Yin Huihe's Experienced Formula for Organoptosis: the Buzhong Yiqi Plus Zhishi Formula
Professor Yin Huihe's Buzhong Yiqi plus Zhishi formula: Huangqi (Astragali Radix) 15 g, Dangshen (Codonopsis Radix) 12 g, Baizhu (Atractylodis Macrocephalae Rhizoma) 12 g, Chenpi (Citri Reticulatae Pericarpium) 9 g, Shengma (Cimicifugae Rhizoma) 9 g, Chaihu (Bupleuri Radix) 9 g, Gancao (Glycyrrhizae Radix et Rhizoma) 6 g, Danggui (Angelicae Sinensis Radix) 15 g, Zhishi (Aurantii Fructus Immaturus) 30 g, Shengjiang (Zingiberis Rhizoma Recens) 9 g, Dazao (Jujubae Fructus) 5 pieces.
Decoct in water; take one dose daily, warm and on an empty stomach in the morning and evening.
Action and indications: It upbears the clear and downbears the turbid, regulating the spleen and stomach. It treats poor appetite and abdominal distension, belching and stuffiness in the epigastrium, occasional stomachache, postprandial fullness of the abdomen and below the umbilicus, a gurgling sound of water in the flanks and abdomen when turning, emaciation, occasionally dry stool, a fine pulse, and scant tongue coating. It may be used for conditions such as gastroptosis, rectal prolapse, and uterine prolapse in modern medicine that fall under the pattern of central qi collapse with spleen-stomach weakness.
The base formula of this prescription is the Buzhong Yiqi Tang (Center-Supplementing and Qi-Boosting Decoction) of Li Dongyuan, one of the four great masters of the Jin-Yuan dynasties (composed of Huangqi, Dangshen, Baizhu, Chenpi, Shengma, Chaihu, Gancao, Danggui, Shengjiang, Dazao, etc.). Professor Yin Huihe added only one herb—Zhishi—to Buzhong Yiqi Tang, and at a large dose of up to 30 g.
Buzhong Yiqi Tang was originally used to treat failure of the clear yang to ascend and qi-deficiency fever caused by spleen-stomach qi deficiency and collapse of central qi. It is a representative formula of the TCM method of "relieving high fever with sweet-warm herbs." Buzhong Yiqi Tang already has a certain lifting and upbearing action and can treat organoptosis; it is simply that the effect is slow.
Modern pharmacological research shows that Zhishi has the effect of contracting smooth muscle. Since visceral ptosis is caused by relaxation of muscle tissue, using Zhishi can contract smooth muscle and improve the symptoms of organoptosis.
Buzhong Yiqi Tang plus Zhishi is a typical example of combining pattern-based treatment with disease-based treatment, traditional Chinese medicine with modern pharmacology, and Chinese medicine with Western medicine.
The course of treatment for organoptosis is generally long. If the patient obtains some effect from the above formula, pills may be self-prepared according to the same proportions. Preparation: simply grind the above herbs into powder, add refined honey as an excipient, and form into pills. Take 10 g each time, twice daily. Patiently adhere to the formula until recovery.