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Knowledge baseFormulas

Qin Lian Si Wu Tang苓连四物汤

Four Substance Decoction with Scutellaria and Coptis

Medicinals
7

Composition

  • Mai Men DongRx. Ophiopogonis9–12 g

    Nourishes Stomach and Lung Yin and generates fluids.

    for hematemesis or epistaxis due to Yin Deficiency with Excess Heat.
  • Huang QinRx. Scutellariae3–6 g

    Clears Heat, dries Dampness, drains Fire, detoxifies, cools the Blood and stops bleeding.

    • Bai Shao
    for dysenteric disorders with abdominal pain due to Heat entering the Interior.
  • Huang LianRz. Coptidis3–6 g

    Clears Heat, drains Dampness, Drains Fire, resolves Fire toxicity and stops bleeding.

    for insomnia and delirium due to unremitting Heat injuring the Ying level.
    drains pathogenic Heat from the Upper and Middle Jiaos for high fever, redness, swelling and pain of the head and face, dry mouth, parched throat, ulcerations of the mouth and tongue, epistaxis, rashes and irritability in warm-febrile disease.
  • Chuan XiongRz. Chuanxiong3–6 g

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

    for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses, and amenorrhea.
  • Dang GuiRx. Angelicae Sinensis9–12 g

    Tonifies, invigorates and harmonizes the Blood, disperses Cold, stops pain due to Blood Stasis and regulates the menses.

    • Bai Shao
    regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat.
    harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
  • Bai ShaoRx. Paeoniae Alba9–12 g

    Nourishes the Blood, regulates menstruation, softens the Liver and relieves pain.

    for Damp-Heat dysenteric disorders.
    nourishes Yin and Blood.
  • Sheng Di HuangRx. Rehmanniae9–12 g

    Clears Heat, cools the Blood, Nourishes *Yin and generates fluids.*

    • Bai Shao
    for Blood Deficiency Heat.

Actions

  • Builds up the Blood
  • Discharges Heat

Patterns treated

  • Deficient Blood combined with Excess Heat
  • Deficient Liver Blood combined with Empty Heat

Manifestations

  • A shortened menstrual cycle
  • Blood that is purple in color
  • A heavy menstrual flow
  • Vaginal discharge that is red and sticky
  • Fever that recurs at set times
  • A complexion with a greenish tinge
  • Metrorrhagia in which the blood is thick
  • Light-headedness
  • Vision that is blurred
  • A pounding heartbeat
  • Difficulty sleeping
  • A tendency toward irritability
Tongue body
Red in color
Coating
Yellow-hued
Pulse
Fine, strong and quick

Indications

  • Absence of menstruation
  • Irregular uterine bleeding
  • Vaginal discharge that is yellow
  • Menstruation arriving early
  • Menstrual irregularity
  • A red, sticky vaginal discharge

Modifications