Shī Xiào Sǎn

Sudden Smile Powder

Disclaimer    For educational purposes only.  Do not use as medical advice

AboutChinese MedicineCaution/Notes
Health Benefits
For: lower abdominal pain • chest pain • irregular menstruation
Atributes:
Constituents:
Products
 

Pills

 

Pills

 

Pills

 

Powder

Research

Category: Regulate Blood ⌕ 
Subcategory: Invigorate Blood and Dispel Blood Stasis  Source: Tai Ping Hui Min He Ji Ju Fang  
Actions: Relief pain • Dispel blood stasis • Move blood
Diagnosis
Tongue: purple      Pulse: choppy, deep    Other:  
Patterns: Blood stasis • Blood stagnation 
Indications: Any kinds of pain from blood stasis or stagnation • Severe blood stasis/ stabbing pain in chest, lower abdomen, or uterus • lochia retention • irregular menstruation [Song] • Dysmenorrhea, postpartum abdominal pain, acute, colicky pain in the lower abdomen, severe pain in the middle of the abdomen, epigastric pain [Kim]
Contraindications: 
Description
Name Variations: Shi Xiao San, 失笑散, Sudden Smile Powder,
Herb List: Wu Ling ZhiPu Huang • Mi Cu • Huang Jiu
Commentary: Created in the Ming dynasty for menstrual cramps. Ming dynasty was very conservative. When ladies smile, they must cover up the smile with their hands. The ladies were so happy to be relieved of pain that they suddenly smiled. • Wu Ling Zhi must be ground into powder and mixed with Pu Huang in equal dosage. Then the powder is washed down with Mi Cu(rice vinegar) and Huang Jiu (wine). This formula is usually paired up with other formulas.
Related Formulas:
Herbs Cat/Dose Actions Properties
Wu Ling ZhiFlying Squirrel Feces • 五灵脂  Invigorate Blood
g
Invigorate blood • Relieve pain • Dispel blood stasis • Stop bleeding
Pu HuangCattail Pollen • 蒲黄  Stop Bleeding
g
Stop stasis bleeding • Invigorate blood • Clear blood stasis • Promote urination • Relieve PUD
Mi Cu
Huang Jiu
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions:
Modifications For
+ Dang Gui + Chuan Xiong + Chi Shao + Tao Ren + Hong Hua + Dan Shen  Severe stasis 31
+ Si Wu Tang Blood deficiency 31
+ Ru Xiang + Mo Yao + Yan Hu Suo  Severe pain 31
+ Xiang Fu + Chuan Lian Zi + Jin Ling Zi San  Qi stagnation 31
+ Pao Jiang + Ai Ye + Xiao Hui Xiang
Severe cold 31

Caution
  • Do not use if pregnant.

ALERT: Contraindications of each herb - use with caution under these conditions:
Wu Ling Zhi: Pregnancy • Spleen deficiency • Stomach Qi deficiency • Antagonize Ren Shen
Pu Huang: Pregnancy

Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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