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Huo Yu San Jie Fang活瘀散结方

Invigorate the Blood, Break up Stasis and Scatter Knots Formula

Medicinals
12

Composition

  • E ZhuRz. Curcumae3–10 g

    Invigorates Blood circulation, dispels Blood Stasis, regulates Qi, dissolves accumulations and alleviates pain.

    for Qi and Blood Stagnation with clumping and accumulation leading to pain with distending pain in the chest, epigastrium and abdomen, amenorrhea, dysmenorrhea, uterine myoma and ovarian cysts.
  • San LengRz. Sparganii3–10 g

    Forcefully breaks up Blood Stasis, regulates *Qi, dissolves accumulations, regulates menstruation. and alleviates pain.*

  • Chuan XiongRz. Chuanxiong3–10 g

    Invigorates the Blood, promotes the movement of *Qi and alleviates pain*.

    harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
  • Zhi KeFr. Aurantii3–10 g

    Promotes the movement of Qi, reduces distention and pressure and resolves hardenings.

  • Xia Ku CaoSpica Prunellae6–18 g

    Clears Hot Phlegm and dissipates nodules.

  • Chuan Niu XiRx. Cyathulae4.5–15 g

    Invigorates the Blood, dispels Blood Stasis and unblocks the menses.

  • Gui ZhiRam. Cinnamomi9–15 g

    Warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels to relieve pain.

    • Zhi Ke
    for stabbing pain in the chest and flanks.
    for irregular menstruation due to Yang Deficiency with Cold Stagnation.
  • Tao RenSm. Persicae4–10 g

    Breaks up Blood Stasis, invigorates Blood circulation and drains abscesses.

  • Chi ShaoRx. Paeoniae Rubra4.5–15 g

    Invigorates the Blood, dispels Blood Stasis, clears Heat, cools the Blood, reduces swelling and relieves pain.

    for Blood-Stasis induced gynecological disorders such as immobile abdominal masses and amenorrhea with abdominal pain.
    for Blood Stasis induced menstrual disorders, especially those characterized by early period, excessive bleeding, and thick purple clots.
  • Dang GuiRx. Angelicae Sinensis3–15 g

    Tonifies, invigorates and harmonizes the Blood, disperses Cold, reduces swelling, expels pus and alleviates pain.

    harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
  • Dan ShenRx. Salviae Miltiorrhizae3–15 g

    Invigorates the Blood, dispels Blood Stasis and reduces abscesses.

  • Mu LiConcha Ostreae9–30 g

    Softens hardness and dissipates nodules.

Actions

  • Mobilizes the Blood
  • Disperses Stasis
  • Moves Qi

Patterns treated

Combined stagnation of Qi, Phlegm and Blood, in which the Blood Stagnation aspect predominates

Manifestations

  • A dark, lackluster facial complexion
  • Marked thinness or wasting of the body
  • Bilateral distention of the flanks and ribs, possibly accompanied by sharp pain
  • The Liver and Spleen becoming enlarged
  • A feeling of suffocation in the chest
  • A propensity toward sighing
  • A melancholic mood
  • A depressed state of mind
  • Being prone to irritability
  • Anger arising without proper cause
  • Menstruation that is irregular
  • Painful menstruation
  • The breasts becoming distended and painful both before and during menstruation
  • Loss of appetite
  • Swelling from fluid retention
  • A distended abdomen
  • Distention in the chest and hypochondriac region
  • A dizzy sensation
  • A feeling of nausea
  • Episodes of vomiting
  • Thirst present without any wish to drink
  • Thirst may be absent altogether
  • A pounding or racing sensation of the heart
  • Breathlessness
Tongue body
Ranges between a Normal appearance and Dark purple, at times with purple spots along the tongue's edge
Coating
A coating that is both thick and slippery in texture
Pulse
Wiry, choppy and slow — or alternatively, slippery and full, possibly also wiry

Indications

Fibroid growths of the uterus

Modifications