Bu Pi Wan is a commonly used formula in TCM for tonifying qi and nourishing blood. Many people know that it can replenish qi and blood, but in fact, it also has good regulatory effects on several common issues, especially those related to the deficiency of heart and spleen as well as insufficient qi and blood.

The first is sleep problems. If you always dream a lot, wake up easily, feel as if you haven't slept even after sleeping, and also experience physical fatigue, poor appetite, and a lack of motivation to speak, this may be due to spleen deficiency and insufficient generation of qi and blood, leading to blood not nourishing the heart. Bu Pi Wan, by strengthening the spleen, nourishing blood, and calming the mind, can gradually improve this sleep condition.

The second is palpitations and anxiety. Some people may feel their heartbeats rapidly even without intense exercise, especially more pronounced after exertion, and may also experience dizziness, fatigue, pale or yellow complexion. These are often manifestations of qi and blood deficiency and the heart not being properly nourished. Gui Pi Wan tonifies both qi and blood, helping to restore the normal function of the heart.

The third is tinnitus. The sound of this tinnitus may resemble the chirping of a cicada, intermittent and unpredictable, and it is also easy to have poor appetite and bloating after eating a small amount. From a TCM perspective, the spleen governs the ascending of clear yang; if the spleen is weak, the clear yang fails to ascend, and the ear orifices lose nourishment, leading to tinnitus. Gui Pi Wan can strengthen the spleen and replenish qi, helping the clear yang to ascend and thus alleviate tinnitus.

The fourth is abnormal bleeding. For example, frequent bleeding of the gums, blood in the stool, or easy appearance of bruises. In TCM, the spleen has the function of "controlling blood," maintaining the normal circulation of blood within the vessels. If the spleen qi is weak, its ability to hold blood declines, and blood may easily "overflow." Gui Pi Wan, by tonifying the spleen qi, can enhance its ability to control blood.

The fifth is a common type of chronic gastritis. If there is always stomach bloating, poor appetite, and a feeling of fullness after eating a small amount, accompanied by fatigue, weakness, and heavy limbs, this often belongs to spleen and stomach qi deficiency. Gui Pi Wan can strengthen the spleen and replenish qi, assisting in restoring the digestive function of the spleen and stomach.

A 35-year-old female patient previously seen in the outpatient clinic had been under long-term work pressure, with irregular eating habits, shallow sleep and frequent dreams. During the day, she experienced palpitations and fatigue, as well as poor appetite and pale complexion. Her condition was diagnosed as deficiency of both the heart and spleen, and it was recommended that she take Gui Pi Wan (Brewed Spleen Pills) while adjusting her dietary rhythm. Three weeks later, she reported that her sleep had become more sound, and her stomach bloating and palpitations had significantly improved.

It should be noted that Gui Pi Wan is primarily used for deficiency patterns, especially those of heart and spleen deficiency with insufficient qi and blood. It is not suitable for symptoms caused by damp-heat, excess fire, or other excess pathogenic factors. It is recommended to use it under the guidance of a physician for syndrome differentiation to ensure more stable and effective results.