Author: Zang Xi Chun / Zang Shou Fu, 張錫純 / 張壽甫
Year: 1918-1934
Source: Essays on Medicine Esteeming the Chinese and Respecting the Western (Yi Xue Zhong Zhong Can Xi Lu, 醫學衷中參西錄)
Category: Formulas that Regulate Blood
Pattern: Qi stagnation and Blood stasis obstructing the Collaterals
Key Symptoms: Pain in various locations such as the chest, stomach, abdomen, back, leg or arm, bruising or swelling due to traumatic injury, rheumatic pain, fixed abdominal masses, internal or external ulceration
Tongue: Dark body or one with stasis spots
Pulse: Wiry or rough
Ingredients
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Dang Gui
| 15g | |
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Pinyin: Dang Gui
Chinese: 當歸
Pharmaceutical: Radix Angelicae sinensis
Taxonomy: Angelica sinensis
English: Chinese Angelica Root / Tang-Kuei / Dong Quai Root |
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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)
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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. |
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Dan Shen
| 15g | |
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Pinyin: Dan Shen
Chinese: 丹參
Pharmaceutical: Radix Salviae miltiorrhizae
Taxonomy: Salvia miltiorrhiza
English: Red Sage Root / Salvia Root / Zi Dan Shen 紫丹參 (Purple Cinnabar Ginseng) / Xue Shen 血參 (Blood Ginseng) |
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Tastes: Bitter, slightly cold
Meridians Entered: Heart and Liver |
Actions & Indications:
- Clears Heat and soothes irritability
Ying Stage Heat with restlessness, irritability, palpitations and insomnia
Heart and Kidney Yin Deficiency
- Cools the Blood and reduces abscesses
Adjunctive to treat sores or early-stage breast abscesses
- Nourishes the Blood and calms the Spirit
Palpitations and insomnia due to Ying and Xue Stage Heat or Heart Blood Deficiency
Agitation due to Gu Parasites / chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 5-15g in decoction.
Cautions: Use with caution for pregnant women. Contraindicated to Li Lu. |
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Ru Xiang
| 15g | |
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Pinyin: Ru Xiang
Chinese: 乳香
Pharmaceutical: Olibanum
Taxonomy: Boswellia serrata
English: Frankincense |
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Tastes: Pungent, bitter, warm
Meridians Entered: Liver, Heart and Spleen |
Actions & Indications:
- Invigorates the Blood and promotes the movement of Qi
Pain due to Blood Stasis from traumatic injury
Early stage toxic sores, carbuncles, swellings and pain
Blood Stasis with chest, epigastric or abdominal pain
- Relaxes the sinews, activates the channels and alleviates pain
Wind-Damp Bi with rigidity and spasms
- Reduces swelling and generates flesh
Topically as an ointment or powder to reduce swelling, generate flesh, alleviate pain and promote healing of sores, carbuncles, and traumatic injury
Pain, redness and swelling of the gums, mouth and throat
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Standard Dosage: 3-10g in decoction.
Cautions: This herb is drasticly pungent with strong stimulation to stomach and easily causes nausea and vomiting. So it should not be taken by large dose or for a long time. Use with cautions for patients with weak stomach; prohibited for pregnant women. |
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Mo Yao
| 15g | | |
Pinyin: Mo Yao
Chinese: 沒藥
Pharmaceutical: Resina Commiphorae
Taxonomy: Commiphora mukul
English: Myrrh |
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Tastes: Pungent, Bitter, Neutral
Meridians Entered: Heart, Liver and Spleen |
Actions & Indications:
- Invigorates the Blood, dispels Blood Stasis, alleviates pain and reduces swelling
Blood Stasis with pain from trauma, sores, carbuncles, swellings, fixed abdominal masses, painful obstruction, chest pain, abdominal pain and amenorrhea
- Generates flesh and promotes healing
Chronic non-healing sores
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Standard Dosage: 3-10g in decocotion.
Cautions: Like Ru Xiang this herb is drastically pungent with strong stimulation to stomach and easily causes nausea and vomiting. It should not be taken by large dose or for a long time. Use with cautions for patients with weak stomach; prohibited for pregnant women. |
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Preparation: Usually prepared as a decoction or ground into a powder and taken in four equal portions with warm wine.
Actions: Invigorates the Blood, dispels Blood stasis, unblocks the Collaterals, alleviates pain
Contraindications: Pregnancy
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.