HERB FORMULAS

SI WU TANG - 四物汤 - FOUR SUBSTANCES DECOCTION - TANGKUEI FOUR COMBINATION

English: Four Substances 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 Liver and Kidneys and nourishes the Yin of the Blood.
 With Bai Shao, strongly nourishes Liver Blood.
Rx. Paeoniae Alba 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 invigorates the 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.
Rz. Chuanxiong 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 Blood Deficiency
  • Liver Wind Stirring Internally: Liver Blood Deficiency Generates Wind
  • 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
  • Tremors and tics
  • Irregular menstruation with little flow
  • Amenorrhea
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Insomnia
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Dry hair
  • 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 induced 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 Rubra
- Rx. Paeoniae Alba
For a short menstrual cycle with Steaming Bone Disorder where the fever worsens in the early evening:
+ Rx. Paeoniae Rubra
+ 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. Artemisiae 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 Bidentatae
+ 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 metrorrhagia 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 Internal 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 Niu 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 Batryticatus Jiang Can
+ Cx. Lycii
For panarthralgia with pain, worse at night:
For eczema due to Dryness:
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
+ Augmented Rambling Powder
Jia Wei Xiao Yao San
+ Rx. Paeoniae Rubra Chi Shao
+ Sm. Persicae Tao Ren
For chronic eczema: + Flos Carthami Hong Hua
+Eliminate Wind Powder
Xiao Feng San
+ Rx. Angelicae Sinensis Dang Gui
For cataracts due to Liver Yin Deficiency:
For calf spasm:
+ Two Old Herbs Decoction
Er Chen Tang
+ 10g Fr. Chaenomelis
+ 10g Rx. Achyranthis Bidentatae
For calf spasm with Qi Deficiency:
+ 10g Fr. Chaenomelis
+ 10g Hb. Taxilli
+ 10g Rx. Achyranthis Bidentatae
+ 10g Rx. Dipsaci
+ 10g Rx. Angelicae Pubescentis
+ 10g Hb. Taxilli
+ 10g Rx. Dipsaci
+ 10g Ram. Cinnamomi
+ 10g Rx. Angelicae Pubescentis
+ 15g Rx. Glycyrrhizae
For calf spasm with numbness and spasm of the leg:
+ 10g Ram. Cinnamomi
+ 15g Rx. Glycyrrhizae
+ 10g Fr. Chaenomelis
+ 15g Rx. Codonopsis Dang Shen
+ 10g Rx. Achyranthis Bidentatae
+ 12g Fr. Jujube Da Zao
+ 15g Rx. Astragali Huang Qi
+ 10g Hb. Taxilli
For calf spasm with dry mouth:
+ 10g Rx. Dipsaci
+ 10g Fr. Chaenomelis
+ 10g Rx. Angelicae Pubescentis
+ 10g Rx. Achyranthis Bidentatae
+ 10g Ram. Cinnamomi
+ 10g Hb. Taxilli
+ 15g Rx. Glycyrrhizae
+ 10g Rx. Dipsaci
+ 10g Rz. Gastrodiae
+ 10g Rx. Angelicae Pubescentis
+10g Scorpio
+ 10g Os Tigris
+ 10g Ram. Cinnamomi
For stopping bleeding:
