In Traditional Chinese Medicine theory, the liver governs the dispersing and spreading function, responsible for regulating the body's qi mechanism. If liver qi stagnates, it not only affects mood but also often impacts the spleen and stomach as well as qi and blood, forming complex constitutional issues. Regulating liver qi stagnation is not only about soothing the liver and resolving stagnation; sometimes it is more necessary to pay attention to nourishing blood, strengthening the spleen, and calming the spirit. Wu Ji Bai Feng Wan, as a tonifying agent, has the functions of tonifying qi and nourishing blood, regulating menstruation and stopping leucorrhea. Its role in harmonizing the liver and spleen, and tonifying with dispersing, is often used for syndromes of liver qi stagnation and blood deficiency, as well as qi and blood insufficiency.

The first common combination is Wu Ji Bai Feng Wan paired with Xiang Sha Yang Wei Wan. Unresolved liver qi often invades the spleen, leading to spleen qi stagnation, resulting in abdominal distension, poor appetite, and frequent belching. The ingredients in Wu Ji Bai Feng Wan, such as black chicken, angelica sinensis, and astragalus, can tonify qi and blood, support the body's vital energy, while Xiang Sha Yang Wei Wan helps regulate qi and harmonize the stomach with mускатный and cardamom, together relieving the distension and indigestion caused by liver qi stagnation and spleen deficiency.

The second combination is Wuji Baifeng Pill combined with Jianpi Pill. Prolonged liver qi stagnation often damages the spleen and stomach's transportation function, leading to postprandial bloating, loose stools, and general fatigue. Wuji Baifeng Pill nourishes liver blood and warms yang, while Jianpi Pill, containing herbs like Codonopsis pilosula and Atractylodes macrocephala, enhances spleen and stomach transportation and promotes the absorption of essential nutrients from food. Together, they not only nourish liver blood but also strengthen the spleen and stomach, ensuring the generation of qi and blood and restoring vitality to the body.

The third commonly used combination is Wuji Baifeng Pill combined with Suanzaoren Pill. In cases of insufficient liver blood and internal 扰动虚热, apart from emotional distress, symptoms such as insomnia with frequent awakenings, nightmares, and dizziness and fatigue are common. Wuji Baifeng Pill nourishes liver blood, while Suanzaoren Pill, containing sour jujube seeds and Poria, calms the mind and spirit. Their combination can improve sleep while tonifying qi and blood, making it suitable for those with liver blood deficiency and restlessness of the mind-spirit.

In a clinical setting, I once treated a middle-aged female patient with long-term emotional suppression, stomach distension, poor appetite, and difficulty falling asleep, with a sallow complexion. Her condition was diagnosed as liver qi stagnation with blood deficiency and damage to both the heart and spleen. Wuji Baifeng Pill was prescribed in combination with Jianpi Pill and Suanzaoren Pill, with modifications. After one month of treatment, her stomach distension and sleep improved significantly, along with a noticeable enhancement in her complexion and spirit.

It should be noted that Wuji Baifeng Pill is biased towards tonification and is more suitable for patients with deficiency patterns or those with deficiency as the predominant issue. If there is significant damp-heat, phlegm-fire, or qi stagnation, it is not advisable to use such tonics alone or primarily. It is recommended to select them under the guidance of a physician, considering the patient's constitution and pattern differentiation, to ensure safety and effectiveness.