Transcript Class 3~5: Herbs and Formulas That Invigorate Blood

Class 3~5: Herbs and Formulas
That Invigorate Blood
Xianhui Li and Cui Han
Herbs
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*Radix Ligusticum chuanxiong (Chuan xiong)
Radix Salviae militiorrhizae (Dan shen)
Caulis Millettiae seu spatholobi (Ji xue teng)
Rhizoma corydalis Yanhusuo (Yan hu suo)
Radix Curcumae (Yu jin)
Rhizoma Curcumae longae (Jiang huang)
Herba Leonuri (Yi mu cao)
Herba Lycopi (Ze lan)
Rx Paeoniae Rubra (Chi shao) *Semen Persicae (Tao ren)
*Flos Carthami (Hong hua)
Rhizoma Zedoariae (E zhu)
Rhizoma Sparganii (San leng)
Resina Olibanum (Ru xiang)
Resina myrrhae (Mo yao)
*Radix Achyranthis bidentatae (Niu xi)
Semen Vaccariae (Wang bu liu xing)
Sanguis Draconis (Xue jie)
Excrementum Trogopteri (Wu ling zhi)
Hirudo seu whitmaniae (Shui zhi)
Chuan xiong (Ligusticum root)
• Taste and Property: warm, acrid
• Meridian Tropism: Liver, gallbladder and pericardium
• Actions: invigorates the blood, promoters the movement of qi,
expels wind, stops pain
• Application:
– For any blood stasis pattern: dysmenorrhea, amenorrhea, difficult labor,
or retained lochia. For patterns of qi stagnation and blood stasis: pain
and soreness in the chest, flanks and hypochondria. It is also called qi
herbs in the blood.
– For externally-contracted wind disorder characterized by headache,
dizziness, or painful obstruction, used with fang feng, jing jie, i.e. chuan
xiong cha tiao san, used with qiang huo, gao ben, i.e. qiang huo sheng
shi tang
• Dosage: 3-9g
• Attention: used with caution during pregnancy or bleeding easily or
have profuse menses, not for fire from yin deficiency
Dan shen (Radix Salviae )
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Taste and Property: Bitter, slight cold
Meridian Tropism: Heart, pericardium, liver
Actions: invigorates the blood, tonifies the blood, calms irritability
due to blood heat
Application:
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For a wide variety of blood stasis disorders in any part of the body,
used with yi mu cao, tao ren for abdominal pain, used with ze lan, bie
jia, for abdominal masses, used with tan xiang, sha ren, for pain in the
chest, epigastrium and abdominal due to qi stagnation and blood
stasis, i.e. dan shen yin
For restlessness, irritability, palpitations, and insomnia due to heat
entering the nutritive level, used with xuan shen, lian qiao, i.e. qing ying
tang, used with suan zao ren, bai zi ren for palpitations and insominia
due to heart blood and yin deficiency, i.e. tian wang bu xin dan
Cools the blood and reduces abscesses: for sores or the early stages
of breast abscess, used with yin hua, lian qiao,
Dosage: 6-15g.