+ 15g Rx. Glycyrrhizae
+ Crinis Carbonisatus Xue Yu Tan + 20g Rz. Anemarrhenae Zhi Mu
+ Petiolus Trachycarpi Zong Lu Pi
+ Concha Ostreae Mu Li + 10g Rx. Ophiopogonis Mai Men Dong
For late menstruation due to Deficiency Cold:
For endometriosis:
+ Fol. Artemisiae Argyi Ai Ye + Rx. Paeoniae Rubra Chi Shao
+ Rz. Cyperi Xiang Fu + Hb. Leonuri Yi Mu Cao
+ Fr. Evodiae Wu Zhu Yu + Rx. Astragali Huang Qi
Ram. Cinnamomi Gui Zhi
For endometriosis with severe Blood Stagnation:
For endometriosis with Yin Deficiency Heat:
 + Rx. Paeoniae Rubra Chi Shao
+ Rx. Paeoniae Rubra Chi Shao + Hb. Leonuri Yi Mu Cao
+ Hb. Leonuri Yi Mu Cao + Rx. Astragali Huang Qi
+ Rx. Astragali Huang Qi + Hb. Lycopi Ze Lan
+Cx. Lycii Di Gu Pi + Hirudo Shui Zhi
+ Fr Forsythiae Lian Qiao
For endometriosis with Qi Deficiency:
For endometriosis with Blood Deficiency:
 + Rx. Paeoniae Rubra Chi Shao
+ Rx. Paeoniae Rubra Chi Shao + Hb. Leonuri Yi Mu Cao
+ Hb. Leonuri Yi Mu Cao + Rx. Astragali Huang Qi
+ Rx. Astragali Huang Qi + Rz. Atractylodis Macrocephalae Bai Zhu
+ Colla Corii Asini E Jiao
+ Rx. Polygoni Multiflori He Shou Wu + Rx. Astragali (large dose) Huang Qi
For endometriosis with Cold in the uterus:
For endometriosis with Liver Qi Rising:
+ Rx. Paeoniae Rubra Chi Shao + Rx. Paeoniae Rubra Chi Shao
+ Hb. Leonuri Yi Mu Cao + Hb. Leonuri Yi Mu Cao
+ Rx. Astragali Huang Qi + Rx. Astragali Huang Qi
+ Fol. Artemisiae Argyi Ai Ye + Spica Prunellae Xia Ku Cao
+ Cx. Cinnamomi Rou Gui + Haematitum Dai Zhe Shi
For infertility with Kidney Yang Deficiency:
For infertility with Kidney Yang Deficiency:
+ Fluoritum Zi Shi Ying + Fr. Ligustri Lucidi Nu Zhen Zi
+ Rz. Curculiginis Xian Mao + Hb. Ecliptae Mo Han Lian
+ Hb. Epimedii Yin Yang Huo + Fr. Lycii Gou Qi Zi
+ Sm. Cuscutae Tu Si Zi + Fr. Schisandrae Wu Wei Zi
+ Fr. Rubi Fu Pen Zi + Rx. Scrophulariae Xuan Shen
For pelvic inflammatory disease:
+ Rx. Ophiopogonis Mai Men Dong
+ Rx. Bupleuri Chai Hu
For pelvic inflammatory disease with fever:
+ Rx. Scutellariae Huang Qin + Rx. Bupleuri Chai Hu
+ Hb. Violae Zi Hua Di Ding + Rx. Scutellariae Huang Qin
For pelvic inflammatory disease with abdominal pain:
+ Hb. Violae Zi Hua Di Ding
- Rx. Angelicae Sinensis Dang Gui
+ Rx. Bupleuri Chai Hu + Flos Lonicerae Jin Yin Hua
+ Rx. Scutellariae Huang Qin + Fr. Forsythiae Lian Qiao
+ Hb. Violae Zi Hua Di Ding
For pelvic inflammatory disease with a poor appetite and diarrhea:
+ Rz. Corydalis Yan Hu Suo
+ Pollen Typhae Pu Huang + Rx. Bupleuri Chai Hu
For chronic nephritis:
+ Rx. Scutellariae Huang Qin
+ Five-Ingredient Powder with Poria
Wu Ling San
+ Hb. Violae Zi Hua Di Ding
- Rx. Rehmanniae Preparata Shu Di Huang
For lumbago:
+ Regulate the Middle Decoction
Li Zhong Tang
+ Fr. Amomi Sha Ren
+ Fr. Hordei Germinatus Mai Ya
For sciatica:
For sciatica with extremely painful Bi:
+ Scolopendra Wu Gong + Scolopendra Wu Gong
