HERB FORMULAS

GE XIA ZHU YU TANG

English: Drive Out Blood Stasis Below the Diaphragm Decoction
Also Known As: Decoction to Remove Blood Stasis Below the Diaphragm

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Dry-fried Faeces Trogopterori Chao Wu Ling Zhi 6-9g Disperses Blood Stasis, invigorates the Blood, alleviates pain, stops bleeding and has a unique ability to treat continuous uterine bleeding, threatened miscarriage, and bleeding dysenteric disorders.
With Xiang Fu, for epigastric pain.
With Xiang Fu and Yan Hu Suo, for chest and epigastric pain due to Qi and Blood Stagnation.
Rx. Angelicae Sinensis Dang Gui 6-9g Tonifies, invigorates and harmonizes Blood, moistens the Intestines and unblocks the bowels.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis for abdominal pain and irregular menstruation due to Blood Deficiency with Qi Stagnation.
With Tao Ren and Hong Hua, for amenorrhea, pain, swelling and other symptoms associated with Blood Stasis.
With Tao Ren, Hong Hua, Chuan Xiong and Chi Shao, for amenorrhea due to Blood Deficiency and Stagnation.
With Xiang Fu, tonifies the Blood and moves Qi, for premenstrual symptoms, menstrual pain and irregular menstruation.
With Xiang Fu and Yan Hu Suo, for dysmenorrhea.
With Wu Yao, disperses Cold and stops pain, for abdominal pain due to External Cold and cold dysmenorrhea or postpartum abdominal pain.
With Wu Yao and Xiang Fu, for menstrual pain.
With Gan Cao, moderates spasms and relieves abdominal pain.
Rz. Chuanxiong Chuan Xiong 6-9g Invigorates the Blood, moves Qi, alleviates pain and treats headaches.
With Chi Shao, for gynecological disorders due to Blood Stasis.
With Xiang Fu, for Qi Stagnation combined with Blood Stasis.
With Dang Gui, Tao Ren and Hong Hua, for abdominal pain accompanying menstruation, Pain due to trauma and headache from Blood Stagnation.
Sm. Persicae Tao Ren 6-9g Breaks up Blood Stasis, invigorates the Blood, moistens the Intestines and unblocks the bowels.
With Mu Dan Pi, for pain due to Blood Stasis.
With Hong Hua, for dysmenorrhea and amenorrhea with abdominal pain, clotting and scanty flow due to Blood Stasis.
With Dang Gui, Hong Hua and Chi Shao, for menstrual pain, amenorrhea, irregular menstruation due to Blood Stasis and trauma with pain.
Cx. Moutan Mu Dan Pi 6-9g Invigorates Blood and expels Blood Stasis.
With Chi Shao, for Stagnant Heat due to Blood Deficiency causing irregular menstruation nd Blood Stasis disorders such as amenorrhea, menstrual pain, traumatic injury.
Rx. Paeoniae Rubra Chi Shao 6-9g Invigorates the Blood, dispels Blood Stasis and relieves pain.
With Tao Ren, for menstrual problems due to Blood Stagnation.
With Xiang Fu, for abdominal pain, flank pain and dysmenorrhea due to Qi and Blood Stagnation.
With Chuan Xiong and Dang Gui, for Blood-Stasis induced gynecological disorders such as immobile abdominal masses and amenorrhea with abdominal pain.
With Tao Ren, for Blood Stasis induced menstrual disorders, especially those characterized by early period, excessive bleeding, and thick purple clots.
With Xiang Fu, for flank pain, abdominal pain, and dysmenorrhea due to Qi and Blood Stagnation.
With Tao Ren, Hong Hua and Chuan Xiong, for Blood Stagnation in the chest.
With Yan Hu Suo, Chao Wu Ling Zhi, Hong Hua and Xiang Fu, for Blood Stagnation in the hypochondrium.
Rx. Linderae Wu Yao 6-12g Moves Qi, alleviates pain and disperses Cold.
With Dang Gui, disperses Cold and stops pain, for abdominal pain due to External Cold
With Xiang Fu, unblocks Qi in both the Qi and Blood levels, releases constraint from the Liver and Gallbladder, descends Qi in the chest and abdomen and warms Qi which has been slowed by pathogenic Cold, treats painful, Cold Qi leading to abdominal distention, borborygmus and diarrhea and Qi and Blood Stagnation with menstrual irregularity, pain in the lower abdomen and generalized pain and distention throughout the body.
With Dang Gui and Xiang Fu, for menstrual pain.
Rx. Glycyrrhizae Gan Cao 1-9g Moderates spasms alleviates pain and moderates and harmonizes the harsh properties of other herbs.
Rz. Corydalis Yan Hu Suo 3-6g Invigorates the Blood, moves Qi and alleviates pain.
With Chao Wu Ling Zhi, for chest and abdominal pain due to Blood Stasis.
With Xiang Fu, for dysmenorrhea from Qi and Blood Stasis.
With Chuan Xiong, for body aches and headaches due to Blood Stasis.
With Xiang Fu and Dang Gui, for dysmenorrhea from Qi Stagnation and Blood Stasis.
Rz. Cyperi Xiang Fu 3-9g Spreads and regulates Liver Qi, regulates menstruation and alleviates pain.
With Chao Wu Ling Zhi, for epigastric pain.
With Dang Gui, tonifies Blood and moves Qi, for premenstrual symptoms, menstrual pain and irregular menstruation.
With Chuan Xiong, for Qi Stagnation combined with Blood Stasis.
With Dang Gui and Chuan Xiong, for irregular menses and dysmenorrhea due to Qi and Blood Stasis.
With Yan Hu Suo, treats everything from Liver Qi Stagnation to Deep Blood Stasis with pain anywhere in the body including stabbing chest pain, distending pain in the breast, Cold pain in the epigastrium, pain due to bulging disorder in the lower body and dysmenorrhea.
Flos Carthami Hong Hua 6-9g Invigorates the Blood, unblocks menstruation, opens the channels, dispels Blood Stasis and alleviates pain.
With Dang Gui, Tao Ren and Chi Shao, for Blood Stasis due to trauma.
With Chuan Xiong , for chest and abdominal pain due to Qi and Blood Stasis.
Fr. Aurantii Zhi Ke 3-6g Promotes Qi movement,reduces distention and pressure and removes stagnated food.

