The late Qing dynasty healer Zhang Xichen had a formula called Shengchi Tang, Bei Qi, Zhi Mu, Chai Hu, Sheng Ma, and Radix Platycodon, this formula is very interesting, a large dose of Bei Qi with Zhi Mu, to prevent Bei Qi from being too dry, so use Zhi Mu to moisten. This is also Zhang Xichen’s favorite pair of medicines. Chai Hu and Sheng Ma ascend from the left and right sides respectively, and Radix Platycodon carries the medicine upward. Liu Qi of the Department of Internal Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine has good results in patients with subluxation of the atmosphere in the chest, but how to understand subluxation of the atmosphere in the chest? Clinically, there are indeed patients who will say that my Qi cannot rise, but many of them will describe chest tightness and discomfort (of course excluding cases with actual heat, stasis of blood, invisible evil heat, etc.), easy fatigue and lack of energy in general, and this formula can be used at all times. If combined with diarrhea symptoms, you can combine it with Ginseng and Atractylodes. There is a young woman with Hashimoto’s thyroiditis, elevated TSH and two high thyroid antibodies, whose most obvious manifestation is that she has to change her breath significantly when she speaks. She was fatigued, had a large fat tongue with thin white fur and teeth marks on the sides. I understand that this is also a kind of “atmospheric subsidence in the chest”, so I used Sheng shen Tang. Astragalus started at 60g and gradually increased to 90g. after half a month of eating, TSH returned to normal, (two antibodies have not been checked) of course Hashimoto is an autoimmune disease, self-limiting in the course of the disease, can also be manifested as hyperthyroidism, hypothyroidism alternately, but her whole body is not so fatigued. Later, Huang Qi was added to 120g and she felt a little dry. Lingnan doctors don’t like to use Huang Qi because the patient will be very dry and hot, and mostly prefer to use Wu Zhi Wu Tao, which is a Qi tonic and gentle. But Huang Qi with Zhi Mu can solve this problem. Zhang Xichen Shengchi Tang is used to treat atmospheric subsidence in the chest, the patient will often be clinically manifested as asthma, chest tightness, and of course, the image of “Qi can not come up”, but must be distinguished from the real, if it is a real evidence of Qi stagnation that leads to Qi irregularities, then it should be given a formula to sort out the Qi, and of course, and “The bitter fullness in the chest is caused by the evil in Shao Yang, which is unfavorable to the meridian qi and causes heat due to depression, and is related to the route of the liver and gallbladder meridians. The composition of Shengqi Tang includes Huang Qi, Zhi Mu, Radix Platycodon, Chai Hu, and Sheng Ma, which can be added or subtracted in the clinical evidence, for example, if the Yin component is insufficient, Zhi Mu can be replaced by Sheng Di, and if the Qi is too much, the dosage of Sheng Ma can be reduced, and Ginseng can be added for Qi deficiency, and Long Mu can be added to revive the town and prevent the ascending medicine from rising too much.