+ Zaocys Wu Shao She + Zaocys Wu Shao She
For sciatica with wandering Bi:
 + Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Scolopendra Wu Gong
+ Zaocys Wu Shao She + Cx. Cinnamomi Rou Gui
+ Rx. Angelicae Pubescentis Du Huo
For sciatica with fixed Bi:
+ Scolopendra Wu Gong
+ Rx. Gentianae Macrophyllae
Qin Jiao + Zaocys Wu Shao She
+ Poria Fu Ling
+ Rx. Saposhnikoviae Fang Feng + Sm. Coicis Yi Yi Ren
For periarthritis of shoulder:
 + Rz. Atractylodis Cang Zhu
+ Cx. Eucommiae Du Zhong
For periarthritis of shoulder with Wind:
+ Rz. Curcumae Longae Jiang Huang + Cx. Eucommiae Du Zhong
+ Rx. Hb. cum Rx. Asari Xi Xin + Rz. Curcumae Longae Jiang Huang
+ Rz. Polygoni Cuspidatae Hu Zhang + Rx. Hb. cum Rx. Asari Xi Xin
+ Rz. Polygoni Cuspidatae Hu Zhang
For periarthritis of shoulder with Cold:
+ Cx. Eucommiae Du Zhong + Rx, Saposhnikoviae Fang Feng
+ Rz. Curcumae Longae Jiang Huang
For periarthritis of shoulder with Dampness:
+ Rx. Hb. cum Rx. Asari Xi Xin + Cx. Eucommiae Du Zhong
+ Rz. Polygoni Cuspidatae Hu Zhang + Rz. Curcumae Longae Jiang Huang
+ Rx. Hb. cum Rx. Asari Xi Xin
+ Rx. Aconiti Preparata Zhi Chuan Wu + Rz. Polygoni Cuspidatae Hu Zhang
For periarthritis of shoulder with Qi Deficiency:
+ Cx. Eucommiae Du Zhong + Arisaemae cum Bile Dan Nan Xing
+ Rz. Curcumae Longae Jiang Huang
For neurogenic headache with dizziness due to Liver Fire:
+ Rx. Hb. cum Rx. Asari Xi Xin
+ Rz. Polygoni Cuspidatae Hu Zhang + Fol. Mori Sang Ye
+ Flos Chrysanthemi Ju Hua
+ Rx. Codonopsis Dang Shen
For sharp, stabbing neurogenic headache:
For neurogenic headache with dizziness and pain:
 + Sm. Persicae Tao Ren
+ Flos Carthami Hong Hua
+ Fr. Lycii Gou Qi Zi
For neurogenic headache:
+ Rx. Polygoni Multiflori He Shou Wu + Rz. Gastrodiae Tian Ma
+ Bombyx Batryticatus Jiang Can
For vascular headache:
 + Rx. Glycyrrhizae Gan Cao
+ Rz. Corydalis Yan Hu Suo + Fr. Jujube Da Zao
+ Rx. Hb. cum Rx. Asari Xi Xin + Concha Haliotidis Shi Jue Ming
+ Concha Haliotidis Shi Jue Ming + Scolopendra Wu Gong
For vascular headache with Heat:
For vascular headache with Heat:
+ Rz. Corydalis Yan Hu Suo + Rz. Corydalis Yan Hu Suo
+ Rx. Hb. cum Rx. Asari Xi Xin + Rx. Hb. cum Rx. Asari Xi Xin
+ Concha Haliotidis Shi Jue Ming + Concha Haliotidis Shi Jue Ming
+ Spica Prunellae Xia Ku Cao + Ram. Cinnamomi Gui Zhi
+ Flos Chrysanthemi Ju Hua
For frontal vascular headache:
For occipital vascular headache:
 + Rz. Corydalis Yan Hu Suo
+ Rz. Corydalis Yan Hu Suo + Rx. Hb. cum Rx. Asari Xi Xin
+ Rx. Hb. cum Rx. Asari Xi Xin + Concha Haliotidis Shi Jue Ming
+ Concha Haliotidis Shi Jue Ming + Rx. Angelicae Dahuricae Bai Zhi
+ Rz. et Rx. Notopterygii Qiang Huo
For vascular headache at the vertex:
For itching:
+ Rz. Corydalis Yan Hu Suo + Rx. Polygoni Multiflori He Shou Wu
+ Rx. Hb. cum Rx. Asari Xi Xin + Fr. Tribuli Bai Ji Li
+ Concha Haliotidis Shi Jue Ming + Zaocys Wu Shao She
+ Rz. Ligustici Gao Ben
