipi Decoction:
Modern clinical practice commonly employs it for conditions such as thrombocytopenic purpura, neurasthenia, traumatic brain injury syndrome, and functional uterine bleeding associated with deficiency of heart and spleen blood.
2. For delayed menstruation with pale, scanty flow; amenorrhea followed by intermittent spotting; or menorrhagia accompanied by dizziness, palpitations, and fatigue—all manifestations of heart-spleen deficiency—this formula is indicated.
3. Effective for chronic debility with symptoms like nocturnal emission, night sweats, spontaneous sweating, and restlessness.