HERB FORMULAS

SI WU TANG

English: Four Substances (Things) Decoction
Also Known As: Tangkuei Four Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Rehmanniae Shu Di Huang 4-21g Strengthens the Live rand Kidneys and nourishes the Yin of the Blood.
 With Bai Shao, strongly nourishes Liver Blood.
Rx. Paeoniae Albae Bai Shao 4-15g Nourishes Blood, preserves Yin, calms Liver Yang and alleviates pain.
With Dang Gui, nourishes Yin and Blood.
With Dang Gui and Shu Di Huang, for dizziness, blurred vision and dysmenorrhea due to Blood Deficiency or Blood Stasis.
Rx. Angelicae Sinensis Dang Gui 4-12g Nourishes and activates Blood, regulates Liver and Kidneys, regulates menses and alleviates pain.
 With Shu Di Huang, Bai Shao and Chuan Xiong, for menstrual irregularity, amenorrhea and dysmenorrhea due to Blood Deficiency or Stasis.
Rx. Ligustici Chuan Xiong 3-9g Invigorates Blood, moves Qi, releases Stagnation and alleviates pain.
 With Dang Gui, for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses and amenorrhea.

FORMULA ACTIONS

  • Nourishes the Blood
  • Regulates the Liver
  • Improves Blood circulation
  • Regulates menstruation

SYNDROMES

  • Liver Wind Stirring Internally:
  • Liver Blood Deficiency Generates Wind Liver Blood Deficiency
  • Liver Blood Stagnation due to Blood Deficiency
  • Insufficiency of the Chong and Ren channels

CLINICAL MANIFESTATIONS

  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Pale lips
  • Generalized muscle tension
  • Irregular menstruation with little flow
  • Amenorrhea
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Insomnia
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Maybe five sole heat
  • Delayed menstruation
  • Palpitations
  • Dizziness
  • Dry skin
  • Maybe leukorrhea
  • Maybe fever
  • Firm, painful abdomen
  • Sporadic fever and chills
  • Menorrhagia
  • Hard abdominal masses with recurrent pain
  • Unstable fetus with bleeding
  • Chills and fever
  • T: Pale
  • C: Normal
  • P: Thready and wiry or Thready and choppy

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with acute, severe blood loss.
  • Contraindicated for those with severe weakness or labored breathing.
  • Modify for those with constitutional Spleen Yang Deficiency.
  • Contraindicated for those with dehydration.
  • Use with caution for those with Spleen and Stomach Deficiency due to the Stagnating nature of Shu Di Huang.
  • Contraindicated for those with Blood or Qi collapse.
  • Use with caution during pregnancy.
HERB/DRUG INTERACTIONS
  • This formula has shown the ability to reduce recovery time in penicillin dermatitis.
  • This formula has shown the ability to reduce scopolamine-induced spatial cognitive deficits.

