HERB FORMULAS

XUE FU ZHU YU TANG

English: Drive out Stasis in the Mansion of Blood Decoction
Also Known As: Decoction for Removing Blood Stagnation in the Chest
Persica and Achyranthis Combination
Achyranthis and Persica Combination
Blood Palace Expel Stasis Decoction

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Sm. Persicae Tao Ren 4-15g Dispels Blood Stasis and invigorates Blood.
With Hong Hua and Chuan Xiong, invigorates Blood and dispels Stagnation, especially in the upper body.
With Hong Hua, Dang Gui and Chi Shao, for menstrual pain, amenorrhea or irregular menstruation due to Blood Stasis and trauma with pain.
Flos Carthami Hong Hua 3-12g Invigorates Blood, dispels Blood Stasis and alleviates pain.
With Chuan Xiong, for chest and abdominal pain due to Qi and Blood Stasis.
With Tao Ren, invigorates the Blood for all types of Blood Stagnation such as dysmenorrhea, amenorrhea, swollen painful sores and chest and abdominal pain.
With Tao Ren, Dang Gui, Chuan Xiong and Chi Shao, for menstrual pain or amenorrhea.
Rx. Angelicae Sinensis Dang Gui 3-12g Nourishes and invigorates Blood.
With Chi Shao, invigorates Blood primarily in the lower body and nourishes and moistens Dryness.
With Sheng Di Huang, dispels Blood Stasis without injuring Yin and Blood.
With Tao Ren and Hong Hua, for symptoms associated with Blood Stasis.
With Gan Cao, moderates spasms and relieves abdominal pain.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood, disperses Blood Stasis and treats abdominal pain.
Rz. Chuanxiong Chuan Xiong 1.5-9g Invigorates Blood, regulates Qi and alleviates pain.
 With Chai Hu and Chi Shao, for Qi and Blood Stagnation generating headache and/or chest pain.
With Tao Ren, Hong Hua and Dang Gui, for abdominal pain accompanying menstruation, pain due to trauma and headache from Blood Stagnation.
With Tao Ren, Hong Hua, Dang Gui and Chai Hu, for sharp stabbing pain in the chest and hypochondriac area due to Blood Stagnation.
Rx. Paeoniae Rubra Chi Shao 2-12g Activates Blood, dispels Blood Stasis, clears Heat and alleviates pain.
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 Tao Ren, Hong Hua and Chuan Xiong, for Blood Stagnation in the chest.
Rx. Cyathulae Chuan Niu Xi 3-15g Eliminates Blood Stasis, descends Qi and Blood and invigorates Blood.
With Tao Ren, Hong Hua and Dang Gui, for menstrual pain, irregular menstruation and postpartum pain .
(Rx. Achyranthis Bidentatae) (Niu Xi) 3-9g (May substitute for Chuan Niu Xi.)
Rx. Bupleuri Chai Hu 1-12g Spreads Liver Qi, relieves Stagnation, raises Yang and resolves Phlegm.
With Zhi Ke, for a stifling sensation in the chest.
With Zhi Ke and Jie Geng, expands the chest and promotes Qi movement which circulates Blood.
With Gan Cao, for hepatitis and upper right quadrant pain.
Rx. Platycodi Jie Geng 1.5-9g Directs the actions of the formula to the upper body.
Fr. Aurantii Zhi Ke 2-12g Promotes the movement of Qi, reduces distention and pressure and resolves hardenings.
Rx. Rehmanniae Sheng Di Huang 3-30g Cools Blood and clears Heat.
With Niu Xi, powerfully clears Deficiency Fire Blazing Upward with pain and swelling of the gums, epistaxis, hematemesis and other hemorrhage in the upper body.
Rx. Glycyrrhizae Gan Cao 1-6g Regulates and harmonizes the other herbs.
With Jie Geng, for pain and swelling of the throat.