For psoriasis:
For carpal tunnel syndrome:
+ Ephedra Decoction
Ma Huang Tang
+ 15g Caulis Spatholobi Ji Xue Teng
+ 9g Rx. Salviae Miltiorrhizae Dan Shen + Zaocys Wu Shao She
+ Eupolyphaga/ Steleophaga Tu Bie Chong
For carpal tunnel syndrome with Qi Deficiency:
+ 15g Caulis Spatholobi Ji Xue Teng + Rz. et Rx. Notopterygii Qiang Huo
+ 9g Rx. Salviae Miltiorrhizae Dan Shen
or
+ Cx. Dictamni Bai Xian Pi
+ 15g Rx. Astragali Huang Qi + Rx. Sophorae Flavescentis Ku Shen
+ Rx. Codonopsis Dang Shen
For chronic fatigue syndrome, chronic laryngitis, pharyngitis, tonsillitis and a chronic sore throat:
+ Fr. Jujube Da Zao
+ 9g Rx. Polygoni Multiflori He Shou Wu
For carpal tunnel syndrome with Yang Deficiency:
+ 9g Rx. Ophiopogonis Mai Men Dong
+ 6g Colla Corii Asini E Jiao + 15g Caulis Spatholobi Ji Xue Teng
For Blood Stagnation with Phlegm:
+ 9g Rx. Salviae Miltiorrhizae Dan Shen
+ 12g Rx. Curcumae Yu Jin + 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ 10g Sm. Sinapis Bai Jie Zi + 3g Hb. cum Radici Hb. cum Rx. Asari Xi Xin
For epistaxis, hypertension and acute hepatitis:
- Rx. Rehmanniae Preparata Shu Di Huang
For postpartum faintness and Blood Stagnation in the chest, abdomen and hypochondrium:
- Rz. Chuanxiong Chuan Xiong + 3g Hirudo Shui Zhi
+ 30g Rx. Rehmanniae Sheng Di Huang + 3g Tabanus Meng Chong
+ 30g Rz. Imperatae Bai Mao Gen + 3g Myrrh Mo Yao
+ 15g Rx. Cyathulae Chuan Niu Xi + 3g Moschus She Xiang
+ 9g Rx. Curcumae Yu Jin
For headaches:
+ 9g Colla Corii Asini E Jiao
+ 15g Flos Chrysanthemi
+ 9g Rx. Scutellariae Huang Qin
+ 9g Fr. Toosendan Chuan Lian Zi + 9g Fr. Viticis Man Jing Zi
+ 5g Rx. Glycyrrhizae Gan Cao + 20g Caulis Spatholobi Ji Xue Teng
For headaches with severe palpitations or insomnia:
+ 9g processed Rx. Polygoni Multiflori Zhi He Shou Wu
+ 15g Flos Chrysanthemi
+ 3g Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ 9g Fr. Viticis Man Jing Zi
+ 20g Caulis Spatholobi Ji Xue Teng
For afternoon headaches with photophobia, and low back weakness and pain due to Yin Deficiency:
+ 9g processed Rx. Polygoni Multiflori Zhi He Shou Wu
+ 15g Flos Chrysanthemi
+ 3g Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ 9g Fr. Viticis Man Jing Zi
+ 9g Sm. Zizyphi Spinosae Suan Zao Ren + 20g Caulis Spatholobi Ji Xue Teng
+ 9g processed Rx. Polygoni Multiflori Zhi He Shou Wu
+ 9g Sm. Platycladi Bai Zi Ren
+ 12g Caulis Polygoni Multiflori Ye Jiao Teng + 3g Rx. Glycyrrhizae Preparata Zhi Gan Cao
For headaches with Qi Deficiency:
+ 20g vinegar-dipped calcined Plastrum Testudinis Gui Ban
+ 15g Flos Chrysanthemi
+ 9g Fr. Viticis Man Jing Zi + 12g wine-steamed Fr. Ligustri Lucidi Nu Zhen Zi
+ 20g Caulis Spatholobi Ji Xue Teng
+ 9g processed Rx. Polygoni Multiflori Zhi He Shou Wu
For lochiorrhea:
+ Colla Corii Asini E Jiao
+ 3g Rx. Glycyrrhizae Preparata Zhi Gan Cao + Rx. Astragali Huang Qi
+ Terra Flava Usta Zao Xin Tu