Attention: contraindicated during pregnancy, fan li lu
Ji xue teng (Caulis Millettiae seu
spatholobi )
• Taste and Property: bitter, sweet, warm
• Meridian Tropism: Liver, heart and spleen
• Actions: invigorates the blood, tonifies the blood,
soothers the sinews and invigorates the collaterals
• Application:
– For blood deficiency patterns presenting with such problems as
dysmenorrhea, irregular menstruation, or amenorrhea
accompanied by abdominal pain. Used with si wu tang
– For numbness of the extremities, lower back pain, kne pain, or
generalized joint soreness from wind-damp painful obstruction
with either blood deficiency or stasis
• Dosage: 9-15g
• Attention: contraindicated in those with profuse mense
Yan hu suo (Rhizoma corydalis
Yanhusuo )
• Taste and Property: bitter, acrid, warm
• Meridian Tropism: Liver, heart and stomach
• Actions: invigorates the blood, promotes the movement
of qi, and stops pain
• Application:
– For pain of almost any kind affecting the chest, abdomen, or
limbs, including that due to blood stasis and trauma
• Used with wu ling zhi for pain in the chest and abdomen due to
blood stasis
• Used with xiang fu, dang gui for dysmenorrhea from qi stagnation
and blood stasis
• Used with chuan lian zi for pain in the flank and upper right quadrat,
i.e jin ling zi san
• Used with xiao hui xiang and wu yao for abdominal pain and bulging
disorders from obstruction of qi and blood due to cold
• Used with dan shen, hong hua, and chuan xiong for coronary artery
disease
• Dosage: 3-9g
Yu jin (Radix Curcumae )
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Taste and Property: acrid, bitter, cold
Meridian Tropism: Liver, heart and lung
Actions: invigorates the blood and stops pain, promotes the movement of
qi and resolves constraint, clears heat and cools blood, opens the orifices,
benefits the gallbladder and reduces jaundice
Application:
– Used topically and internally for pain related to traumatic injury and to hasten the
healing process of chronic sores
– For chest, abdominal, flank, or menstrual pain from constrained liver qi,
particularly useful for constrained liver qi patterns with heat signs. Used with chai
hu, xiang fu, dang gui, bai shao
– For heat in the blood aspect causing chaotic movement of the blood leading such
problems as nosebleed, vomiting of blood, and blood in the urine, used with mu
dan pi, niu xi
– Use when hot phlegm obstructs the heart orifices with such symptoms as
anxiety, agitation, seizures or mental derangement, used with shi chang pu, zhu
li
– For pain in the flanks with jaundice, used with yin chen, zhi zi
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Dosage: 6-12g
Attention: used with caution during pregnancy
Jiang huang (Rhizoma Curcumae
longae )
• Taste and Property: acrid, bitter, warm
• Meridian Tropism: Liver, spleen and stomach
• Actions: invigorates the blood and unblocks menstruation,
promotes the movement of qi and alleviates pain, expels wind and
promotes the movement of blood
• Application:
– For chest or abdominal pain, amenorrhea, or dysmenorrhea due to
blood stasis caused by cold from deficiency, also used for pain and
swelling due to trauma or the early stages of sores and abscesses
– For episgastirc and abdominal pain due to qi stagnation, used with yu jin
– For wind-damp painful obstruction with blood stasis, especially in the
shoulders, used with qiang huo, fang feng, dang gui
• Dosage: 6-9g
• Attention: used with caution during pregnancy
Yi mu cao (Herba Leonuri )
• Taste and Property: acrid, bitter, slight cold
• Meridian Tropism: Liver, heart and bladder
• Actions: invigorates the blood, regulates menstruation, promotes
urination, clears heat and resolves toxicity
• Application:
– Commonly used for gynecological disorders such as irregular
menstruation, premenstrual abdominal pain, heavy menstruation with
clots, fixed abdominal masses, infertility, and postpartum abdominal
pain with retained lochia, used with dang gui, chuang xiong, xiang fu
– For acute systemic edema, especially useful when accompanied by
blood in the urine, used with bai mao gen, ze lan
– For sores, abscesses and toxic swellings, used either internally or
topically
• Dosage: 9-15g
