When fatigue comes with sensitivity to cold

Fatigue that lingers, low energy from the moment you wake up, hands and feet often cold, a pale complexion, slow recovery after exertion or a demanding period… In TCM, these signs can point to a Qi and Blood Deficiency, often tinged with Cold: the body lacks drive, resources and warmth all at once to rebuild itself.

According to tradition, Qi commands the Blood and the Blood is the mother of Qi (气为血之帅，血为气之母): they support each other, and when one is depleted, the other follows.

Shi Quan Da Bu Tang, the “Great Ten-Herb Tonifying Decoction”, appeared under the Song dynasty in the Tai Ping Hui Min He Ji Ju Fang (《太平惠民和剂局方》), the formulary compiled by imperial order in the early 12th century. In Chinese, shi quan (十全) also means complete in every respect: the name plays on both meanings, ten herbs and a thorough tonification. The formula has travelled throughout Asia: it is known in Japan as Juzen-taiho-to and in Korea as Sipjeondaebo-tang.

Ba Zhen Tang, plus two warming herbs

Shi Quan Da Bu Tang takes the eight herbs of Ba Zhen Tang (four for the Qi, four for the Blood) and adds astragalus and cinnamon. According to tradition, this touch of warmth helps the whole formula nourish better: the original text describes a formula that is “warm without being hot”.

Tonifies the Qi and nourishes the Blood: Ginseng and prepared rehmannia are the two pillars of the formula: one supports the Qi, the other nourishes the Blood, and the other herbs reinforce this dual action.

Gently warms the body: Cinnamon warms the Blood vessels and astragalus strengthens the Qi. Together, they bring the warmth that helps the nourishing herbs do their work.

Supports times of fatigue and recovery: By replenishing both Qi and Blood, the formula accompanies the gradual return of strength after a period of heavy demands.

Looks after your energy balance: Sichuan lovage and poria keep the richness of the formula from weighing it down, and licorice harmonises the whole.