Shēng Huà Tāng

Generation and Transformation Decoction

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

AboutChinese MedicineCaution/Notes
Health Benefits
For: Lower abdominal cold pain • Lochia retention after child delivery
Atributes:
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Research

Category: Regulate Blood ⌕ 
Subcategory: Invigorate Blood and Dispel Blood Stasis  Source: Fu Qing Zhu Nu Ke  
Actions: Invigorate blood • Warm menses • Dispel blood stasis • Relief pain
Diagnosis
Tongue: pale tongue, purple spots      Pulse:choppy, thin, deep    Other: 
Patterns: Deficiency + Blood stasis + Pathogenic cold • Blood deficiency + Coagulation + Blood stagnation • Lochia retention • Lower abdominal cold pain 
Indications: Blood & Cold stagnation causing postpartum lochial retention [35] • Lower abdominal cold pain, lochia retention after child delivery [31] • Blood & Cold stagnation causing postpartum lochial retention: Retention of lochia accompanied by cold and pain in the lower abdomen, Ⓣ pale-purple or pale with purple spots, Ⓟ thin, choppy, deep [35]
Contraindications: Blood heat + blood stasis • Bleeding • Sweating + Shortness of breath + Fatigue
Description
Name Variations: Sheng Hua Tang, 生化汤, Generation and Transformation Decoction,
Herb List: Quan Dang Gui(K) • Chuan Xiong(M) • Tao Ren(M) • Pao Jiang(A) • Huang Jiu(A) • Zhi Gan Cao(G/E)
Commentary: This formula was conceived in the Qing Dynasty by Dr. Fu (Fu Qing Zhu) Gynecology (Nu Ke) • It is commonly used as a postpartum formula • Birth takes lots of Qi and Blood, so pathogens often go deep easily (weaker immune system) • This formula is used when there is cold pain in the lower abdomen [Song]
Related Formulas:
NCCAOM: There are 12 NCCAOM formulas for Blood Stasis. They are Táo Hé Chéng Qì Tāng, Xuè Fǔ Zhú Yū Tāng, Gé Xià Zhú Yū Tāng, Shǎo Fù Zhú Yū Tāng, Shēn Tòng Zhú Yū Tān, Bǔ Yáng Huán Wǔ Tāng, Fù Yuán Huó Xuě Tāng, Wēn Jīng Tāng, Shēng Huà Tāng, Guì Zhī Fú Líng Wán, Shī Xiào Sǎn, Dān Shēn Yǐn. • Tao He Cheng Qi Tang is for Lower Jiao blood stasis + heat. Gynecological issues like PCOS, endometriosis, amenorrhea, dysmenorrhea. Differentiating factor is normal urination since this blood stasis does not impact the bladder • Xue Fu Zhu Yu Tang is for the chest blood stasis + Qi stagnation (headaches, insomnia, choking sensation when drinking, palpitations, menses headaches) • Ger Xia Zhu Yu Tang is for the epigastrium blood stasis + Qi stagnation (menstrual cramps, urinary pain not related to UTI, hypochondriac pain) • Shao Fu Zhu Yu Tang is for lower abdomen blood Stasis + cold stagnation (menses lumbago, 3-5 periods per month, infertility, menstrual cramps, amenorrhea from cold. • Wen Jing Tang is for menses issues related to Chong + Ren Blood stasis + Deficiency Cold (persistent scanty bleeding, irregular schedule. True cold false heat). • Sheng Hua Tang is for postpartum lochia retention due to Blood + Cold stagnation • Gui Zhi Fu Ling Wan is for blood stasis in the uterus during pregnancy (tumor, uterine bleeding, restless fetus). • Shi Xiao San is for lower abdominal blood stasis causing pain like PMS. Acute colicky pain in lower abdomen, middle abdomen or epigastric pain. Dysmenorrhea from LV Blood Stagnation. The previous 8 formulas all deals with some form of gynecological disorders. The remaining 4 deals with different aspects of the body. • Shen Tong Zhu Yu Tang is for channels/collateral (whole body) blood stasis + Qi stagnation. For chronic whole-body ache. • Bu Yang Huan Wu Tang is for Hemiplegia from Qi/Blood stagnation + Qi deficiency. Especially for post stroke sequela symptoms of fatigue, facial paralysis, speech impairment, dulled mental ability. • Fu Yuan Huo Xue Tang is for blood stasis + Qi stagnation in the trunk from traumatic injuries • Dan Shen Yin is for chest pain from Blood + Qi Stagnation. For heart attacks, CVA, chest pain, angina, chest pain or epigastric pain that radiates to the chest.
Herbs Cat/Dosage Actions Attributes
Quan Dang Gui • Chinese Angelica • 全·当归  ♠ Tonify Blood