FORMULA ACTIONS

  • Invigorates Blood
  • Dispels Blood Stasis
  • Moves Qi
  • Alleviates pain

SYNDROMES

  • Liver Qi Stagnation with Blood Blockage in the area below the diaphragm

CLINICAL MANIFESTATIONS

  • Abdominal masses which are visible when lying down
  • Piercing hypochondriac pain
  • Irritability
  • Indigestion
  • Constipation
  • Dysmenorrhea
  • Amenorrhea
  • Chronic diarrhea
  • Daybreak diarrhea
  • Palpable abdominal masses
  • Irregular menstruation
  • Breast distention
  • Abdominal tumors
  • Hypochondriac distention
  • T: Purple with purple spots on the side
  • P: Wiry, choppy and tight

TREATS

  • Dysmenorrhea
  • Cholelithiasis
  • Stomach cancer
  • Liver cancer
  • Hepatic hemangioma
  • Hematoporphyria
  • Acute and chronic hepatitis
  • Jaundice
  • Pelvic inflammatory disease
  • Endometriosis
  • Chronic colitis
  • Thyroid tumors

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use with caution during menstruation.
  • Contraindicated during pregnancy.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For Stomach cancer: For Qi Deficiency:
+ Anti cancer herbs   + Rx. Codonopsis Dang Shen
For Yin Deficient Heat:
+ Rx. Astragali Huang Qi
+ Rz. Anemarrhenae Zhi Mu
For constipation:
+ Rx. Glehniae/Adenophorae Sha Shen + Rx. et Rz. Rhei Da Huang
+ Rx. Rehmanniae Sheng Di Huang
For Blood in the vomitus or stools:
For insomnia:
+ Rz. Bletillae Bai Ji
+ Magnetitum Ci Shi + Flos Sophorae Huai Hua
For allergic purpura:
+ Rx. Salviae Miltiorrhizae Dan Shen
+ More Rx. Glycyrrhizae Gan Cao
For menstrual pain and cramps, dysmenorrhea and amenorrhea:
+ Rx. Gentianae Macrophyllae Qin Jiao
+ Warm the Channels Decoction
Wen Jing Tang
+ Rx. Isatidis Ban Lan Gen
+ Peony and Licorice Decoction
Shao Yao Gan Cao Tang
For emotional and behavioral changes during menopause:
For chronic Liver cirrhosis and chronic hepatitis:
+ Fol. Artemisiae Argyi Ai Ye
+ Artemisia Scoparia and Five-Ingredient Powder with Poria
Yin Chen Wu Ling San
+ Rambling Powder
Xiao Yao San
+ Augmented Rambling Powder
Jia Wei Xiao Yao San
+ Tangkuei and Peony Powder
Dang Gui Shao Yao San
+ Rx . Notoginseng
 San Qi
For Liver cancer:
+ Rz. Curcumae
E Zhu
+ Minor Bupleurum Decoction
Xiao Chai Hu Tang
 + Carapax Trionycis Bie Jia
+ Hb. Scutellariae Barbatae Ban Zhi Lian
or
+ Hb. Hedyotis Bai Hua She She Cao
+ Minor Bupleurum Decoction
Xiao Chai Hu Tang
For thyroid tumors:
+ Rx . Notoginseng
 San Qi
+ Disperse the Swelling and Break the Hardness Decoction
