HERB FORMULAS

GUI ZHI FU LING WAN

English: Cinnamon and Poria Pills
Also Known As: Cinnamon and Hoelen Formula
Pills of Cinnamon and Poria

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Ram. Cinnamomi Gui Zhi 2-12g Unblocks Yang, transforms Qi, warms the Middle and directs Turbid Yin downward, warms the channels, collaterals and Blood through the vessels to relieve pain and warms and facilitates the flow of Yang Qi in the chest.
With Bai Shao, warms and tonifies the Middle Jiao.
With Fu Ling, unblocks the Yang and facilitates the removal of congested fluids associated with Yang Deficiency edema.
With Fu Ling and Bai Shao, for Heart and Spleen Yang Deficiencies with palpitations, edema and shortness of breath.
With Dan Shen, for palpitations and chest pain due to Heart Yang Deficiency and subsequent painful obstruction due to Blood Stasis blocking the channels.
With Tao Ren and Mu Dan Pi, for gynecological discomfort due to Blood Stasis and lower abdominal masses.
With Tao Ren, Mu Dan Pi and Fu Ling, for amenorrhea and abdominal pain due to Cold Invasion and Blood Stasis.
Poria Fu Ling 2-15g Promotes urination, resolves Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
With Gui Zhi, warms and transforms fluids, unblocks Yang and promotes urination.
Rx. Paeoniae Rubra Chi Shao 2-12g Clears Heat, cools the Blood, activates Blood, dispels Blood Stasis and eliminates pain.
With Tao Ren, for Blood Stasis induced menstrual disorders, especially those characterized by early period, excessive bleeding, and thick purple clots.
With Bai Shao, for spasms and cramping pain associated with Blood Deficiency and Blood Stagnation.
With Mu Dan Pi, for Blood Stasis disorders (amenorrhea, menstrual pain, traumatic injury).
(Rx. Paeoniae Alba) (Bai Shao) (2-12g) (Nourishes Blood, regulates menstruation, benefits Yin, astringes weak Ying Qi, softens the Liver and relieves pain.
With Gui Zhi, harmonizes the Ying and Wei and warms and tonifies the Middle Jiao.)
Cx. Moutan Mu Dan Pi 2-12g Activates Blood, dispels Blood Stasis, drains pus and reduces swelling.
With Tao Ren and Gui Zhi, for amenorrhea and abdominal pain due to Blood Stasis.
With Chi Shao, for irregular menstruation due to Heat and obstruction from Blood Deficiency.
With Tao Ren, Gui Zhi, Fu Ling and Chi Shao, for amenorrhea, dysmenorrhea with severe pain, Heat, masses, lumps and tumors due to Blood Stasis.
Sm Persicae Tao Ren 2-12g Dispels Blood Stasis and invigorates Blood circulation.
(Rx. Salviae Miltiorrhizae) (Dan Shen) (2-12g) (Invigorates the Blood and dispels Blood Stasis. - May be added)

FORMULA ACTIONS

  • Invigorates Blood
  • Transforms Blood Stasis
  • Softens lumps
  • Reduces fixed abdominal pain

SYNDROMES

  • Fetal malnourishment due to Blood Stasis in the uterus
  • Tender masses in the lower abdomen due to Phlegm and Blood Stagnation
  • Post abortion Blood Stasis

CLINICAL MANIFESTATIONS

  • Mild, persistent uterine bleeding of purple and black blood during pregnancy
  • Abdominal pain that is worse with pressure
  • Abdominal spasms and tension
  • Immobile masses in the lower abdomen with pain and tenderness
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Headache
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense and deep and slow

TREATS

  • Primary dysmenorrhea
  • Uterine fibroids
  • Cervical erosion
  • Ovarian cysts
  • Chronic salpingitis
  • Chronic pelvic inflammatory disease
  • Endometritis
  • Endometriosis
  • Lochioschesis
  • Adnexitis
  • Hysteromyoma
  • Metropolypus
  • Pelvic cellulitis
  • Menstrual irregularity
  • Dysmenorrhea
  • Amenorrhea
  • Uterine myoma
  • Infertility
  • Ovaritis
  • Climacteric disorders
  • Contusions
  • Hemorrhoids
  • Dermatitis
  • Eczema
  • Postpartum bleeding
  • Inflammation of the oviduct
  • Menopausal disorders
  • Perimenopause with uterine leiomyomas
  • Ectopic pregnancy
  • Stillbirth
  • Male infertility with varicocele
  • Leukorrhea
  • Fetal instability
  • Premenstrual syndrome
  • Oophoritic cysts
  • Low back stiffness
  • Shoulder stiffness
  • Headache
  • Urticaria
  • Dermatitis
  • Black spots on the skin
  • Pimples
  • Frigorism
  • Nervousness
  • Neurosis
  • Hysteria
  • Hordeolum
  • Hemophthalmos
  • Blepharitis
  • Keratitis
  • Prostatomegaly
  • Hypertension
  • Arthritis
  • Neuralgia
  • Rheumatism
  • Vertigo
  • Pelvic inflammatory disease
  • Cornification of hand due to irritation by cleaning agents
  • Allergy to cosmetics
  • Prostatic hypertrophy
  • Post ischemic brain injury
  • Scleroderma

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use with extreme caution during pregnancy or postpartum.
  • Use only with confirmed diagnosis of Blood Stasis.
  • This formula is not intended for serious conditions of Blood Stagnation or Excess Heat in the Blood.
HERB/DRUG INTERACTIONS
  • This formula has been shown to treat menopausal symptoms induced by gonadotropin-releasing hormone agonists without a negative effect on the serum estradiol levels.

NOTES

MODIFICATIONS

For severe Blood Stasis: For anemia:
+ Rx. et Rz. Rhei Da Huang + Rx. Angelicae Sinensis Dang Gui
For menstrual pain:
 + Rx. Chuanxiong Chuan Xiong
+ Rx. Chuanxiong Chuan Xiong
For edema and scanty urine:
+ Rz. Curcumae E Zhu + Rz. Alismatis Ze Xie
+ Rz. Corydalis Yan Hu Suo
For Liver tension:
or
 + Rx. Bupleuri Chai Hu
+ Rx. Chuanxiong Chuan Xiong + Rx. Cyperi Xiang Fu
+ Rx. Angelicae Sinensis Dang Gui
For uterine tumor:
+ Flos Carthami Hong Hua + Rx. Bupleuri Chai Hu
+ Rz. Corydalis Yan Hu Suo + Fr. Aurantii Zhi Ke
+ Rx. Achyranthis Niu Xi + Sm. Coicis Yi Yi Ren
For Blood stasis following miscarriage or abortion:
 + Rx. Glycyrrhizae Gan Cao
+ Flos Carthami Hong Hua
For Qi tonification:
For fibroid tumors:
 + Rx. Codonopsis Dang Shen
+ Rz. Curcumae E Zhu
For internal chill:
+ Hb. Leonuri Yi Mu Cao + Rz. Zingiberis Gan Jiang
For menstrual pain and cramps:
For amenorrhea:
+ Rz. Cyperi Xiang Fu + Fr. Aurantii Immaturus Zhi Shi
+ Per. Citri Reticulatae Chen Pi + Flos Carthami Hong Hua
+ Rz. Corydalis Yan Hu Suo
For severe dysmenorrhea:
   
+ Sudden Smile Powder
Shi Xiao San
    + Rz. Corydalis Yan Hu Suo