Author: Zhang Zhong-Jing, 張仲景
Year: c. 220
Source: Essentials from the Golden Cabinet (Jin Gui Yao Lue, 金匱要略)
Category: Formulas that Tonify Blood
Pattern: Constitutional or postpartum Blood deficiency of allowing Cold invasion of the abdomen, Ren Mai bulging disorders.
Key Symptoms: Postpartum abdominal pain, cold abdominal hernial pain, or spasmodic pain in the flanks that responds favourably to warmth and pressure.
Pulse: Submerged, wiry and forceless
Ingredients
|
Dang Gui
| 9g | |
|
Pinyin: Dang Gui
Chinese: 當歸
Pharmaceutical: Radix Angelicae sinensis
Taxonomy: Angelica sinensis
English: Chinese Angelica Root / Tang-Kuei / Dong Quai Root |
|
Tastes: Sweet, Pungent, Warm
Meridians Entered: Heart and Liver |
Actions & Indications:
- Tonifies the Blood and regulates the menses
Blood Deficiency, especially when affecting the Heart and Liver with pale, ashen complexion, lusterless nails, tinnitus, blurred vision and palpitations
Blood Deficiency associated irregular menstruation, amenorrhea and dysmenorrhea
- Invigorates and harmonizes the Blood and disperses Cold (stops pain due to Blood Stasis)
Blood Stasis causing abdominal pain and carbuncles and pain due to Blood Stasis from traumatic injury, especially when accompanied by Deficiency Cold
Postpartum menstruation
Pregnancy (use with caution)
Blood Deficiency with chronic Wind-Damp-Bi
- Moistens the Intestines and unblocks the bowels
Dry Intestines due to Blood Deficiency
- Reduces swelling, expels pus, generates flesh and alleviates pain
Sores and abscess (Chuang Yung), internally and topically
- Stops coughing and treats dyspnea
Used adjunctively for coughing
- Tonifies the Blood while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
|
Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of Damp-Heat stagnating in the Middle, Lung Heat with Phlegm Fire, and Yin deficiency with effulgent Yang because it is warm and sweet in properties. In addition, it should be used with caution in cases of loose stool because it can moisten intestines to smooth stool.
Many sources recommend using caution, avoiding or only taking under guidance of a TCM physician during pregnancy as it can cause uterine contractions. However, there are no studies supporting this and the only scientific literature seems to suggest that Z-Ligustilide has anti-spasmodic activities that alleviate dysmenorrhoea by inhibiting uterine contractions (Du et al., 2006; Dietz et al., 2016).
Caution is also advised in breast cancer patients due to its oestrogen stimulating activity. This based upon Lau et al (2005) who found it may stimulate breast cancer growth in vitro, however Yue et al, (2019) demonstrated that it is not that stimulatory in breast cancer both in vitro and in vivo through a series of tests, although they suggested it should still be used with caution in estrogen receptor-positive breast cancer. Conversely, a large population study in Taiwan by Wu et al (2014) found it reduced the subsequent risk of endometrial cancer in breast cancer survivors taking tamoxifen, especially in those of reproductive age. |
|
|
Sheng Jiang
| 15g | |
|
Pinyin: Sheng Jiang
Chinese: 生姜
Pharmaceutical: Rhizoma Zingiberis Recens
Taxonomy: Zingiber officinale
English: Fresh Ginger |
|
Tastes: Pungent, warm
Meridians Entered: Lung, Spleen and Stomach |
Actions & Indications:
- Releases the Exterior, induces perspiration and disperses Cold
Wind-Cold
- Warms the Middle and stops vomiting
Cold in the Stomach especially with vomiting
- Warms the Lungs and stops coughing
Cough due to Wind-Cold Cough due to Lung Deficiency with Phlegm
- Reduces the toxicity of other herbs and seafood
Herb toxicity or seafood poisoning
- Adjusts the Ying and Wei - normalizes the flow of Qi at the center
Taiyang Zhong Feng - Wind-Cold with Deficiency
|
Standard Dosage: 3-10g in decoction.
Cautions: It should be used with caution for yin deficiency with internal heat and heat exuberance because it helps promote fire and injure yin. |
|
|
Yang Rou
| 48g | | |
Pinyin: Yang Rou
Chinese: 羊肉
Pharmaceutical: Caro Ovilla
English: Lamb or Goat's Meat |
|
Tastes: Sweet, warm
Meridians Entered: Spleen and Kidney |
Actions & Indications:
- Replenishes Qi and tonifies deficiency
Weakness and thinness caused by consumptive disease
- Warms the Spleen and Stomach and lower limbs
Abdominal pain, cold hernia, gastric disorder causing nausea
Deficiency Cold after delivery, soreness and weakness of waist and knees
|
Standard Dosage: 125-250g in decoction.
|
|
Subsitutions:
Due to UK definitions of herbal medicine not allowing the use of animal substances Yang You (Mutton) cannot be prescribed but it can easily be recommended as food therapy with Dang Gui the only real "herb" in this formula.
If a vegetarian alternative is required then substituting mutton for a variety of beans, lentils or tofu/soy plus some dark green leafy vegetables and some B12 fortified ingredients would suffice.
Preparation: Prepare as a stew by simmering in 8 cups of water until it is reduced to 3 cups of liquid.
Actions: Warms the Interior, nourishes the Blood, alleviates pain
Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.