• Attention: not used for yin deficiency or insufficient blood, caution
with during pregnancy
Ze lan (Herba Lycopi )
• Taste and Property: acrid, bitter, slight warm
• Meridian Tropism: Liver and spleen
• Actions: invigorates the blood and disperses stasis,
promotes urination
• Application:
– For pain due to blood stasis obstructing the mense, and for
postpartum abdominal pain from blood stasis. Also used for
topically or internally for pain and swelling from traumatic injury
or abscess, used with chuan xiong, dan shen
– For postpartum edema, postpartum painful urinary dribbling and
systemic or facial edema
• Dosage: 9-15g
• Attention: not used for insufficient blood or in the
absence of blood stasis, caution with during pregnancy
Tao ren (Semen Persicae)
• Taste and Property: bitter, sweat, neutral
• Meridian Tropism: Liver, heart, LI, lung
• Actions: invigorates the blood, dispels stasis, moistens
the intestines, stop coughs and wheezing
• Application:
– For many blood stasis patterns: dysmenorrhea, amenorrhea,
difficult labor, or retained lochia. Traumatic injury, flank pain, lung
abcess and intestinal abscess with fixed abdominal pain. Used
with hong hua, dang gui, chi shao, i.e. tao hong si wu tang, used
with pao jiang, chuan xiong, sheng hua tang, used with da
huang, mu dan pi, i.e. da huang mu dan pi tang
– For constipation due to dry intestine
• Dosage: 4.5-9g
• Attention: used with caution during pregnancy
Hong hua (Flos Carthami)
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Taste and Property: acrid, warm
Meridian Tropism: Liver, heart
Actions: invigorates the blood, stops pain
Application:
– For many blood stasis patterns: dysmenorrhea, amenorrhea,
difficult labor, or retained lochia and abdominal masses. used
with hong hua, dang gui, i.e. xue fu zhu yu tang, used with yi mu
cao, niu xi for abdominal pain
– Traumatic injury, carbuncles, incomplete expression of rash of
measles or pain fu obstruction of the chest due to blood stasis,
used with zi cao, dang gui for measles carbuncles, boils
• Dosage: 3-9g
• Attention: used with caution during pregnancy
E zhu (Rhizoma Zedoariae )
• Taste and Property: bitter, acrid, warm
• Meridian Tropism: Liver, heart
• Actions: breaks up blood stasis, promotes the
movement of qi, dissolves accumulations and alleviates
pain
• Application:
– For abdominal pain, dysmenorrhea, amenorrhea, abdominal
masses, and epigastic masses due to blood stasis, used with
san leng together
– For pain, distention, fullness, and constriction in the chest and
abdomen due to food stagnation, also for childhood nutritional
impairment, used with mu xiang, i.e. mu xiang bing lang wan
• Dosage: 3-9g
• Attention: contraindicated during pregnancy or in those
with excessive menstruation
San leng (Rhizoma Sparganii )
• Taste and Property: bitter, acrid, neutral
• Meridian Tropism: Liver, spleen
• Actions: breaks up stagnation of both the qi and blood,
disperses food stagnation, stops pain
• Application:
– For blood stasis patterns with amenorrhea, dysmenorrhea,
postpartum abdominal pain and abdominal masses, used with e
zhu, dang gui, hong hua, tao ren
– For severe abdominal pain and distention due to food stagnation
and stagnant qi
• Dosage: 3-9g
• Attention: contraindicated during pregnancy or in those
with excessive menstruation
Ru xiang (Resina Olibanum )
• Taste and Property: bitter, acrid, warm
• Meridian Tropism: Liver, heart, spleen
• Actions: invigorates the blood and promotes the movement of qi,
reduces swelling and generates flesh
• Application:
– For traumatic pain due to blood stasis, as well as the early stages of
carbuncles, sores, swellings and pain, also for chest, epigastric, or
abdominal pain due to blood stasis
– Applied topically as an ointment or powder to reduce swelling,
generates flesh, alleviate pain and promote healing of sores, carbuncles
and traumatic injury, also for pain, redness, and swelling of the gums,
mouth and throat, used with mo yao together
• Dosage: 3-9g
• Attention: contraindicated during pregnancy or in those with
excessive menstruation
Mo yao (Resina myrrhae )
• Taste and Property: bitter, neutral
• Meridian Tropism: Liver, heart and spleen
• Actions: breaks up blood stasis to stop pain, reduces sweling,
generates flesh.
