HERB FORMULAS

DANG GUI SHAO YAO SAN

English:	Dang Gui and Peony Powder
Also Known As:	Angelica and Peony Powder Tangkuei and Peony Formula Tangkuei and Poria Powder Dang Gui Fu Ling San

HERBS AND ACTIONS

Pharmaceutical Latin	*Pin Yin*	Dosage	Actions
Rx. Angelicae Sinensis	*Dang Gui*	3-12g	Tonifies, invigorates and harmonizes the Blood. With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis for abdominal pain With Bai Shao and Chuan Xiong, harmonizes the function of and softens the Liver. With Bai Shao, Fu Ling, Bai Zhu and Ze Xie, for diarrhea during pregnancy with severe abdominal pain.
Rx. Paeoniae Alba	*Bai Shao*	4-48g	Softens the Liver, stops pain and nourishes the Blood. With Bai Zhu, treats concurrent problems of the Liver and Spleen. With Dang Gui, nourishes Yin and Blood.
Rz. Atractylodes Macrocephalae	*Bai Zhu*	4-12g	Tonifies the Spleen, tonifies Qi and dries Dampness. With Fu Ling and Ze Xie, strengthens Spleen and leaches out Dampness.
Poria	*Fu Ling*	4-12g	*Promotes urination, resolves Dampness, strengthens the Spleen and harmonizes the Middle Jiao.* With Ze Xie, facilitates the removal of water and leaches out Dampness to treat stagnant water and Dampness leading to edema, jaundice, diarrhea, Milky Lin, and scanty, difficult urination with abdominal distention.
Rz. Alismatis	*Ze Xie*	4-24g	Promotes urination and resolves Dampness. With Bai Zhu, for Spleen Deficiency leading to accumulation of Dampness with urinary difficulty, loose stools, diarrhea Milky Lin or vaginal discharge.
Rx. Ligustici Chuanxiong	*Chuan Xiong*	3-24g	Activates Blood and regulates Qi.
Rice Wine			(Facilitates the flow and disperses.)

FORMULA ACTIONS

Nourishes Liver Blood
Softens the Liver
Spreads Liver Qi
Strengthens the Spleen
Resolves Dampness
Reinforces the Spleen and Kidney

SYNDROMES

Abdominal pain due to Liver and Spleen Disharmony
Abdominal pain due to Spleen and Kidney Deficiencies
Hypofunction of the Liver and Spleen with Stagnation of Blood and Qi Stagnation due to Dampness
Problems with pregnancy

CLINICAL MANIFESTATIONS

Continuous cramping pain in the abdomen
Pain is not severe
Pain is relieved by pressure
Edema of the feet
Urinary difficulty
Slight edema (primarily of the lower limbs)
Symptoms generally occur during pregnancy
Pale face
Fatigue
Heaviness of head
Lassitude
Lower abdominal pain
Dizziness
Tinnitus
Lumbago
Edema
Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation
Oliguria

Palpitations
Cold feet
Extreme coldness of the hands and feet
Vertigo
Weakness and numbness of lower back and legs during pregnancy or postpartum
Mal position of the fetus
Dysmenorrhea
Irregular menstruation
Right upper quadrant pain
Hepatomegaly
Anemia
Lack of energy
Sore back
Thirst with no desire to drink
T: Pale or pink maybe petechiae on margin
C: Thin or Greasy white
P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough

TREATS

Dysfunctional uterine bleeding
Menopause
Irregular menstruation
Chronic nephritis
Heart pain
Habitual miscarriage
Premature rupture of placenta
Hemorrhoids
Cystitis
Postpartum weakness
Dysmenorrhea
Monoplegia
Vascular diseases
Beri beri
Postpartum scar tissue
Mal position of fetus
Metrorrhagia
Menorrhagia
Endometritis
Pre-eclampsia
Postpartum depression
Uterine leiomyoma
Infertility
Urinary tract stones
Coronary artery disease
Vascular headaches
Rheumatoid arthritis
Acne
Chilblains
Psoriasis
Swellings from congestive Heart disease
Postconcussion syndrome
Meniere's disease
Tension
Hypotension
Hemorrhoids
Conjunctivitis
Leukorrhea
Luteal insufficiency
Breech presentation
Adnexitis
Chloasma
Chronic nephritis

Hypertension during pregnancy
Perimenstrual migraines
Post abortion
Post tubal ligation
Post insertion of IUD
Post Caesarean section
Anemia
Lumbago
Edema
Abdominal pain
Abdominal pain during pregnancy
Abdominal mass which is localized and hard
Threatened miscarriage
Functional menorrhalgia
Premenstrual syndrome
Chronic hepatitis
Chronic cholecystitis
Early stage cirrhosis
Polycystic ovaries
Perimenopausal syndrome
Breast hyperplasia
Chronic gastritis
Peptic ulcers
Intestinal obstruction
Gout
Trigeminal neuralgia
Sciatica
Eczema
Urticaria
Varicose veins
Renal disease
Ascites from cirrhosis
Thrombotic stroke
Allergic rhinitis
Benign prostatic hypertrophy
Appendicitis
Senile dementia
Hypo chronic anemia
Unstable pregnancy
Pelvic inflammatory disease
Acne
Beriberi
Angina

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS

Use with caution during pregnancy.

