Yan Hu Suo Rhizoma Corydalis
Yi Yi Ren Semen Coicis
Chi Shao (Yao) Radix Paeoniae rubrae
Fu Ling Sclerotium Poriae albae
E Zhu Rhizoma Curcumae zedoariae
San Ling Rhizoma Sparganii
Ze Lan Herba Lycopi
Lu Lu Tong Fructus Liquidambaris
San Qi Radix Notoginseng
Gui Zhi Ramulus Cinnamoni
Dang Gui Radix Angelicae sinensis
Chuan Xiong Rhizoma Ligustici wallichii
Huang Bai Cortex Phellodendri
Tu Si Zi Semen Cuscutae
Qian Cao Gen Radix Rubiae
Shu Di Huang Radix Rehmanniae preparata
Mu Dan Pi Cortex Moutan
Blood stasis in the Lower Burner, Dampness in the Lower Burner, Kidney deficiency.
Invigorate Blood, dissolve masses, drain Dampness, tonify the Kidneys.
Tongue: Purple sides.
Pulse: Wiry or choppy.
Gui Zhi Fu Ling Wan
Differences from Classical Antecedent
Stronger “breaking” Blood action, drain Dampness.
Giovanni Discusses Treatment in Phase 1 of the Four Phases of the Menstrual Cycle
Blood stasis in the Lower Burner and often Dampness in the Lower Burner too, being Full patterns usually occur against a background of Kidney deficiency.
The term Ji Ju appears in the “Classic of Difficulties” which distinguishes the two types: “Ji masses pertain to Yin and Ju masses to Yang … When Qi accumulates it gives rise to Ji masses, when it gathers it gives rise to Ju masses. Ji masses arise from the Yin organs and Ju masses from the Fu organs.”
The “Prescriptions of the Golden Cabinet” by Zhang Zhong Jing says: “Ji masses arise from the Yin organs and they cannot be moved; Ju masses arise from the Yang organs, they come and go, the pain has no fixed location, and they are easier to address.
The “General Treatise on the Aetiology and Symptoms of Diseases” (AD 610) says: “Abdominal masses are due to cold and heat not being regulated [i.e. exposure to extremes of weather], irregular diet and stagnation of the Qi of the Yin organs. If they do not move they are called Zheng; if they are movable they are called Jia. “Jia” implies the meaning of “false”; this is because these masses can come and go and are not actual masses.
Since the time of the Tang dynasty eight types of women’s abdominal masses were described, i.e. yellow, green, dry, blood, fat, fox, snake and turtle mass. In the beginning stages of the condition the pathogenic factor (stagnation of Qi or stasis of Blood) is relatively weak and the body’s Qi relatively strong. In the middle stage, the body’s Qi is weakening and the pathogenic factor becoming more prominent. In the late stages, the pathogenic factor is very prominent and the masses very developed while the body’s Qi is very weak.
This formula is primarily to address the Manifestation i.e. invigorate Blood, eliminate stasis.
The first four herbs are a variation of Si Wu Tang (Four Substances Decoction) with Chi Shao substituting Bai Shao which nourishes and invigorates Blood.
- E Zhu and Ze Lan invigorate Blood
- Gui Zhi and Fu Ling Kuai help to invigorate Blood by regulating the fluids in the Lower Burner
- Mu Dan Pi invigorates Blood and clears Heat. Together with Fu Ling Kuai, Gui Zhi and Chi Shao, this herb forms a variation of the formula Gui Zhi Fu Ling Tang ( Ramulus Cinnamomi-Poria Decoction)
- Qian Cao Gen and Tian Qi Tienchi invigorate Blood
- Huang Bai and Yi Yi Ren drain Dampness from the Lower Burner
- Yi Yi Ren softens
Acupuncture should be used to address the Root, i.e. tonify the Kidneys and nourish Blood. Acupuncture would also be helpful in addressing the Directing and Penetrating vessels (Ren and Chong Mai) with points on the abdomen such as KI-14 Siman, KI-13 Qixue, Ren-4 Guanyuan, ST-28 Shuidao, ST-29 Guilai and extra point Zigong (3 cun lateral from Ren-3 Zhongji).
This product is a dietary (food) supplement, to be taken as directed by a qualified practitioner. It is not intended to treat, cure, diagnose or prevent any disease. Not to replace a varied diet. Not to be taken if nursing or if pregnant. Not to be consumed continuously for longer than 3 months.