• Application:
– For problems due to blood stasis, including pain from trauma, sores,
carbuncles, swellings, fixed abdominal masses, painful obstruction,
chest pain, abdominal pain and amenorrhea, used with yan hu suo, wu
ling zhi, xiang fu for epigastric and abdominal pain due to obstruction of
qi and blood
– Used topically to promote the healing of chronic nonhealing sores
• Dosage: 3-9g
• Attention: used with caution during pregnancy, should not be used
long term
Radix Achyranthis (Niu Xi)
• Taste and Property: bitter, sour and neutral
• Meridian tropism: Liver and kidney
• Actions: invigorates the blood and dispels blood stasis; tonifies liver
and kidney, strengthens the tendons and bones, benefits the joints;
induces the downward movement of blood and fire; clears dampheat in the lower jiao
• Applications:
– For blood stasis patterns with such symptoms as dysmenorrhea,
amenorrhea, and retained lochia, used with ru xiang, mo yao
– For pain and soreness affecting the lower back and knees due to
deficiency, used with shi di huang, gui ban, as in hu qian wan
– For blood heat in the upper jiao or yin deficiency with ascending fire,
manifestations include nosebleed, vomiting blood, toothaches, bleeding
gums, dizziness, headache, blurred vision
– For cases of dam heat pouring downward manifesting as knee pain or
lower back damp painful urinary dribbling or vaginal discharge, such as
san miao wan
• Dosage: 6-15g
Wang bu liu xing (Semen
Vaccariae )
• Taste and Property: bitter, neutral
• Meridian Tropism: Liver, stomach
• Actions: invigorates the blood and disperses clumping and stasis,
promotes lactation
• Application:
– For insufficient lactation or amenorrhea due to blood stasis, used with
dang gui and xiang fu for blood stasis leading to menstural irregularities
or amenorrhea, used with lu lu tong, tong cao, huang qi for insufficient
lactation, used with huang qi, dang gui for insufficient lactation due to
postpartum qi and blood deficiency
– For painful swellings, especially of the breast or testicles, used with pu
gong yin and gua lou for breast abscess
• Dosage: 4.5-9g
• Attention: used with caution during pregnancy
Xue jie (Sanguis Draconis )
• Taste and Property: sweet, salty, neutral
• Meridian Tropism: Liver, heart
• Actions: internally: invigorates the blood, disperses
stasis, stops pain; externally: generates flesh, assists
sores and wounds to heal, stops bleeding
• Application:
– For symptoms related to injury from falls, fractures, contusions,
and sprains, as well as pain due to blood stasis patterns from
other causes, used with ru xiang, mo yao
– Applied topically to stop bleeding due to external injury and for
chronic nonhealing ulcers, used with pu huang together
• Dosage: 1-1.5g in pills and powders
• Attention: used with caution during pregnancy
Wu ling zhi (Excrementum
Trogopteri )
• Taste and Property: bitter, sweet, warm
• Meridian Tropism: Liver
• Actions: disperses blood stasis and alleviates pain,
transforms stasis and stops bleeding
• Application:
– For a variety of disorders caused by blood stasis, including
amenorrhea, dysmenorrhea, postartum abdominal pain and
epigastric pain, used with pu huang, shi xiao san
– For uterine bleeding and retained lochia due to blood stasis,
used with sheng di huang and san qi
• Dosage: 3-9g
• Attention: used with caution during pregnancy
Shui zhi (Hirudo seu whitmaniae )
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Taste and Property: salty, bitter, neutral, slightly toxic
Meridian Tropism: Liver, bladder
Actions: breaks up blood stasis, disperses stagnation
Application:
– For amenorrhea and fixed abdominal masses due to blood
stasis, as well as traumatic injury
• Used with san qi for trauma-induced pain, swelling, and bruising
• Used with tao ren, meng chong for blood stasis in the lower