FORMULA ACTIONS

  • Invigorates the Blood
  • Dispels Blood Stasis
  • Spreads Liver Qi
  • Unblocks the channels
  • Stops pain

SYNDROMES

  • Heart Blood Stagnation
  • Blood Stagnation of the chest and diaphragm
  • Blood Stasis in children, usually when fever, pain and insomnia develop after trauma

CLINICAL MANIFESTATIONS

  • Chronic stabbing pain in the chest
  • Pain hypochondrium
  • Chronic, stubborn headache with a fixed, piercing quality
  • Palpitations
  • Chronic incessant hiccoughs
  • Five sole Heat
  • Choking sensation when drinking
  • Dry heaves
  • Depression or low spirits with a sensation of warmth in the chest
  • Chest distention
  • Dry, scaly skin
  • Dark rings under the eyes
  • Spider naevi on the cheeks, nose, trunk, inner knee and ankle
  • Dizziness
  • Chronic tinnitus
  • Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums
  • Loose teeth
  • Painful receding gums
  • Frequently bleeding gums
  • Vomiting after intake of water
  • Palpitations
  • Persistent daytime drowsiness
  • Insomnia (persistent with much dreaming)
  • Restless sleep
  • Forgetfulness
  • Irritability
  • Fidgeting
  • A bad temper
  • Extreme mood swings
  • Evening tidal fever
  • Dark or purplish lips, conjunctivae or nail beds
  • Dark complexion
  • Dark sclera
  • Hair loss on the head and body
  • T: Dark-red with purple spots on the edges
  • P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry

TREATS

  • Coronary artery disease
  • Hypertension
  • Cor pulmonale
  • Rheumatic valvular heart disease
  • Intercostal neuralgia
  • Costochondritis
  • Post concussion syndrome
  • Migraine
  • Trigeminal neuralgia
  • Psychosis
  • Menopausal syndrome
  • Primary dysmenorrhea
  • Depression
  • Chronic hepatitis
  • Pancreatitis
  • Thrombosis
  • Cardiac ischemia
  • Stroke
  • Cerebral atherosclerosis
  • Hyperlipidemia
  • Insomnia
  • Mammary gland hyperpiesia
  • Schizophrenia
  • Post traumatic shock syndrome
  • Post traumatic stress syndrome
  • Cerebral tumors
  • Gingivitis
  • Amenorrhea
  • Urticaria
  • Dysmenorrhea
  • Endometriosis
  • Pre-menstrual syndrome
  • Irregular menstruation
  • External injury
  • Paralysis
  • Angina pectoris
  • Costalgia
  • Functional neurosis
  • Ascites
  • Thoracic strains
  • Psychosis
  • Peptic ulcers
  • Embolism
  • Bradycardia
  • Concussion
  • Post concussion syndrome
  • Pneumothorax
  • Vascular headache
  • Phlebitis
  • Pelvic inflammatory disease
  • Mitral stenosis
  • Post traumatic insomnia
  • Chronic, difficult periodontitis
  • Obesity

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated during pregnancy.
  • Contraindicated for those with Excess menstrual bleeding.
  • Contraindicated for the weak or debilitated.
  • Contraindicated for those with active hemorrhage disorders.
HERB/DRUG INTERACTIONS

NOTES

  • This is an excellent formula for all Blood Stagnation problems, particularly those affecting the upper body.