24 g

 Tonify blood • Move Blood and Qi • Regulate menses • Invigorate blood • Dispel cold • Unblock bowels • Reduce abscess swelling • Alleviate pain • Clear pus • Generate flesh • Moisten intestines Dang Gui Shen (body) - tonify blood • Quan Dang Gui - harmonize blood (tonify and invigorate) • Dang Gui Wei (tail) - invigorate blood • According to the Board Exams, this herb does not affect estrogen because it has not yet been determined in which way it does affect it. However, there are numerous research articles on Dang Gui and estrogen. phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost • volatile oil inhibits uterine contractions
Tao Ren • Peach Kernel • 桃仁 ♥  Invigorate Blood

14 pieces

 Break up blood stasis • Invigorate blood • Treat abscess • Moisten intestines • Unblock bowels antithrombatic • anti-inflammatory • antitussive • antiallergic • antiparasitic
Chuan Xiong • Szechuan Lovage • 川芎 ♥  Invigorate Blood

9g

 Relieve pain • Expel Wind • Invigorate blood • Moves qi • Guide herbs to Jue Yin JingDao Di: Si Chuan • Available as injections Anticoagulant • Antiplatelet • Analgesic • Antitussive • Anti-inflammatory • Hypotensive • Sedative
Pao Jiang • Deep Fried Ginger • 炮姜 ♣ Stop Bleeding

1.5g

 Warms meridians • Stop bleeding • Warm middle jiao • Stop pain
Huang Jiu • Yellow Rice Wine • 黄酒 ♣ Invigorate Blood Relieve pain • Expel Wind • Invigorate blood • Moves qi • Guide herbs to Jue Yin JingDao Di: Si Chuan • Available as injections Anticoagulant • Antiplatelet • Analgesic • Antitussive • Anti-inflammatory • Hypotensive • Sedative
Zhi Gan Cao • Honey Fried Licorice • 炙甘草 ♦  Tonify Qi

1.5g

 Increase the effectiveness of Gan Cao, particularly with: Tonify middle • Tonify Heart and Spleen Qi • Harmonize other herbs Honey is a cardiotonic. Zhi Gan Cao is different from Gan Cao in that it nourishes the heart. Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Antiulcer • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic
♠ King/Chief    ♥ Minister/Deputy     ♣ Assistant     ♦ Envoy
Directions: 
Modifications For
Reduce Tao Ren Mild abdominal pain, lochia out 31
+ Pu Huang + Wu Ling Zhi + Yan Hu Suo + Yi Mu Cao Severe cold coagulation and pain 31
+ Rou Gui Severe cold pain 31
+ Mu Xiang + Xiang Fu + Wu Yao Severe Qi stagnation 31

Caution
  • Do not use if pregnant

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
Tao Ren: Pregnancy • Blood deficiency • Anticoagulant or anti antiplatelet drugs
Chuan Xiong: Pregnancy • Blood thinners • Fire from yin deficiency • Dry tongue • Dry mouth • Fever • Profuse menstrual bleeding • Spleen deficiency • caution: LV yang xu since this herb tends to move Qi upward.
Pao Jiang: Yin deficiency with heat
Zhi Gan Cao:

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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