Formula

Huang Qi Tang

Astragalus Decoction | 黄芪汤

Properties

Qi-tonifying formulas · Slightly Warm

Key Ingredients

Huang Qi

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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About This Formula

Traditional Chinese Medicine background and properties

Formula Description

A simple yet powerful classical formula made from just two herbs, Astragalus (Huang Qi) and Licorice (Gan Cao), designed to replenish the body's fundamental Qi. It is used for people experiencing persistent fatigue, weakness, poor appetite, and a general run-down feeling caused by depleted vitality. As a gentle but effective tonic, it can serve as a standalone treatment or as a foundation that practitioners build upon for more complex conditions.

Formula Category

Main Actions

  • Tonifies Qi
  • Moistens the Intestines and Unblocks the Bowels
  • Promotes Bowel Movement
  • Strengthens the Spleen and Lungs
  • Moves Qi

TCM Patterns

In TCM, symptoms don't appear randomly — they cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Huang Qi Tang is traditionally associated with these specific patterns.

The following describes this formula's classification within Traditional Chinese Medicine theory and is provided for educational purposes only.

Why Huang Qi Tang addresses this pattern

Spleen Qi Deficiency is the primary pattern this formula addresses. When the Spleen's Qi is weak, its ability to transform food and fluids and to generate Qi and Blood is impaired. This leads to fatigue, poor appetite, loose stools, and a general sense of weakness. Huang Qi Tang directly targets this root cause: the large dose of honey-processed Huang Qi powerfully supplements Spleen Qi and restores the organ's transporting and transforming function, while Zhi Gan Cao reinforces this action from within the Middle Burner. The formula's simplicity makes it an excellent base for Spleen Qi deficiency that can be easily modified for more complex presentations.

A practitioner would look for one or more of these signs

Eye Fatigue

Persistent tiredness and lack of stamina, worse with exertion

Poor Appetite

Reduced desire to eat, feeling of fullness after small amounts

Loose Stools

Soft or poorly formed stools, sometimes with undigested food

Shortness Of Breath

Mild breathlessness on exertion due to Qi deficiency

Spontaneous Sweat

Sweating without exertion, indicating weak exterior Qi

How It Addresses the Root Cause

In TCM, the Spleen and Lung together govern the movement of Qi through the digestive tract. The Spleen transforms food and transports its essence, while the Lung (which shares an interior-exterior relationship with the Large Intestine) helps descend Qi to facilitate the downward passage of waste. When both organs are weakened through chronic illness, overwork, poor diet, or simply the decline that comes with aging, the Large Intestine loses its driving force.

The stool itself may not be hard or dry. Instead, the person feels an urge to pass stool but simply cannot push it out. The effort of trying leaves them exhausted, sometimes even dizzy or short of breath. Their complexion is pale, their voice soft, and their overall vitality low. The pulse is typically weak, reflecting the underlying Qi deficiency.

This is fundamentally different from constipation caused by Heat drying the fluids or by Qi stagnation blocking the flow. Here, the intestines have adequate moisture but lack the muscular and functional strength to move things along. Purging or draining would only make things worse by further depleting what little Qi remains. The correct approach is to rebuild the body's propulsive Qi while gently moistening the intestinal tract to support easier passage.

Formula Properties

Temperature

Slightly Warm

Taste Profile

Predominantly sweet and mild, with a gently moistening quality from the honey and hemp seed, and a light aromatic pungency from the tangerine peel to prevent cloying.

Target Organs
Spleen Lungs Large Intestine Stomach
Channels Entered
Lung Spleen Stomach Large Intestine

Formula Origin

Tai Ping Hui Min He Ji Ju Fang (太平惠民和剂局方, Formulary of the Pharmacy Service for Benefiting the People in the Taiping Era)

This is just partial information on the formula's TCM properties. More detailed information is available on the formula's dedicated page

Ingredients in Huang Qi Tang

Detailed information about each herb in Huang Qi Tang and their roles

Huang Qi
Huang Qi

Astragalus root

Dosage: 18 - 30g

Temperature Slightly Warm
Taste Sweet (甘 gān)
Organ Affinity Spleen, Lungs
Parts Used Root (根 gēn)
Role in Huang Qi Tang

The chief herb of the formula, honey-processed Huang Qi is sweet and warm, entering the Spleen and Lung channels. It powerfully tonifies Qi, strengthens the Spleen, supplements the Lung, boosts the protective (Wei) Qi, secures the exterior, and promotes fluid metabolism. As the sole King herb in a large dose, it drives the formula's central action of replenishing depleted Qi and addressing the root cause of deficiency.

Gan Cao
Gan Cao

Licorice root

Dosage: 3 - 5g

Temperature Neutral
Taste Sweet (甘 gān)
Organ Affinity Heart, Lungs, Spleen, Stomach
Parts Used Root (根 gēn)
Role in Huang Qi Tang

Prepared Licorice is sweet and warm, tonifying the Spleen Qi and supplementing the Middle Burner. It works synergistically with Huang Qi to reinforce the Qi-tonifying action, harmonizes the formula, and moderates any potential imbalances. Its sweet taste nourishes the Spleen and its warming nature supports digestive function.