San Zhong Kui Jian Tang
+ Rz. Curcumae
E Zhu
+ Minor Bupleurum Decoction
Xiao Chai Hu Tang
 + Carapax Trionycis Bie Jia
+ Sp. Prunellae Xia Ku Cao
For chronic cholecystitis:
For uterine tumors:
+ Artemisia Scoparia and Five-Ingredient Powder with Poria
Yin Chen Wu Ling San
+ Cinnamon Twig with Poria Pill
Gui Zhi Fu Ling Wan
+ Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
+ Carapax Trionycis Bie Jia + Flos Lonicerae Jin Yin Hua
+ Rz. Curcumae
E Zhu
For jaundice and acute hepatitis:
+ Rz. Sparganii San Leng
+ Augmented Rambling Powder
Jia Wei Xiao Yao San
For severe dysmenorrhea with nausea and vomiting:
For Cold pain in the lower abdomen:
+ 10g Fr. Evodiae Wu Zhu Yu + 6g Fr. Foeniculi Xiao Hui Xiang
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia + 10g Hb. Artemisiae Argyi Ai Ye
For Heat and thirst with a red tongue and rapid pulse:
For menstrual cramping due to Cold:
+ 10g Fr. Gardeniae Zhi Zi + Fr. Foeniculi Xiao Hui Xiang,
+ 12g Fr. Forsythiae Lian Qiao + Rz. Zingiberis Preparatum Pao Jiang
+ 12g Cx. Phellodendri Huang Bai + Cx. Cinnamomi Rou Gui
For menstrual cramping due to Qi Stagnation:
 + Rx. Linderae Wu Yao
+ Rx. Cyperi Xiang Fu + Fr. Evodiae Wu Zhu Yu
+ Fr. Toosendan Chuan Lian Zi
For menstrual cramping due to Blood Stagnation:
+ Rz. Corydalis Yan Hu Suo + Rz. Chuanxiong Chuan Xiong
+ Rz. Curcumae Longae Jiang Huang + Olibanum Ru Xiang
+ Rx. Aucklandiae Mu Xiang + Myrrh Mo Yao
+ Fr. Aurantii Zhi Ke + Resina Daemonoropis Xue Jie
+ Sm. Arecae Bing Lang + Rx. Notoginseng San Qi
For menstrual cramping due to heat:
+ Rz. Corydalis Yan Hu Suo
+ Rx. Paeoniae Rubra Chi Shao + Pollen Typhae Pu Huang
+ Cx. Moutan Mu Dan Pi + Sm. Persicae Tao Ren
+ Fr. Toosendan Chuan Lian Zi + Faeces Trogopterori Wu Ling Zhi
For a bitter taste, yellow coat, long period and is thick and dark Blood:
For vulvar or rectal prolapse:
+ Fr. Gardeniae Zhi Zi + Rx. Bupleuri Chai Hu
+ Sp. Prunellae Xia Ku Cao + Fr. Toosendan Chuan Lian Zi
+ Hb. Leonuri Yi Mu Cao
For Liver Attacking the Spleen with a tight chest and low appetite:
For Liver and Spleen Damp-Heat:
+ Earth-fried Rz. Atractylodis Macrocephalae Chao Bai Zhu
+Six Gentlemen Decoction
Liu Jun Zi Tang
+ Poria Fu Ling
- Per. Citri Reticulatae Chen Pi + Per. Citri Reticulatae Chen Pi
- Rz. Pinelliae Preparatum Zhi Ban Xia    
- Faeces Trogopterori Wu Ling Zhi    
- Rz Chuanxiong Chuan Xiong    
- Rx. Paeoniae Rubra Chi Shao    
- Rx. Linderae Wu Yao    
- Fr. Aurantii Zhi Ke    
+ 15g Rx. Scutellariae Barbatae Ban Zhi Lian