+ 12g Rx. Astragali Huang Qi
For sciatica due to trauma:
+ 6g Rz. Cimicifugae Sheng Ma + Achyranthis Bidentatae Niu Xi
For urticaria with more Heat and thirst and a red tongue:
+ Olibanum Ru Xiang
+ 9g Rx. Scutellariae Huang Qin + Myrrh Mo Yao
+ 9g Hb. Spirodelae Fu Ping + Fr. Luffae Retinervus Si Gua Luo
+ 9g Rx. Dioscoreae Shan Yao + Sm. Persicae Tao Ren
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu + Flos Carthami Hong Hua
+ Hb. Lycopodii Shen Jin Cao
+ 9g Rx. Polygoni Multiflori He Shou Wu + Rx. Dipsaci Xu Duan
+ 9g Fr. Jujube Rubra Hong Zao
For urticaria with more Blood Deficiency, Wind and Heat:
+ Rx. Rehmanniae Sheng Di Huang
+ Cx. Moutan Mu Dan Pi + 9g Rx. Scutellariae Huang Qin
+ Flos Lonicerae Jin Yin Hua + 9g Hb. Spirodelae Fu Ping
+ Fr. Forsythiae Lian Qiao + 9g Rx. Dioscoreae Shan Yao
+ Rx. Ophiopogonis Mai Men Dong + 9g Rz. Atractylodis Macrocephalae Bai Zhu
For urticaria with excessive pruritis:
 + 9g Rx. Polygoni Multiflori He Shou Wu
+ 9g Rx. Scutellariae Huang Qin
+ 9g Hb. Spirodelae Fu Ping + 9g Fr. Jujube Rubra Hong Zao
+ 9g Rx. Dioscoreae Shan Yao + Cx. Moutan Mu Dan Pi
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu + Fr. Gardeniae Zhi Zi
+ 9g Rx. Polygoni Multiflori He Shou Wu + Flos Lonicerae Jin Yin Hua
+ Fr. Forsythiae Lian Qiao
+ 9g Fr. Jujube Rubra Hong Zao + Periostracum Cicadae Chan Tui
+ Rx. Sophorae Flavescentis Ku Shen + Bombyx Batryticatus Jiang Can
+ Bombyx Batryticatus Jiang Can + Rx. Sophorae Flavescentis Ku Shen
For urticaria in stronger patients:
+ 9g Rx. Scutellariae Huang Qin
For urticaria with excessive Heat:
+ 9g Hb. Spirodelae Fu Ping + 9g Rx. Scutellariae Huang Qin
+ 9g Rx. Dioscoreae Shan Yao + 9g Hb. Spirodelae Fu Ping
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu + 9g Rx. Dioscoreae Shan Yao
+ 9g Rx. Polygoni Multiflori He Shou Wu + 9g Rz. Atractylodis Macrocephalae Bai Zhu
+ 9g Fr. Jujube Rubra Hong Zao + 9g Rx. Polygoni Multiflori He Shou Wu
+ Hb. Ephedrae Ma Huang + 9g Fr. Jujube Rubra Hong Zao
For urticaria:
 + Gypsum Fibrosum Shi Gao
+ Periostracum Cicadae Chan Tui
For urticaria with a Stomach ache and constipation:
+ Zaocys Wu Shao She
+ Bombyx Batryticatus Jiang Can + 9g Rx. Scutellariae Huang Qin
or
 + 9g Hb. Spirodelae Fu Ping
+ 9g Rx. Scutellariae Huang Qin + 9g Rx. Dioscoreae Shan Yao
+ 9g Hb. Spirodelae Fu Ping + 9g Rz. Atractylodis Macrocephalae Bai Zhu
+ 9g Rx. Dioscoreae Shan Yao
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu + 9g Rx. Polygoni Multiflori He Shou Wu
+ 9g Rx. Polygoni Multiflori He Shou Wu
+ 9g Fr. Jujube Rubra Hong Zao
Fr. Jujube Rubra Hong Zao + Rx. et Rz. Rhei Da Huang
or
For urticaria in weaker patients:
+ 6g Rx. Polygoni Multiflori He Shou Wu + 9g Rx. Scutellariae Huang Qin
+ 9g Hb. Spirodelae Fu Ping
+ 6g Hb. Schizonepetae Jing Jie + 9g Rx. Dioscoreae Shan Yao
+ 6g Rx. Saposhnikoviae Fang Feng + 9g Rz. Atractylodis Macrocephalae Bai Zhu
