Xiāo Yáo Sǎn

逍遥散

Rambling Powder

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

AboutChinese MedicineCaution/Notes
Health Benefits
For: Fibrosistic breast disease • Peptic Ulcer • Menopause • Irregular periods • Gastritis • Irritability • Stress
Atributes:
Products
 

Tablets

 

Pills

 

Capsules

 

Granules

Other Names:
Research

Category: Harmonize ⌕ 
Subcategory: Harmonize Liver and Spleen  Source: Tai Ping Hui Min He Ji Ju Fang 
Actions: Soothe liver, relieve qi stagnation, strengthen SP, nourish blood [31]
Diagnosis
Tongue:       Pulse: weak    Other: dry mouth, dry throat 
Patterns: Blood Deficiency, Spleen Deficiency, Qi Goiters, Liver Qi Stagnation [menopause] 
Indications: LV Qi stagnation with LV Blood & SP Qi deficiency [35] • Liver-qi stagnation and deficiency of blood and spleen. Hypochondriac pain, vertigo, irregular menstruation, breast distention, wiry, fatigue, poor appetite, weak pulse, dry mouth, throat, deficient pulse. [31] • Alternating chills and fever (has Chai Hu), Qi Goiter, menopause from LV Qi Yu [42]
Contraindications: 
Description
Name Variations: Xiao Yao San, 逍遥散, Rambling Powder,
Herb List: Chai HuDang GuiBai ShaoFu LingBo HeSheng JiangZhi Gan CaoBai Zhu
Commentary: A common formula in Gynecology • Irregular menstruation – Stagnation: Ji Xue Teng, Xiang Fu, Ze Lan, Chuan Xiong – Deficiency: Sheng Di, Shu Di, Nu Zhen Zi, Han Lian Cao • Dysmenorrhea: Ji Xue Teng, Xiang Fu, Chuan Xiong, Jin Ling Zi San(yan hu suo, chuan lian zi) • Distention in breast, breast tumor: Ju Luo, Qing Pi, Xia Ku Cao, Mu Li • Menopause Syndrome (emotional): + K tonify herbs
Related Formulas: Jia Wei Xiao Yao San (Dan Zhi Xiao Yao San) • Hei Xiao Yao San (dysmenorrhea)
NCCAOM: The 4 NCCAOM formulas for harmonizing the Liver and Spleen are Sì Nì Sǎn, Xiāo Yáo Sǎn, Jiā Wèi Xiāo Yáo Sǎn, and Tòng Xiè Yào Fāng. • Si Ni San is for Liver Qi stagnation overacting on Spleen causing cold extremities. • Xiao Yao San is Liver Qi stagnation with Liver Blood & Spleen Qi deficiency causing hypochondriac pain, vertigo, irregular menstruation, breast distention, wiry, fatigue, poor appetite, weak pulse. • Jia Wei Xiao Yao San is for Liver Qi stagnation with Liver Blood & Spleen Qi deficiency + Interior Heat. • Tong Xie Yao Fang is for Liver Qi stagnation overacting on the SP causing diarrhea with abdominal pain. Pulse is left side is wiry (Liver) and right side is slow (SP Qi deficiency).
Herbs Cat/Dosage Actions Attributes
Chai Hu • Thorowax • 柴胡  Release Exterior Wind Heat Harmonize interior and exterior • Reduce fevers • Reduce chills • Soothe liver Qi • Clear muscle layer heat • Tonify stomach Qi • Guide herbs to Shao Yang Jing Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate
Dang GuiChinese Angelica • 当归   Tonify Blood 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
Bai ShaoWhite Root Peony • 白芍  Tonify Blood Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei QiDao Di: Zhe Jiang • AKA Shao Yao analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative
Fu LingPoria Mushroom • 茯苓  Drain Dampness Dry dampness • Tonify spleen • Calm spirit • Relief edema • Detox food poisoning • Promote urination Dao Di: Yun Nan Diuretic • Antibacterial • Anti-inflammatory • Anti-allergic • Hypoglycemic • Antacid • Sedative • Immunity booster
Bo HeField Mint • 薄荷  Release Exterior Wind Heat Clear eyes, dispel wind heat, ease sore throat, expel turbid filth, resolve toxicity, reduce rashes, clear liver Qi stagnation, drain stomach damp heat, release exterior, calm liver yang, nourish lung yin [18] • Dry up breast milkIntroduced to TCM from Greek medicine Anti-inflammatory • Antipyretic • Diaphoretic • Carminative • Antiandrogenic • Antiemetic • Antidiarrheal • Analgesic • Anticholesterol • Antidiabetic • Antimicrobial • Gastrointestinal • Emmenagogue • Increase local blood circulation • Decongestant
Sheng Jiang • Ginger (Raw) • 生姜  Release Exterior Wind Cold Release exterior • Stops vomiting • Relieve Nausea • Stops cough • Reduce herb toxicity • Regulate central flow of Qi Expectorant • Cough Suppressant • Digestive • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic
Zhi Gan CaoHoney Fried Licorice • 炙甘草  Tonify Qi 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
Bai ZhuWhite Atractylodes Root • 白术  Tonify Qi Tonify Spleen Qi • Stop sweating • Calms fetus • Dry dampness • Stabilize exteriorDao Di: Zhe Jiang Anti-inflammatory • Hepatoprotective • Immunity Booster • Hypoglycemic • Antibaterial
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions:

Caution
ALERT: Contraindications of each herb - use with caution under these conditions:

Chai Hu: Dries Yin and can exacerbate the Yin deficiency • Do not use as intramuscular injections • Liver fire • Hyperactive liver yang • Cytochrome P450, 2C9, 2E1, 2D6, and 3A4 • Greater than 19g may lead to liver injury
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Fu Ling: Foods: Vinegar, pickled food
Bo He: Mint or menthol allergies • Yin Deficiency heat • Breast feeding • Exterior deficiency • Pregnancy • Ascending liver yang
Sheng Jiang: Lung heat • Dry cough • Phlegm heat • Full heat • Yin deficiency with heat • Vomiting from stomach heat • Gallstones • Exterior deficiency with unexplained sweating • Horse meat
Zhi Gan Cao:
Bai Zhu: Autoimmune disorder • Yin deficiency with heat • Dehydration • Foods: black carp, Chinese cabbage, peach, plum and coriander

Notes

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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