abdomen
• Used with san leng, e zhu, and dang gui for palpable, fixed
abdominal masses
• Dosage: 3-6g in decoctions, 0.3-0.6g in pills and
powders
• Attention: used with caution during pregnancy
Formulas
• Formulas that invigorate the blood and dispel blood stasis
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Peach Pit Decoction to Order the Qi (tao he cheng qi tang)
Drive out Blood Stasis in the Mansion of Blood Decoction (xue fu zhu yu tang)
Drive Out Blood Stasis Below the Diaphragm Decoction (Ge Xia Zhu Yu Tang)
Drive-Out Blood Stasis in the Lower Abdomen Decoction (Shao Fu Zhu Yu Tang)
Drive Out Blood Stasis from a Painful Body Decoction (Shen Tong Zhu Yu Tang)
Sudden Smile Powder (shi xiao san)
Salvia Decoction (dan shen yin)
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Tonify the Yang and Restore Five-tenths Decoction (bu yang huan wu tang)
• Formulas that warm the menses and dispel blood stasis
– Cinnamon Twig and Poria Pill (gui zhi fu ling wan)
– Generation and Transformation Decoction (sheng hua tang)
– Warm the Menses Decoction (wen jing tang)
• Formulas that invigorate the blood in the treatment of traumatic
injury
– Seven-Thousandths of a Tael Powder (qi li san)
– Fantastically Effective Pill to Invigorate the Collaterals (huo luo xiao ling dan)
– Revive Health by Invigorating the Blood Decoction (Fu Yuan Huo Xue Tang)
Tao he cheng qi tang (Peach Pit
Decoction to Order the Qi )
Ingredients: Tao ren 12g, Da huang 12g, Gui
zhi 6g, Mang xiao 6g, Zhi gancao 6g
Actions and indications of the
formula
• Actions
– Drain heat and break up blood stasis.
• Indications
– Acute lower abdominal pain, incontinence of
urine, night fevers, delirious speech, irritability,
restlessness and thirst, and a submerged, full
or choppy pulse.
Analysis of Formula
• Chief: Tao ren, da huang
– Tao ren: break up and eliminate blood stasis
– Da huang: purge accumulation and clear heat.
• Depute: gui zhi
– warm the sinews, unblock the vessels, dispel blood
stasis.
• Assistant: mang xiao
– soften hardness and dispel accumulation.
• Envoy: Gan cao
– protect the stomach and spleen
Modern application and
modifications
• Modern application:
– Acute endometritis, retained placenta, pelvic
inflammatory disease, and intestinal obstruction
• Attentions:
– Contraindicated during pregnancy. If there are still
exterior symptoms, the exterior should first be
released before using this formula.
• Modifications:
– For irregular menstruation or dysmenorrheal, add
dang gui and hong hua.
Xue fu zhu yu tang
(Drive out stasis in the mansion
of Blood decoction)
Ingredients: Tao ren 12g, Hong hua 9g,
Dang gui 9g, Chuan xiong 4.5g, Chi shao 6g,
Sheng di huang 9g, Niu xi 9g, Chai hu 3g, Jie
geng 4.5g, Zhi ke 6g, Gan cao 3g
Actions and indications of the
formula
• Actions
– Invigorate the blood, dispel blood stasis,
spread the qi of the liver, and unblock the
channels.
• Indications
– Pain in the chest and hypochondria, chronic,
stubborn headache with a fixed, piercing
quality, chronic, incessant hiccough, a choking
sensation when drinking, a dark-red tongue,
dark spots on the sides of the tongue, dark or
purplish lips, complexion or sclera, and a
choppy or wiry and tight pulse.
Analysis of Formula
• Chief: Tao ren, hong hua, chuan xiong
– Tao ren, hong hua, chuan xiong: invigorate the blood and dispel
blood stasis.
• Depute: Dang gui, chi shao, niu xi
– Dang gui, chi shao: invigorate blood without injuring the yin and
blood
– Chuan niu xi: eliminate blood stasis, induce the downward
movement of blood.
• Assistant: sheng di huang, chai hu, jie geng, zhi ke
– Sheng di huang: cool blood and clear heat
– Chai hu: smoothen the flow of liver qi, relieve constraint and
raise the clear yang.
– Jie geng, zhi ke: expand the chest and promote the movement of
qi.