+ 9g Fr. Tribuli Bai Ji Li
+ 6g Rx. Astragali Huang Qi + 9g Rx. Polygoni Multiflori He Shou Wu
+ 3g Rx. Glycyrrhizae Gan Cao
+ 3g Fossilia Ossis Mastodi Long Gu + 9g Fr. Jujube Rubra Hong Zao
+ Fr. Kochiae Di Fu Zi
+ 3g Concha Ostreae Mu Li
For palpitations:
For severe palpitations:
 + 9g stir-fried Sm. Zizyphi Spinosae Chao Suan Zao Ren
+ 9g stir-fried Sm. Zizyphi Spinosae Chao Suan Zao Ren
+ 9g Arillus Longan Long Yan Rou
+ 9g Arillus Longan Long Yan Rou + 9g wine-fried Rx. Salviae Miltiorrhizae Jiu Chao Dan Shen
+ 9g wine-fried Rx. Salviae Miltiorrhizae Jiu Chao Dan Shen
+ 6g Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ 6g Rx. Glycyrrhizae Preparata Zhi Gan Cao
For palpitations with insomnia:
+ 12g calcined Fossilia Ossis Mastodi Duan Long Gu + 9g stir-fried Sm. Zizyphi Spinosae Chao Suan Zao Ren
+ 12g calcined Concha Ostreae Duan Mu Li + 9g Arillus Longan Long Yan Rou
+ 9g wine-fried Rx. Salviae Miltiorrhizae Jiu Chao Dan Shen
For palpitations with impaired memory:
+ 9g stir-fried Sm. Zizyphi Spinosae Chao Suan Zao Ren + 6g Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ 9g Arillus Longan Long Yan Rou + 12g Caulis Polygoni Multiflori Ye Jiao Teng
+ 9g wine-fried Rx. Salviae Miltiorrhizae Jiu Chao Dan Shen
+ 9g Sm. Platycladi Bai Zi Ren
+ 6g Rx. Glycyrrhizae Preparata Zhi Gan Cao
For hypomenorrhea:
+ Rx. Pseudostellariae Tai Zi Shen
+ 6g Rz. Acori Tatarinowii Shi Chang Pu + Fr. Lycii Gou Qi Zi
+ Rx. Codonopsis Dang Shen
+ 12g Caulis Polygoni Multiflori Ye Jiao Teng + Colla Corii Asini E Jiao
+ Rz. Atractylodis Macrocephalae Bai Zhu
For luteal phase defect (administer during phase 3 only):
For luteal phase defect with Kidney Yang Deficiency (administer during phase 3 only):
+ Rx. Paeoniae Rubra Chi Shao
+ Rx. Rehmanniae Sheng Di Huang + Rx. Paeoniae Rubra Chi Shao
For luteal phase defect with Kidney Yin Deficiency (administer during phase 3 only):
 + Rx. Rehmanniae Sheng Di Huang
+ 1 or 2 of the following:
+ Rx. Paeoniae Rubra Chi Shao Sm. Cuscutae Tu Si Zi
+ Rx. Rehmanniae Sheng Di Huang Rz. Curculiginis Xian Mao
+ 1 or 2 of the following:
 Fluoritum Zi Shi Ying
Fr. Ligustri Lucidi Nu Zhen Zi Hb. Epimedii Yin Yang Huo
Fr. Schisandrae Wu Wei Zi Fr. Rubi Fu Pen Zi
Fr. Lycii Gou Qi Zi
For postpartum abdominal pain:
Rx. Scrophulariae Xuan Shen + Quick-fried Rz. Zingiberis Pao Jiang
Rx. Ophiopogonis Mai Men Dong
For lochioschesis with weakness due to strain and overwork:
 + Rx. Codonopsis Dang Shen
+ Quick-fried Rz. Zingiberis Pau Jiang + Rx. Rehmanniae Preparata Shu Di Huang
For low back pain during menstruation due to Blood Deficiency:
For low back pain during menstruation due to Blood Deficiency with Kidney and Liver Yin Deficiency:
+ 9g wine-fried Rx. Dipsaci Jiu Zhi Xu Duan
+ 9g wine-fried Rx. Dipsaci Jiu Zhi Xu Duan
+ 9g Cx. Eucommiae Du Zhong