Usage & Safety

How to use this formula and important safety information

Important Medical Disclaimer

The information provided here is for educational purposes only and is not intended as medical advice or to replace consultation with a qualified healthcare professional. This formula is a dietary supplement and has not been evaluated by the FDA. It is not intended to diagnose, treat, cure, or prevent any disease.

Always consult with a qualified healthcare provider, particularly if you are pregnant, nursing, have a medical condition, or are taking other medications. Discontinue use and consult your healthcare provider if you experience any adverse reactions.

Recommended Dosage

Instructions for safe storage and consumption

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Best Time to Take

30 minutes before meals, morning and evening, taken warm.

Typical Duration

Often taken for 1–4 weeks, then reassessed. May be used longer (4–8 weeks) for chronic Qi-deficiency constipation in elderly or debilitated patients, with periodic practitioner review.

Dietary Advice

Favor warm, easily digestible foods that support Spleen Qi: congee (rice porridge), cooked root vegetables such as sweet potato and yam, and warm soups. Include naturally lubricating foods like sesame seeds, pine nuts, walnuts, and steamed pears to complement the formula's intestine-moistening action. Avoid cold, raw foods (such as salads, iced drinks, and raw fruit in excess), greasy or fried foods, and excessive dairy, all of which can impair Spleen function and worsen Qi deficiency. Also avoid strong tea and coffee around the time of taking the formula, as tannins may interfere with absorption. Regular, gentle physical activity such as walking or tai chi is helpful to promote the Qi circulation that supports intestinal motility.

Special Populations

Pregnancy

Generally considered safe for use during pregnancy, as none of the four ingredients (Huang Qi, Huo Ma Ren, Bai Mi, Chen Pi) are known uterine stimulants or have established teratogenic properties. Huang Qi is commonly used in pregnancy formulas to support Qi. Huo Ma Ren (hemp seed) is a gentle intestinal lubricant without harsh purgative action. However, pregnant women should always consult a qualified practitioner before taking any herbal formula, as individual constitution and stage of pregnancy may require dosage adjustments.

Breastfeeding

This formula is generally considered compatible with breastfeeding. Huang Qi (astragalus) is traditionally regarded as supportive to lactation by tonifying Qi, and is actually used in some postpartum formulas to promote milk production. Huo Ma Ren (hemp seed), Bai Mi (honey), and Chen Pi (tangerine peel) are all mild, food-grade substances with no known concerns for transfer through breast milk. However, if the nursing infant develops any digestive changes (such as loose stools), the formula should be reassessed by a practitioner.

Pediatric Use

This formula can be considered for children experiencing constipation due to Qi deficiency (for example, chronically weak or underweight children who strain to pass soft stool). Dosages should be reduced according to the child's age and body weight: roughly one-quarter of the adult dose for children aged 2–5, one-third for ages 5–9, and one-half for ages 9–14. Bai Mi (honey) should not be given to infants under 12 months of age due to the risk of infant botulism. For very young children, a practitioner may substitute Bai Mi with Yi Tang (maltose) or another appropriate sweetener. Overall, the formula is mild and well-tolerated in pediatric use when properly dosed.

Drug Interactions

Hypoglycemic medications: Huang Qi (astragalus) has been shown in pharmacological studies to have blood-sugar-lowering effects. Patients taking insulin or oral hypoglycemic drugs should monitor blood sugar closely, as there is a theoretical risk of enhanced hypoglycemia.

Immunosuppressants: Huang Qi is known to stimulate immune function. Patients taking immunosuppressive medications (such as cyclosporine, tacrolimus, or corticosteroids for transplant or autoimmune conditions) should use this formula with caution, as Huang Qi may counteract the intended immunosuppressive effect.

Anticoagulants and antiplatelet drugs: Huang Qi may have mild effects on blood clotting parameters. While clinically significant interactions are not well-documented at typical doses, patients on warfarin or similar drugs should be monitored.

Contraindications

Avoid

Constipation due to Excess Heat or accumulation of Damp-Heat in the intestines. This formula is purely tonifying and moistening, and would be inappropriate for patterns with Heat signs such as foul-smelling stool, red tongue with yellow coating, or rapid pulse.

Avoid

Constipation due to Qi stagnation (as from Liver Qi constraint or emotional stress) where there is abdominal distension, belching, and irritability. The tonifying nature of Huang Qi may worsen Qi stagnation if used alone.

Caution

Patients with Yin-deficiency constipation where dryness and Heat are prominent. This formula does not adequately nourish Yin or clear Heat, and may be insufficient for that pattern.

Caution

Patients with loose stools, diarrhea, or Spleen Qi sinking with prolapse. While Huang Qi tonifies Spleen Qi, the intestine-moistening ingredients (Huo Ma Ren, Bai Mi) could worsen looseness.

Caution

Patients with food stagnation as the primary cause of constipation. The formula does not address stagnation and could mask the underlying cause.

Cautions & Warnings

Huang Qi Tang is typically safe for most individuals, but it can lead to side effects in some cases. Pregnant, nursing, or postpartum women, as well as those with liver conditions, should use this formula cautiously and preferably under professional supervision.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified Traditional Chinese Medicine (TCM) practitioner before beginning treatment with Liu Wei Di Huang Wan.

Product Details

Manufacturing, supplier, and product specifications

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Granules

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Treasure of the East

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