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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: lower abdominal pain • chest pain • irregular menstruation |
| Atributes: |
| Constituents: |
| Products |
|
Pills |
Pills |
Pills |
Powder |
| 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: Blood stasis in the lower abdomen causing pain [35] • Any kinds of pain from blood stasis or stagnation • Severe blood stasis/ stabbing pain in chest, lower abdomen, or uterus • lochia retention • irregular menstruation [31] • Dysmenorrhea, postpartum abdominal pain, acute, colicky pain in the lower abdomen, severe pain in the middle of the abdomen, epigastric pain [35] • Dysmenorrhea due to Liver blood stagnation.[42]
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| Contraindications: |
| Description |
| Name Variations: Shi Xiao San, 失笑散, Sudden Smile Powder, |
| Herb List: Wu Ling Zhi • Pu 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: |
| 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/Dose |
Actions |
Properties |
| Wu Ling Zhi • Flying Squirrel Feces • 五灵脂 |
Invigorate Blood
g |
Invigorate blood • Relieve pain • Dispel blood stasis • Stop bleeding |
|
| Pu Huang • Cattail Pollen • 蒲黄 |
Stop Bleeding
g |
Stop stasis bleeding • Invigorate blood • Clear blood stasis • Promote urination • Relieve PUD • Cools blood |
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| Mi Cu |
|
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| Huang Jiu |
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| ♠ 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 |
|
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 |
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