MODIFICATIONS

For hard chest and abdominal lumps: For amenorrhea or dysmenorrhea:
+ Rx. Curcumae Yu Jin - Rx. Platycodi Jie Geng
+ Rx. Salviae Miltiorrhizae Dan Shen + Rz. Cyperi Xiang Fu
or
 + Hb. Leonuri Yi Mu Cao
- Rx. Platycodi Jie Geng + Hb Lycopi Ze Lian
+ Rx. Curcumae Yu Jin + Rx. Linderae Wu Yao
+ Rx. Salviae Miltiorrhizae Dan Shen
or
For hypochondriac pain:
- Rx. Platycodi Jie Geng
+ Rx. Curcumae Yu Jin + Rz. Cyperi Xiang Fu
+ Bul Allii Xie Bai + Hb. Leonuri Yi Mu Cao
For headache:
or
+ 9g Fr. Viticis Man Jing Zi - Rx. Platycodi Jie Geng
+ 9g Fr. Tribuli Bai Ji Li + Rz. Cyperi Xiang Fu
For rheumatic valvular heart disease:
 + Hb Lycopi Ze Lian
- Rx. Cyathulae Chun Niu Xi
For angina pectoris due to coronary artery disease:
- Rx. Platycodi Jie Geng + More Flos Carthami Hong Hua
- Rx. Bupleuri Chai Hu + More Rz. Chuanxiong Chuan Xiong
+ Rx. Codonopsis Dang Shen + Rx. Salviae Miltiorrhizae Dan Shen
+ Sm. Zizyphi Spinosae Suan Zao Ren
For hypochondriac pain due to hepatomegaly:
+ Rx. Aconiti Lateralis Praeparata Zhi Fu Zi + Rx. Salviae Miltiorrhizae Dan Shen
+ Ram. Cinnamomi Gui Zhi + Rx. Curcumae Yu Jin
For post concussion complications:
+ Tabanus Meng Chong
+ Scorpio Quan Xie + Aspongopus Jiu Xiang Chong
+ Rz. et Rx. Ligustici Gao Ben
For allergic purpura:
For frontal headache due to Heat and Blood Stagnation:
+ Rx. Isatidis Ban Lan Gen
+ Rx. Angelicae Dahuricae Bai Zhi + Rx. Gentianae Macrophyllae Qin Jiao
+ Gypsum Fibrosum Shi Gao
For vertex headache due to Wind:
For headache with dizziness:
+Rz. et Rx. Notopterygii Qiang Huo
+ Flos Chrysanthemi Ju Hua + Rx. et Rx. Ligustici Gao Ben
+ Ram. Uncariae cum Uncis Gou Teng
For constipation:
+ Spica Prunellae Xia Ku Cao + Rx. et Rz. Rhei Da Huang
For Cold:
For Blood stagnation with Qi Deficiency:
+ Ram. Cinnamomi Gui Zhi + Rx. Ginseng Ren Shen
+ Rz. Zingiberis Recens Sheng Jiang + Rx. Astragali Huang Qi
or
For angina:
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi + Rx. Salviae Miltiorrhizae Dan Shen
+ Ram. Cinnamomi Gui Zhi + Lignum Dalbergiae Odoriferae Jiang Xiang
For Blood Stagnation with Yin Deficiency:
For insomnia and excessive dreams:
+ Six-Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
+ Caulis Polygoni Multiflori Ye Jiao Teng
For feelings of distention, oppression and pain in the chest:
+ Cx. Albizziae He Huan Pi
+ Fr. Toosendan Chuan Lian Zi
For palpitations:
+ Rz. Corydalis Yan Hu Suo + Poria Pararadicis Fu Shen
For hard clots:
+ + Sm. Platycladi Bai Zi Ren
+ Hirudo Shui Zhi
For Yang Deficiency:
+ Tabanus Meng Chong + Rx. 15g Salviae Miltiorrhizae Dan Shen
+ Rx. et Rz. Rhei Da Huang + Rz. 9g Corydalis Yan Hu Suo
+ Eupolyphaga Tu Bie Chong + 6g Lignum Aquilariae Chen Xiang
For bone steaming fever:
+ 9g Rz. Curcumae Longae Jiang Huang
- Rx. Bupleuri Chai Hu + 9g Olibanum Ru Xiang