• Envoy: Gan cao
– Gan cao---regulate and harmonize the action of other herbs
Modern application and
modifications
• Modern application:
– Coronary artery disease, hypertension, intercostals neuralgia,
migraine, trigeminal neuralgia, psychosis, menopausal
syndrome, primary dysmenorrheal, and urticaria
• Modifications:
– For angina pectoris due to coronary artery disease, increase the
dosage of hong hua and chuan xiong and add dan shen.
– For severe pain and hard fullness in the lower abdomen, take
with shi xiao san
• Attentions:
– Contraindicated during pregnancy, and excessive menstrual
bleeding. It is also contraindicated in cases with bleeding
diathesis or any active hemorrhagic disorder.
Shi xiao san (Sudden Smile
Powder )
Ingredients: Wu ling zhi 9g, Pu
huang 9g
Actions and indications of the
formula
• Actions
– Invigorate the blood, dispel blood stasis,
disperse accumulation, and alleviate pain.
• Indications
– Irregular menstruation, dysmenorrheal,
retention of the lochia, post partum abdominal
pain. acute, colicy pain in the lower, middle or
upper abdomen.
Analysis of Formula
• Chief: Wu ling zhi
– remove obstruction from the blood vessels,
disperse the retained blood, and alleviate
pain.
• Depute: Pu huang
– strongly promote the circulation of blood and
stop bleeding.
Modern application and
modifications
• Modern application:
– Angina pectoris, coronary artery disease,
endometriosis, lochioschesis
• Attentions:
– Contraindicated during pregnancy and stomach
deficiency.
• Modifications:
– For angina pectoris from blood stasis, add chuan
xiong, chi shao, hong hua, and dan shen
– For severe qi stagnation, add Jin ling zi san.
– For irregular menstruation due to a pattern of blood
stasis and blood deficiency, take with Si wu tang.
Dan shen yin (Salvia Decoction )
Ingredients: dan shen, tan xiang,
sha ren
Actions and indications of the
formula
• Actions
– Invigorates the blood, dispels blood stasis,
promotes the movement of qi, and alleviates
pain.
• Indications
– Abdominal or epigastric pain which may
radiate upward accompanied by signs and
symptoms of blood stasis and qi stagnation
Analysis of Formula
• Chief: dan shen
– Invigorate the blood, transforms blood stasis
and alleviates pain.
• Depute: tan xiang
– Warms the middle jiao and regulates qi
• Assistant: sha ren
– Promotes the movement of qi, relaxes middle
jiao, disperses the sensation of constraint and
oppression in the chest and alleviates pain
Modern application and
modifications
• Modern application:
– Angina pectoris, coronary artery disease, hepatitis,
pancreatitis, cholecystitis, chronic gastritis, peptic
ulcer, and primary or secondary dysmenorrhea
• Modifications:
– For angina pectoris and dyspnea associated with coronary artery
disease, combine with gua lou xie bai ban xia tang
• Attentions:
– Contraindicated during pregnancy and in cases with bleeding
diathesis or any active hemorrhagic disorder.
Gui zhi fu ling wan (cinnamon
twig and poria pill)
Ingredients: gui zhi, fu ling, shao
yao, mu dan pi, tao ren
Actions and indications of the
formula
• Actions
– Invigorate the blood, dispel blood stasis, and
reduces fixed abdominal masses.
• Indications
– Mild, persistent uterine bleeding of puple or
dark blood during pregnancy accompanied by
abdominal pain that increases with pressure.
Also for such problems as immobile masses
in the lower abdomen with pain and
tenderness, abdominal distention and pain,
dysmenorrhea, and retention of the lichia,
choppy pulse
Analysis of Formula
• Chief: gui zhi, fu ling
– Gui zhi: acrid, and warm, unblocks the blood vessels and
reduces the stasis of blood by promoting circulation
– Fu ling: nourishes the qi of the heart and spleen and helps to
promote the circulation of the blood, quiets heart and spirit and
the fetus, promotes urination and transforms phlegm.
