Herb Formulas Notebook

Si Wu Tang

(Four Substance Decoction)

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Source: Secret Formulas to Manage Trauma and Reconnect Fractures Received from an Immortal (c. 846)

Category: Formulas that Tonify Blood

Pattern: Blood Deficiency, Yin Wei Mai disharmony with damage to Ying and Blood combined with involvement of Ren Mai, Chong Mai and Pericardium.

Key Symptoms: Pallor, sensitivity to cold, brittle nails, dry skin and eyes
Secondary Symptoms: Dizziness, blurred vision, heavy head, generalised muscle tension, insomnia, palpitations, numbness, irregular menstruation with scanty flow or amenorrhoea, menorrhagia, hard abdominal masses with recurrent pain, restless foetus disorder

Tongue: Pale
Pulse: Thin and wiry, or thin and choppy
Abdomen: Periumbilical and lower abdominal pain on deep pressure, periumbilical pulsations

Shu Di Huang 12g
Bai Shao 9-12g
Dang Gui 9g
Chuan Xiong 6-9g

Preparation: Decoction.

Actions: Tonifies the Blood, regulates the Liver

Contraindications: Acute or severe blood loss, Dampness with abdominal fullness, poor appetite and loose stools

Extraordinary Vessel attributions come from Li Shi-Zhen's (1577-8) Exposition on the Eight Extraordinary Vessels (Qi Jing Ba Mai Kao), trans. Chace & Shima (2009). It suggests formulas in the class of Si Wu Tang so could refer to any number of formulas, especially Xue Fu Zhu Yu Tang.

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.