- Rz. Platycodi Jie Geng + 9. Flos Rosae Chinensis Yue Ji Hua
- Fr. Aurantii Zhi Ke
For Qi and Blood Deficiency:
+ Cx. Moutan Mu Dan Pi + Rx.15g Salviae Miltiorrhizae Dan Shen
+ Rz. Anemarrhenae Zhi Mu + Rz. 9g Corydalis Yan Hu Suo
+ Cx. Phellodendri Huang Bai + 6g Lignum Aquilariae Chen Xiang
For Blood Dryness due to Heat or Yin Deficiency:
 + Caulis Spatholobi Ji Xue Teng
+ Rx.15-30g Salviae Miltiorrhizae Dan Shen
For Heat:
+ Rz. 9g Corydalis Yan Hu Suo + Rx. Scutellariae Huang Qin
+ 6g Lignum Aquilariae Chen Xiang + Rx. Gentianae Long Dan Cao
+ 15g Rx. Curcumae Yu Jin + Cx. Moutan Mu Dan Pi
For severe pain:
or
+ Rx.15g Salviae Miltiorrhizae Dan Shen + Rx.12g Salviae Miltiorrhizae Dan Shen
+ Rz. 9g Corydalis Yan Hu Suo + 9g Rx. Scutellariae Huang Qin
+ 6g Lignum Aquilariae Chen Xiang
or
+ 9g Fr. Toosendan Chuan Lian Zi + 9g Rx. Scutellariae Huang Qin
+ 9g Myrrh Mo Yao
+ 9g Fr. Gardeniae
Zhi Zi
+ 9g Olibanum Ru Xiang
For chest pain:
+ 6g Per. Citri Reticulatae Viride Qing Pi + Rz. 9g Corydalis Yan Hu Suo
+ 6g Sm. Sinapis Bai Jie Zi + 6g Myrrh Mo Yao
or
 + 6g Olibanum Ru Xiang
+ 6g. Pollen Typhae Pu Huang
For Heart Qi Deficiency:
+ 6g Faeces Trogopterori Wu Ling Zhi - Rx. Platycodi Jie Geng
+ Sudden Smile Powder
Shi Xiao San
- Rx. Bupleuri Chai Hu
For Heart Yang Deficiency or Cold:
 - Fr Aurantii Zhi Ke
- Rx. Platycodi Jie Geng + 30g Rx. Codonopsis Dang Shen
- Rx. Bupleuri Chai Hu + 12g Rz. Polygonati Huang Jing
+ 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi + 30 g Rx. Astragali Huang Qi
+ 3g Cx. Cinnamomi Rou Gui
For Yin Deficiency:
+ 12g. Hb. Epimedii Yin Yang Huo - Rx. Platycodi Jie Geng
+ 9g Rx. Morindae Ba Ji Tian - Rx. Bupleuri Chai Hu
or
 - Fr Aurantii Zhi Ke
+ 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi - Rz. Chuanxiong Chuan Xiong
+ 9g Ram. Cinnamomi Gui Zhi + 10g Rx. Ophiopogonis Mai Men Dong
For severe insomnia:
+ 10 g Rz. Polygonati Odorati Nu Zhen Zi
+ 12g Cx. Albizziae He Huan Pi + 10g Hb. Ecliptae Mo Han Lian
+ 20g Fr. Zizyphi Spinosae Suan Zao Ren
or
For Qi Stagnation:
 + 12g Rx. Rehmanniae Sheng Di Huang
+ 9g Per. Citri Reticulatae Viride Qing Pi + 12g Rx. Salviae Miltiorrhizae Dan Shen
+ 6g Per Citri Reticulatae Chen Pi + 9g Cx. Moutan Mu Dan Pi
+ 9g Rz. Cyperi Xiang Fu
For Blood Deficiency:
For Liver Heat:
+ 15g Rx. Rehmanniae Preparata Shu Di Huang
+ Rx. Curcumae Yu Jin + 15g Fr. Lycii Gou Qi Zi
For insomnia or depression:
+ 15g Rx. Polygoni Multiflori He Shou Wu
+ 12g Cx. Albizziae He Huan Pi
For Phlegm:
For gingivitis and periodontitis:
+ 9g Rx. Pinelliae Preparatum Zhi Ban Xia
+12-15g Rz. Cibotii Gou Ji + 6g Per Citri Reticulatae Chen Pi
+ 12-18g Rz. Drynariae Gu Sui Bu + 6g Sm Sinapis Bai Jie Zi
For gingivitis and periodontitis with persistent bleeding:
For promoting healing of gingivitis and periodontitis:
+12-15g Rz. Cibotii Gou Ji +12-15g Rz. Cibotii Gou Ji