• Depute: shao yao
– Chi shao: invigorates blood and alleviates blood stasis.
– Bai shao: alleviates abdominal pain
• Assistant: mu dan pi, tao ren
– Mu dan pi, tao ren: transform blood stasis and clear heat due to
constraint.
Modern application and
modifications
• Modern application:
– Gynecological or post partum problems,
primary dysmenorrhea, leiomyoma (uterine
fibroids), cervical rosion, ovarian cysts,
chronic salpingitis, chonic pelvic inflammatory
disease, endometriosis and lochioschesis
• Modifications:
– For more severe blood stasis, add da
huang
Bu yang huan wu tang (tonify the
yang to restore five decoction)
Ingredients: huang qi 120g, dang gui
6g, chuan xiong 3g, chi shao, 4.5g, tao
ren 3g, hong hua 3g, di long 3g
Actions and indications of the
formula
• Actions
– Tonifies qi, invigorates the blood,
unblocks the channels.
• Indications
– Sequelae of wind stroke including
hemiplegia, paralysis, and atrophy of the
lower limbs, facial paralysis, slurred
speech, drooling, dry stools, frequent
urination or urinary incontinence, a white
tongue coating
Analysis of Formula
• Chief: huang qi
– Huang qi: strongly tonifies the source qi, when qi is
strong, it can more effectively impel the circulation of
blood.
• Depute: dang gui wei, chuan xiong, chi shao
– Invigorate the blood and harmonize the nutritive qi
• Assistant: di long, tao ren, hong hua
– Invigorate the blood, dispel blood stasis, and unblock
the channels
Modern application and
modifications
• Modern application:
– Sequelae of cerebrovascular accident, sequelae of poliomyelitis,
acute myelitis, sciatica, and thromboangiitis obliterans
• Modifications:
– For a predominance of cold: add fu zi
– For a predominance of spleen and stomach deficiency, add dang
shen, bai zhu
– For profuse sputum, add ban xia, tian zhu huang
– For marked slurred speech, add shi chang pu, yuan zhi
• Attentions:
– Contraindicated immediately after a stroke when the cause is
cerebral hemorrhage
– During pregnancy
Sheng hua tang (generation
and transformation decoction)
Ingredients: dang gui, chuan
xiong, tao ren, pao jiang, zhi gan
cao
Actions and indications of the
formula
• Actions
– Invigorates the blood, transforms and
dispels blood stasis, warms the menses,
and alleviates pain.
• Indications
– Retention of the lochia accompanied by
cold and pain in the lower abdomen, a
pale-purple tongue or a pale tongue with
purple spots, and a thin submerged, and
choppy pulse
Analysis of Formula
• Chief: dang gui
– Dang gui: tonifies and invigorates the blood,
transforms blood stasis, and generates new
blood.
• Depute: tao ren, chuan xiong,
– Chuan xiong: invigorates the blood and promotes the
movement of qi
– Tao ren: invigorates the blood and dispels the stasis
• Assistant: pao jiang,
– Enters blood and dispels cold, warms menses, and
alleviates pain
– Yellow wine: warms and dispels cold
• Envoy: gan cao
– Regulates and harmonizes the other ingredients
Modern application and
modifications
• Modern application:
– For post partum recovery when there is retention of
the lochia with lower abdominal pain
– Retention of placental fragments within the uterus,
lochioschesis, painful post partum uterine
contractions and chronic endometritis
• Modifications:
– For severe abdominal pain due to retention of blood
stasis: add pu huang, wu ling zhi
– For severe cold: add rou gui
– For qi deficiency: add huang qi, ren shen
• Attention: Blood stasis due to heat
Warm the Menses Decoction
(wen jing tang)
Ingredients: Wu zhu yu 9g, Gui zhi 6g, Dang
gui 9g, Chuan xiong 6g, Shao yao 6g, E jiao
6g, Mai men dong 9g, Mu dan pi 6g, Ren
shen 6g, Gan cao 6g, Sheng jiang 6g, Ban
xia 6g
Actions and indications of the
formula
• Actions
– Warm the menses, dispel cold, nourish the
blood and dispel blood stasis.