For low back pain during menstruation due to Blood Deficiency with Qi Deficiency:
 + 9g Cx. Eucommiae Du Zhong
+ 9g wine-fried Rx. Dipsaci Jiu Zhi Xu Duan + 12g Hb. Taxilli Sang Ji Sheng
+ 9g Rx. Achyranthis Bidentatae Niu Xi
+ 9g Cx. Eucommiae Du Zhong
+ 15g Rx. Astragali Huang Qi
For low back pain during menstruation due to Blood Deficiency with Stomach Qi Stagnation:
+ 9g Rx. Codonopsis Dang Shen + 9g wine-fried Rx. Dipsaci Jiu Zhi Xu Duan
For low back pain during menstruation due to Blood Deficiency with Blood Stasis:
+ 9g Cx. Eucommiae Du Zhong
+ 9g wine-fried Rx. Dipsaci Jiu Zhi Xu Duan + 9g Fr. Amomi Sha Ren
+ 9g Rx. Aucklandiae Mu Xiang
+ 9g Cx. Eucommiae Du Zhong
For early menstruation due to Qi not governing the Blood:
+ 9g Flos Carthami Hong Hua
+ ,9g Sm. Persicae Tao Ren + Rx. Codonopsis Dang Shen
For metrorrhagia due to Blood Stagnation with Blood Deficiency:
+ Rz. Atractylodis Macrocephalae Bai Zhu
+ Excrementum Trogopterori Wu Ling Zhi + Rx. Astragali Huang Qi
+ Fr. Schisandrae Wu Wei Zi
+ Pollen Typhae Pu Huang + Per. Citri Reticulatae Chen Pi
+ Rx. Notoginseng San Qi
For metrorrhagia due to Qi and Blood Stagnation with abdominal fullness and pain:
+ Endoconcha Sepiae Hai Piao Xiao
+ Wine or Vinegar   + Excrementum Trogopterori Wu Ling Zhi
For metrorrhagia due to Blood Stagnation with unstoppable bleeding:
+ Pollen Typhae Pu Huang
- Rx. Angelicae Sinensis Dang Gui + Rx. Notoginseng San Qi
- Rz. Chuanxiong Chuan Xiong + Endoconcha Sepiae Hai Piao Xiao
+ Excrementum Trogopterori Wu Ling Zhi + Wine or Vinegar  
+ Fr. Toosendan Chuan Lian Zi
+ Pollen Typhae Pu Huang + Rz. Cyperi Xiang Fu
+ Rx. Notoginseng San Qi
For metrorrhagia due to Blood Stagnation with prolonged bleeding:
+ Endoconcha Sepiae Hai Piao Xiao
+ Wine or Vinegar   + Excrementum Trogopterori Wu Ling Zhi
+ Rx. Codonopsis Dang Shen
+ Hb. Agrimoniae Xian He Cao + Pollen Typhae Pu Huang
+ Hb. Leonuri Yi Mu Cao + Rx. Notoginseng San Qi
For metrorrhagia due to Blood Stagnation and Heat with a dry mouth, a bitter taste and heavy, bright red bleeding:
+ Endoconcha Sepiae Hai Piao Xiao
+ Wine or Vinegar  
+ Sm. Persicae Tao Ren
+ Excrementum Trogopterori Wu Ling Zhi + charred Rx. et Rz. Rhei Da Huang Tan
+ Hb. Leonuri Yi Mu Cao
+ Pollen Typhae Pu Huang + Rx. Aucklandiae Mu Xiang
+ Rx. Notoginseng San Qi + Rz. Dryopteris Guan Zhong
+ Endoconcha Sepiae Hai Piao Xiao
For insufficient lactation:
+ Wine or Vinegar   Sm. Vaccariae Wang Bu Liu Xing
+ Rx. Sanguisorbae Di Yu Caulis Akebiae Mu Tong
Rx. Rubiae Qian Cao Gen Rx. Trichosanthis Gua Lou Ren
+ Spica Prunellae Xia Ku Cao
For lupus erythematosus:
For lupus erythematosus with severe Qi Deficiency:
+ Great Tonify the Yin Pill
Da Bu Yin Wan
+ Great Tonify the Yin Pill
Da Bu Yin Wan
- Rx. Rehmanniae Preparata Shu Di Huang
- Rx. Rehmanniae Preparata Shu Di Huang
+ 20g Rx. Rehmanniae Sheng Di Huang
+ 20g Rx. Rehmanniae Sheng Di Huang + 30g Carapax Trionycis Bie Jia