+ 12-18g Rz. Drynariae Gu Sui Bu + 12-18g Rz. Drynariae Gu Sui Bu
+ 12-15g Rx. Rubiae Qian Cao Gen + 6-9g Olibanum Ru Xiang
For gingivitis and periodontitis with pain:
+ 6-9g Myrrh Mo Yao
+12-15g Rz. Cibotii Gou Ji
For gingivitis and periodontitis with Heat in the Liver:
+ 12-18g Rz. Drynariae Gu Sui Bu +12-15g Rz. Cibotii Gou Ji
+ 6-9g Olibanum Ru Xiang + 12-18g Rz. Drynariae Gu Sui Bu
+ 6-9g Myrrh Mo Yao + 9-12g Rx. Curcumae Yu Jin
+ Rz. Corydalis Yan Hu Suo
For gingivitis and periodontitis with Yang Deficiency or Cold:
For gingivitis and periodontitis with Yin Deficiency:
 - Rx. Bupleuri Chai Hu
- Rx. Bupleuri Chai Hu - Rz. Platycodi Jie Geng
- Rz. Platycodi Jie Geng +12-15g Rz. Cibotii Gou Ji
- Rx. Chuanxiong Chuan Xiong + 12-18g Rz. Drynariae Gu Sui Bu
- Fr. Aurantii Zhi Ke + 6-12g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+12-15g Rz. Cibotii Gou Ji + 3g Cx. Cinnamomi Rou Gui
+ 12-18g Rz. Drynariae Gu Sui Bu + 12-18g Hb. Epimedii Yin Yang Huo
+ 9-12g Rx. Ophiopogonis Mai Men Dong + 9-12g Rx. Morindae Officinalis Ba Ji Tian
+ 12-15g Fr. Ligustri Lucidi Nu Zhen Zi
For gingivitis and periodontitis with Yin Deficiency:
+ 12-15g Rz. Polygonati Odorati Yu Zhu +12-15g Rz. Cibotii Gou Ji
+ 9-12g Hb. Ecliptae Mo Han Lian + 12-18g Rz. Drynariae Gu Sui Bu
For coronary Heart disease:
+ 12-18g Rx. Rehmanniae Preparata Shu Di Huang
+ Sudden Smile Powder
Shi Xiao San
+ 9-12g Fr. Lycii Gou Qi Zi
+ Rx. Curcumae Yu Jin + 9-12g Rx. Polygoni Multiflori He Shou Wu
For fibromyalgia due to Cold Stagnation Blocking the Channels:
For fibromyalgia due to Blood Deficiency:
+ Ephedra, Prepared Aconite and Asarum Decoction
Ma Huang Fu Zi Xi Xin Tang
+ Ephedra, Apricot Kernel, Coicis and Licorice Decoction
Ma Xing Yi Gan Tang
+ Pinellia Decoction to Extend Life
Yan Nian Ban Xia Tang
+ Restore the Spleen Decoction
Gui Pi Tang
For fibromyalgia due to Spleen and Kidney Deficiency:
or
+ Ginseng, Poria and Atractylodes Macrocephalae Powder
Shen Ling Bai Zhu San
+ Tangkuei Decoction to Tonify the Blood
Dang Gui Bu Xue Tang
+ Improve Vision Pill with Rehmannia
Ming Mu Di Huang Wan
+ Moisten the Intestines Pill
Run Chang Wan
or
or
+ Ginseng, Poria and Atractylodes Macrocephalae Powder
Shen Ling Bai Zhu San
+ Tangkuei Decoction to Tonify the Blood
Dang Gui Bu Xue Tang
+ Improve Vision Pill with Rehmannia #2
Ming Mu Di Huang Tang #2
+ Moisten the Intestines Pill #1
Run Chang Wan #1
For dysmenorrhea with lumbar pain:
or
- Rx. Platycodi Jie Geng
+ Tangkuei Decoction to Tonify the Blood
Dang Gui Bu Xue Tang
+ Rz. Cyperi Xiang Fu
+ Fr. Foeniculi Xiao Hui Xiang
+ Moisten the Intestines Pill #2
Run Chang Wan #2
+ Sm. Citri Reticulatae Ju He
For dysmenorrhea with pain in the thighs:
For obesity:
- Rx. Platycodi Jie Geng + Rx. Salviae Miltiorrhizae Dan Shen
+ Rz. Cyperi Xiang Fu    
+ Rx. Gentianae Macrophyllae Qin Jiao