HERB/DRUG INTERACTIONS

Concurrent use of this formula with colchicine was associated with improvement in learning acquisition deficit induced bu colchicine.
This formula may reduce menopausal symptoms induced by gonadotropin-releasing hormone agonists without negative effects on serum estradiol levels.

NOTES

MODIFICATIONS

For relatively cold presentations:		For relatively hot presentations:
+ Ram. Cinnamomi	Gui Zhi	+ Cx. Moutan	Mu Dan Pi
+ Fr. Evodiae	Wu Zhu Yu	+ Fr. Gardenia	Zhi Zi
For edema during menstruation due to Kidney Qi Deficiency:		For rather severe Dampness with edema and amenorrhea:
+ Rz. Curculiginis	Xian Mao	+ Five Ingredient Powder with Poria Wu Ling San
+ Hb. Epimedii	Yin Yang Huo	For threatened miscarriage:
For hepatomegaly:		+ Fr. Amomi	Sha Ren
+ Rx. Aucklandiae	Mu Xiang	+ Cx. Eucommiae	Du Zhong
+ Tub. Curcumae	Yu Jin	+ Rx. Dipsaci	Xu Duan
+ Fr. Aurantii Immaturus	Zhi Shi	+ Rx. Scutellariae	Huang Qin
For habitual miscarriage:		+ Fol. Artemisiae Argyi	Ai Ye
- Rz. Alismatis	Ze Xie	For abdominal pain during pregnancy:
+ Rz. Cimicifugae	Sheng Ma	+ Less Rz. Chuanxiong	Chuan Xiong
+ Colla Corii Asini	E Jiao	+ Caul. Perillae	Zi Su Geng
+ Rx. Astragali	Huang Qi	+ Rx. Boehmeriae	Zhu Ma Gen
+ Fol. Artemisiae Argyi	Ai Ye	+ Cx. Eucommiae	Du Zhong
For dysmenorrhea:		+ Hb. Taxilli	Sang Ji Sheng
+ Rz. Cyperi	Xiang Fu	For epigastric pain:
+ Rz. Corydalis	Yi Yang Huo	+ Faeces Trogopterori	Wu Ling Zhi
+ Fr. Toosendan	Chuan Lian Zi	+ Rx. Aucklandiae	Mu Xiang
For abdominal pain with acid reflux:		For flank pain:
+ Endoconcha Sepiae	Hai Piao Xiao	+ Rx. Curcumae	Yu Jin
+ Concha Arecae	Wa Leng Zi	+ Fr. Toosendan	Chuan Lian Zi
For numbness and Bi pain of the lower extremities:		For red, painful eyes:
+ Rz. Zingiberis	Gan Jiang	+ Sm. Plantaginis	Che Qian Zi
+ Rx. Stephaniae Tetrandrae	Han Fang Ji	For severe abdominal pain:
+ Rx. astragali	Huang Qi	+ Rz. Cyperi	Xiang Fu
For dizziness and headache:		+ Fol. Artemisiae Argyi	Ai Ye
+ Rx. Angelicae Dahuricae	Bai Zhi	For irritability and thirst:
+ Rx. Astragali	Huang Qi	+ Rz. Coptidis	Huang Lian
+ Rz. et Rx. Notopterygii	Qiang Huo	+ Rx. Scutellariae	Huang Qin
For nasal congestion, chronic rhinitis, chronic sinusitis and nasal polyps:		For nasal congestion, chronic rhinitis, chronic sinusitis and nasal polyps with headache or dizziness:
+ 9g Flos Magnoliae	Xin Yi Hua	+ 9g Flos Magnoliae	Xin Yi Hua
+ 9g Flos Chrysanthemi	Ju Hua	+ 9g Flos Chrysanthemi	Ju Hua
+ 9g Pheretima	Di Long	+ 9g Pheretima	Di Long
+ 6g Hb. Menthae	Bo He	+ 6g Hb. Menthae	Bo He
+ 6g Rx. Scutellariae	Huang Qin	+ 6g Rx. Scutellariae	Huang Qin
+ 3g Rx. Glycyrrhizae	Gan Cao	+ 3g Rx. Glycyrrhizae	Gan Cao
For nasal congestion, chronic rhinitis, chronic sinusitis and nasal polyps with cough:		+ 10g Rx. Angelicae Dahuricae	Bai Zhi
+ 9g Flos Magnoliae	Xin Yi Hua	+ 10g Fr. Tribuli	Bai Ji Li
+ 9g Flos Chrysanthemi	Ju Hua	+ 10g Fr. viticis	Man Jing Zi
+ 9g Pheretima	Di Long
+ 6g Hb. Menthae	Bo He
+ 6g Rx. Scutellariae	Huang Qin
+ 3g Rx. Glycyrrhizae	Gan Cao
+ 9g Sm. Armeniacae	Xing Ren
+ 9g Rx. Platycodi	Jie Geng
+ 9g Sm. Trichosanthis	Gua Lou Ren