Ba Zhen Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

八珍汤 · Bā Zhēn Tāng

The classic dual Qi-Blood tonic formed by combining Si Jun Zi Tang and Si Wu Tang. It addresses concurrent Qi and Blood deficiency presenting with fatigue, pale or sallow complexion, poor appetite, palpitations and irregular menstruation.

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Quick Facts

Formula Category
Qi-Tonifying Formulas
Primary Pattern
Qi Deficiency
Primary Function
Tonify Qi and Blood
Primary Therapeutic Principle
Tonify Qi and nourish Blood
Classical Source
Zheng Ti Lei Yao (Xue Ji, Ming dynasty) / derived from Si Jun Zi Tang + Si Wu Tang
Available as Granules
Yes

Formula Overview

The classic dual Qi-Blood tonic formed by combining Si Jun Zi Tang and Si Wu Tang. It addresses concurrent Qi and Blood deficiency presenting with fatigue, pale or sallow complexion, poor appetite, palpitations and irregular menstruation.

Therapeutic Principle

Traditionally selected for concurrent Qi and Blood deficiency without marked cold or sinking — the balanced base from which Shi Quan Da Bu Tang departs by adding warming tonification, while remaining broader than the pure Qi focus of Si Jun Zi Tang or the pure Blood focus of Si Wu Tang.

Composition: Sovereign, Minister, Assistant, Envoy

Every herb in the formula, grouped by the job it does in the classical hierarchy.

Classical Composition

  • Ginseng Radix et Rhizoma (Ren Shen) 1 liang (30g)
  • Atractylodis Macrocephalae Rhizoma (Bai Zhu) 1 liang (30g)
  • Poria (Fu Ling) 1 liang (30g)
  • Angelicae Sinensis Radix (Dang Gui) 1 liang (30g)
  • Chuanxiong Rhizoma (Chuan Xiong) 1 liang (30g)
  • Paeoniae Radix Alba (Bai Shao) 1 liang (30g)
  • Rehmanniae Radix Praeparata (Shu Di Huang) 1 liang (30g)
  • Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 1 liang (30g)

Dosages follow the classical source and are shown for study, not as a prescription.

Related Conditions

Related Health Topics

Actions

  • Boosts qi and supplements blood.

Indications

  • Ba Zhen Tang is intended for a syndrome of qi and blood deficiency marked by pale or withered-yellow complexion, dizziness, auditory vertigo, lassitude of the four limbs, shortness of breath, reluctance to speak, palpitations, and decreased food intake.
  • The tongue is pale with a thin, white coating and the pulse is thready, weak or deficient, big, and weak.

Traditional Pathogenesis

Cause & mechanism

  • Patterns suitable for this formula are mostly those caused by delayed treatment in chronic illnesses, dysfunction following a disease, or massive blood loss.
  • The disease is located in the heart, spleen, and liver.
  • The heart governs the blood while the liver stores the blood.
  • Therefore, the treatment must supplement both qi and blood.

Clinical presentation

  • The complexion, dizziness, auditory vertigo, palpitation, pale tongue with a thin, white coating, and a thready pulse all indicate heart and liver blood deficiency.
  • The complexion, lack of strength in the four limbs, shortness of breath, reluctance to speak, poor appetite, and deficient forceless pulse indicate spleen qi deficiency as it governs transportation and transformation of food into qi and blood.

Treatment strategy

  • The treatment principle is to tonify Qi and nourish Blood.

How does this formula compare?

Compare Ba Zhen TangSi Jun Zi TangSi Wu TangShi Quan Da Bu TangBu Zhong Yi Qi Tang
Primary Function Tonify Qi and BloodTonify Spleen QiTonify Blood, nourish LiverTonify Qi and Blood, warm YangTonify Middle Qi, raise Yang, lift the sunken
Formula Category Qi-Tonifying FormulasQi-Tonifying FormulasBlood-Tonifying FormulasQi-Tonifying FormulasQi-Tonifying Formulas
Typical TCM Pattern Qi DeficiencySpleen Qi DeficiencyBlood DeficiencyQi DeficiencySpleen Qi Deficiency
Main Conditions Fatigue & Low Energy·Poor Appetite·Irregular Menstruation·Dull ComplexionPoor Appetite·Diarrhea·Spleen Qi Deficiency·Mental FogIrregular Menstruation·Dizziness & Vertigo·Fatigue & Low Energy·Eye DrynessFatigue & Low Energy·Poor Appetite·Spontaneous Sweating·Cold LimbsFatigue & Low Energy·Spontaneous Sweating·Poor Appetite·Diarrhea
Main Herbs Ginseng Root·White Atractylodes Rhizome·Poria / Hoelen·Honey-fried Licorice·Prepared Rehmannia RootGinseng Root·White Atractylodes Rhizome·Poria / Hoelen·Honey-fried LicoricePrepared Rehmannia Root·Chinese Angelica Root·White Peony Root·Chuanxiong RhizomeGinseng Root·White Atractylodes Rhizome·Poria / Hoelen·Honey-fried Licorice·Prepared Rehmannia RootAstragalus Root·Ginseng Root·White Atractylodes Rhizome·Chinese Angelica Root·Tangerine Peel
Classical Source Zheng Ti Lei Yao (Xue Ji, Ming dynasty) / derived from Si Jun Zi Tang + Si Wu TangTai Ping Hui Min He Ji Ju Fang (Formulary of the Pharmacy Service for Benefiting the People, Song dynasty, 1107)Xian Shou Li Shang Xu Duan Mi Fang / Tai Ping Hui Min He Ji Ju FangTai Ping Hui Min He Ji Ju Fang (Song dynasty)Pi Wei Lun / Nei Wai Shang Bian Huo Lun (Li Dongyuan, Jin dynasty, ~1247–1249)

Clinical Perspective

Ba Zhen Tang is the foundational dual Qi-Blood tonic. Si Jun Zi Tang addresses pure Qi deficiency; Si Wu Tang addresses pure Blood deficiency. Shi Quan Da Bu Tang adds Huang Qi and Rou Gui for stronger warming and Qi tonification. Bu Zhong Yi Qi Tang focuses on raising sunken Middle Qi rather than simultaneous Blood nourishment.

Clinical Differentiation

  • Ba Zhen Tang is commonly used for patterns of qi and blood deficiency.
  • This clinical pattern is marked by shortness of breath, debilitation, vertigo, palpitations, pale tongue, thin, weak pulse.

Safety notes: This formula is enriching. It is not appropriate for exterior patterns, food stagnation, or damp-heat with a thick greasy coating.

For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

Frequently Asked Questions

What are the actions of Ba Zhen Tang?
Ba Zhen Tang has the actions of tonifying Qi and nourishing Blood. It is the classic formula formed by combining Si Jun Zi Tang (to tonify Qi) and Si Wu Tang (to nourish Blood), used for simultaneous deficiency of both Qi and Blood.
Which modern diseases is Ba Zhen Tang suited to?
Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within Qi and Blood deficiency, including anemia, post-illness or post-surgical recovery, postpartum weakness, chronic fatigue with dual deficiency, and menstrual irregularities due to insufficient Qi and Blood.
Is Ba Zhen Tang suitable for improving pale complexion, fatigue, and dizziness?
For presentations of pale or sallow complexion, dizziness or blurred vision, fatigue, shortness of breath, reluctance to speak, palpitations, poor appetite, a pale tongue, and a thin weak pulse — in those whose pattern differentiation confirms dual Qi and Blood deficiency — TCM commonly applies Ba Zhen Tang as an adjunct. It cannot replace standard medical treatment.
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Medical Disclaimer

For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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