• Indications
– Mild persistent uterine bleeding, irregular
menstruation, extended or continuous
menstrual flow, pain, distention, and cold in
the lower abdomen, infertility, and warm
palms and soles.
Analysis of Formula
• Chief: wu zhu yu, gui zhi
– warm the menses, dispel cold, and unblock and improve
circulation in the blood vessels.
• Depute: dang gui, chuan xiong, bai shao, e jiao, mai men
dong
– Dang gui, chuan xiong, bai shao, invigorate blood, dispel blood
stasis, nourish blood and regulate menses.
– E jiao, mai men dong: nourish the yin, moisten dryness, and
clear heat from deficiency.
• Assistant: Mu dan pi
– dispel blood stasis, facilitate the menses, clear heat from
deficiency from the blood level.
• Envoy: Ren shen, gan cao, sheng jiang, ban xia
– tonify qi and harmonize the spleen and stomach to strengthen
the source of production and transformation
Modern application and attentions
• Modern application:
– Functional uterine bleeding, irregular
menstruation, primary dysmenorrheal,
infertility, polycystic ovaries, chronic pelvic
inflammatory disease, and menopausal
syndrome, male infertility, spermatorrhea.
• Attention :
– Contraindicated in cases with abdominal
masses due to blood stasis from excess
Seven-Thousandths of a Tael
Powder (qi li san)
Ingredients: Xue jie, hong hua, ru
xiang, mo yao, she xiang, bing
pian, er cha, zhu sha
Actions and indications of the
formula
• Actions
– Invigorate blood, dispel blood stasis, promote
the movement of qi, reduce swelling, and
alleviate pain and bleeding.
• Indications
– Bruising, swelling, and pain accompanying
traumatic injuries such as broken bones and
torn sinews, and bleeding due to lacerations.
Analysis of Formula
• Chief: Xue jie,
– dispel blood stasis, stop bleeding and relieve pain.
• Depute: Hong hua
– invigorate blood and dispel stasis.
• Assistant: ru xiang, mo yao, she xiang, bing
pian, er cha, zhu sha
– Ru xiang, mo yao: invigorate the blood, dispel blood
stasis
– She xiang, bing pian: eliminate blockage
– Er cha: clear heat, stop bleeding and generate new
tissues
– Zhu sha: relieve the fright and calm the spirit
Modern application and attentions
• Modern application:
– For traumatic injury due to falls, fractures,
contusions, strains, lacerations or burns
• Attention:
– Contraindicated during pregnancy
Fantastically Effective Pill to
Invigorate the Collaterals (huo
luo xiao ling dan)
Ingredients: Dang gui 15g, Dan
shen 15g, Ru xiang 15g, Mo yao
15g
Actions and indications of the
formula
• Actions
– Invigorate blood, dispel blood stasis, unblock
the collaterals, and alleviate pain.
• Indications
– Pain in various locations such as the heart,
stomach, abdomen, back, leg, or arm,
bruising and swelling due to traumatic injury,
rheumatic pain, fixed abdominal masses,
internal or external ulceration, a dark tongue
or one with static points, and a wiry pulse.
Analysis of Formula
• Dang gui:
– invigorate and nourish the blood and alleviate
pain.
• Dan shen:
– eliminate blood stasis, cool blood and reduce
ulcerations
• Ru xiang, Mo yao:
– invigorate the blood, dispel blood stasis,
promote the movement of qi and alleviate
pain.
Modern application and
modifications
• Modern application:
– Ectopic pregnancy, angina pectoris, cerebral
thrombosis, sciatica, pelvic inflammatory disease,
arthritis, and traumatic injury
• Modifications:
– For pain in the lower extremities, add duo huo, niu
xi.For abdominal pain in women due to blood stasis
add Shi xiao san
• Attention: Contraindicated during pregnancy.