Dāng Guī Bǔ Xiě Tāng

Tangkuei Decoction to Tonify the Blood

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

AboutChinese MedicineCaution/Notes
Health Benefits
For: ulcerative colitis
Atributes:
Constituents:
Products
 

Powder

 

Granules

 

Powder

 

Pills

Research

Category: Tonify Blood ⌕ 
Subcategory:   Source: Nei Wai Shang Bian Huo Lun 
Actions: generate blood, tonify Qi, consolidate exterior
Diagnosis
Tongue: pale      Pulse: weak, large, forceless on hard press    Other:red complexion 
Patterns: blood deficiency, yin fails to hold yang leading to yang floating 
Indications: Blood and Qi deficiency from overwork, mild fever, yang floating, thirst for warm water, dry mouth, large weak pulse, lack of strength with pressing, red complexion[Song] Blood deficiency with yang floating • Main symptom: fever, similar to Bai Hu Tang symptom • Blood deficiency: yin fails to hold yang and yang lack of attachment so floating to superior. [Song] • fever and headache from blood loss, muscle hot sensation, irritability, exterior deficiency[Bensky]
Contraindications: tidal fever from Yin deficiency
Description
Name Variations: Dang Gui Bu Xue Tang, 当归补血汤, Tangkuei Decoction to Tonify the Blood,
Herb List: Huang Qi(K) • [Jiu Xi] Dang Gui(M)
Commentary: This formula's goal is to prevent loss of Qi and focusing Qi inward to generate Blood. Dang Gui is washed with wine. This treats Blood xu from massive blood loss (ie postpartum) which leads to the detachment of Qi and Blood. Blood is the car while Qi is the driver. Yin fails to hold the yang and therefore yang floats upwards leading to fever and sweating. The symptoms are similar for Bai Hu Tang except Bai Hu Tang is for excess heat. This is for deficiency heat. Use Huang Qi instead of Ren Shen because we are loosing Qi at the surface and Huang Qi goes to the surface. [Song].
Related Formulas:
Herbs Cat/Dosage Actions Attributes
Huang QiAstragalus •  黄芪 

30g

 

Dang GuiChinese Angelica •  当归  

6g

 

King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions:  Basic formula for fever due to blood deficiency from mass blood loss or after menstruation-Huang Qi:Dang Gui=5:1 (must remember for Board Exam)• Basic formula for tonify blood Huang Qi:Dang Gui=3:1 (more mild symptoms - maintainance)

 

Modifications For
+ Cong Bai + Dan Dou Chi + Sheng Jiang + Da Zao Menstruation, post-partum, exterior syndrome with fever, headache 31
+ Jin Yin Hua + Gan Cao Chronic sores, carbuncles, Qi Blood deficiency with raimaining toxin 31
+ Duan Long Gu + E Jiao + Shan Zhu Yu Bleeding with Blood Qi deficiency 31

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Huang Qi: Autoimmune diseases • Exterior excess • Qi stagnation • Damp obstruction • Food stagnation • Yin deficiency

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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