NOTES

MODIFICATIONS

For metrorrhagia, postpartum bleeding or threatened abortion or restless fetus disorder with continuous bleeding from the vagina: For Blood Stasis:
+ Fol. Artemisiae Argyi Ai Ye + Sm. Persicae Tao Ren
+ Gel. Corii Asini
+ Flos Carthami
For signs of Heat:
For Blood Deficiency and Cold in the womb:
- Rx. Rehmanniae Preparata Shu Di Huang
+ Fol. Artemisiae Argyi
+ Rx. Rehmanniae
+ Rz. Cyperi Xiang Fu
or
For predominance of Blood Stasis:
- Rx. Rehmanniae Preparata Shu Di Huang
- Rx. Paeoniae Alba
+ Rx. Rehmanniae
+ Rx. Paeoniae Rubrae
- Rx. Paeoniae Alba
For a short menstrual cycle with Steaming Bone Disorder where the fever worsens in the early evening:
+ Rx. Paeoniae Rubrae
+ Cx. Lycii Di Gu Pi
- Rx. Ligustici Chuan Xiong
+ Cx. Moutan
- Rx. Angelicae Sinensis
For Phlegm in an underweight person:
For dysmenorrhea due to Qi Stagnation:
+ Fr. Gardeniae
+ Rz. Cyperi
+ Rz. Anemarrhenae
+ Rx. corydalis
+ Cx. Phellodendri
For hypermenorrhea:
For Qi Deficiency:
+ Rx. Scutellariae
+ Rx. Ginseng
Rz. Atractylodes Macrocephalae
+ Rx. Astragali
For severe Qi Deficiency
For Qi Stagnation
+ Four Gentlemen Decoction
Si Jun Zi Tang
+ Fr. Aurantii Immaturus Zhi Shi
For tidal fever with Blood Deficiency:
+ Cx. Magnoliae Officinalis
+ Cx. Moutan
+ Rz. Cyperi
+ Cx. Lycii
+ Rx. Curcumae
For headache due to Blood Deficiency:
For dizziness and vertigo:
+ Flos Chrysanthemi
+ Rx. Gentianae Macrophyllae
+ Rz. et Rx. Ligustici
+ Rz. et Rx. Notopterygii
+ Ram. Uncariae cum Uncis
For hematemesis or epistaxis:
For Phlegm in an overweight person:
+ Cacumen. Platycladi
+ Rz. Pinelliae Preparatum
+ Rx. et Rz. Rubiae
+ Exocarpium Citri Reticulatae
For allergic rhinitis:
For abdominal pain, slight perspiration and aversion to Wind:
+ Fr. Xanthii
+ Cx. Cinnamomi
+ Flos Magnoliae
+ Rz. Zingiberis Preparatum
+ Rx. et Rz. Cynanchi Paniculati Xu Chang Qing
For white or Blood-streaked vaginal discharge:
+ Flos Chrysanthemi Ju Hua
+ Rz. Cyperi
+ Rx. Angelicae Dahuricae Bai Zhi
+ Ram. Cinnamomi
+ Jade Windscreen Powder
Yu Ping Feng San
For menstrual pain:
For menstrual pain with Cold and Dampness:
+ Rx. Angelicae Dahuricae
+ Rx. Angelicae Dahuricae
+ Rx. Aucklandiae
+ Rx. Aucklandiae
+ Rz. Cyperi
+ Rz. Cyperi
For menstrual pain with Qi and Blood Stagnation:
+ Fol. Artemesiae Argyi Ai Ye
+ Rx. Angelicae Dahuricae
+ Cx. Cinnamomi Rou Gui
+ Rx. Aucklandiae
For menstrual pain with Liver Qi Stagnation:
+ Rz. Cyperi
+ Rx. Angelicae Dahuricae
+ Rx. Achyranthis Bidentate
+ Rx. Aucklandiae
+ Hb. Leonuri
+ Rz. Cyperi
For menstrual pain with Qi and Blood Deficiency:
 + Rx. Bupleuri Chai Hu
+ Rx. Angelicae Dahuricae
+ Fr. Toosendan Chuan Lian Zi
+ Rx. Aucklandiae
For menstrual pain with severe pain:
+ Rz. Cyperi
+ Rx. Angelicae Dahuricae
+ Rx. Astragali
+ Rx. Aucklandiae
+ Rx. Codonopsis
+ Rz. Cyperi
For menstrual pain with Liver and Kidney Yin Deficiency:
+ Sanguis Draconis Xue Jie
+ Rx. Angelicae Dahuricae
+ Lignum Sappan Su Mu
+ Rx. Aucklandiae
+ Eupolyphaga/ Steleophaga
+ Rz. Cyperi
or
+ Fr. Lycii
+ Sudden Smile Powder
Shi Xiao San
+ Fr. Ligustri Lucidi
+ Rx. Salviae Miltiorrhizae
For menstrual pain with abnormal; development of the uterus:
+ Rz. Cyperi
+ Rx. Angelicae Dahuricae
+ Rz. Corydalis
+ Rx. Aucklandiae
For irregular menstruation:
+ Rz. Cyperi
+ Fol. Artemisiae Argyi Ai Ye
+ Fluoritum
+ Gel. Corii Asini
+ Hb. Epimedii
+ Rz. Cyperi
For irregular menstruation with Heat in the Blood level prior to the period:
or
+ Rz. Cyperi
+ Rz. Cyperi
+ Poria Pararadicis
+ Poria Pararadicis
+ Rx. Glycyrrhizae
+ Rx. Glycyrrhizae
+ Rz. Scutellariae
For irregular menstruation with Cold in the Blood level after to the period:
+ Fr. Gardeniae
+ Rz. Cyperi
For irregular menstruation with Blood Stagnation with scanty menstrual discharge:
+ Poria Pararadicis
+ Rz. Cyperi
+ Rx. Glycyrrhizae
+ Poria Pararadicis
+ Rx. Astragali
+ Rx. Glycyrrhizae
+ Rz. Zingiberis
+ Rz. Corydalis Yan Hu Suo
For irregular menstruation with Qi Deficiency with profuse menstrual discharge:
+ Per Citri Reticulatae Viride
+ Rx. Astragali
For breech presentation:
+ Rz. Atractylodis Macrocephalae
- Rx. Rehmanniae Preparata
For metrorrhagiae due to Blood Heat from Blood Stagnation:
+ Rz. Atractylodis Macrocephalae
+ Sudden Smile Powder
Shi Xiao Tang
+ Poria
+ Rx. Notoginseng
or
For Qi and Blood Deficiency Bi with Blood Deficiency predominant:
+ Rz. Atractylodis Macrocephalae
+ Rx. Aconiti Lateralis Preparata
Zhi Fu Zi
+ Rx. Astragali
+ two or three of the following
+ Fr. Aurantii
Ram. Mori Sang Zhi
For panarthralgia
Rx. Clematidis Wei Ling Xian
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan 		Rx. Saposhnikoviae Fang Feng
Rz. Curcumae Longae Jiang Huang
For panarthralgia with Interal Heat:
 Rx. Gentianae Macrophyllae Qin Jiao
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan 		Rx. Siegesbeckiae Xi Xian Cao
For panarthralgia with impaired movement:
+ Cx. Phellodendri
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
+ Rz. Anemarrhenae
For panarthralgia with weakness and pain in the low back and legs:
+ Rx. Achyranthis Bidentatae Nui Xi
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
+ Ram. Mori Sang Zhi
+Hb. Lycopodii Shen Jin Cao
+ Sm. Cuscutae
+ Hb. Siegesbeckiae Xi Xian Cao
+ Cx. Eucommiae
 + Pheretima Di Long
+ Rx. Dipsaci
 + Bombyx Batritycatus Jiang Can
+ Cx. Lycii
For panarthralgia with pain, worse at night:
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
   
    + Rx. PAeoniae Rubra Chi Shao
    + Sm. Persicae Tao Ren
    + Flos Carthami Hong Hua
    + Rx. Angelicae Sinensis Dang Gui