+ 30g Carapax Trionycis Bie Jia
For lupus erythematosus with pronounced night sweats and/or spontaneous perspiration:
+ 20g Rx. Astragali Huang Qi
+ 9g Rx. Quinquifolii Xi Yang Shen
+ Great Tonify the Yin Pill
Da Bu Yin Wan
For lupus erythematosus with Qi Deficiency and a poor appetite:
- Rx. Rehmanniae Preparata Shu Di Huang
+ Great Tonify the Yin Pill
Da Bu Yin Wan
 + 20g Rx. Rehmanniae Sheng Di Huang
+ 30g Carapax Trionycis Bie Jia
- Rx. Rehmanniae Preparata Shu Di Huang + 9g Fossilia Ossis Mastodi Long Gu
+ 20g Rx. Rehmanniae Sheng Di Huang + 9g Concha Ostreae Mu Li
+ 30g Carapax Trionycis Bie Jia
For lupus erythematosus with marked tidal fever and Five-Sole-Heat:
+ 20g Rz. Dioscoreae Shan Yao
+ 20g Poria Fu Ling
+ Great Tonify the Yin Pill
Da Bu Yin Wan
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu
- Rx. Rehmanniae Preparata Shu Di Huang
For lupus erythematosus with Blood Stagnation featuring marked skin lesions:
+ 20g Rx. Rehmanniae Sheng Di Huang
+ Great Tonify the Yin Pill
Da Bu Yin Wan
 + 30g Carapax Trionycis Bie Jia
+ 20g Rz. Dioscoreae Shan Yao
- Rx. Rehmanniae Preparata Shu Di Huang + 20g Poria Fu Ling
+ 9g Cx. Moutan Mu Dan Pi
+ 20g Rx. Rehmanniae Sheng Di Huang + 9g Fr. Corni Shan Zhu Yu
+ 30g Carapax Trionycis Bie Jia + 9g Rz. Alismatis Ze Xie
+ 9g Sm. Persicae Tao Ren
or
+ 9g Flos Carthami Hong Hua
+ Great Tonify the Yin Pill
Da Bu Yin Wan
+ 15g Rx. Salviae Miltiorrhizae Dan Shen
- Rx. Rehmanniae Preparata Shu Di Huang
+ 15g Rx. Paeoniae Rubra Chi Shao
+ 20g Rx. Rehmanniae Sheng Di Huang
+ 20g Rz. Imperatae Bai Mao Gen + 30g Carapax Trionycis Bie Jia
For lupus erythematosus with marked Kidney Yin Deficiency featuring low back pain and knee pain and weakness, dizziness and tinnitus:
+ 9-15g Cx. Lycii Di Gu Pi
+ 9-15g Rx. Scrophulariae Xuan Shen
+ Great Tonify the Yin Pill
Da Bu Yin Wan
+ 9-15g Rx. Trichosanthis Tian Hua Fen
- Rx. Rehmanniae Preparata Shu Di Huang
+ 9-15g Hb. Artemisiae Annuae Qing Hao
+ 20g Rx. Rehmanniae Sheng Di Huang + 15g Nodus Nelumbo Rhizomatis Ou Jie
+ 30g Carapax Trionycis Bie Jia
+ 9g Fr. Lycii Gou Qi Zi
For panarthralgia due to Blood Deficiency with Blood Stagnation:
+ 9g Sm. Cuscutae Tu Si Zi
+ 9g Fr. Rubi Fu Pen Zi - Rx. Rehmanniae Preparata Shu Di Huang
+ Hb. Cistanches Rou Cong Rong
+ 9g Rx. Achyranthis Bidentatae Niu Xi + Rx. Rehmanniae Sheng Di Huang
+ Sm. Persicae Tao Ren
+ 9g Rx. Polygoni Multiflori He Shou Wu + Rx. Achyranthis Bidentatae Niu Xi
For panarthralgia due to Blood Deficiency with Blood Stagnation and pain in the upper body:
 + Per. Citri Reticulatae Chen Pi
+ Poria Fu Ling
- Rx. Rehmanniae Preparata Shu Di Huang + Rx. Angelicae Dahuricae Bai Zhi
+ Rx. Rehmanniae Sheng Di Huang + Rx. Gentianae Long Dan Cao
+ Sm. Persicae Tao Ren
For panarthralgia due to Blood Deficiency with Blood Stagnation and pain in the lower body:
+ Rx. Achyranthis Bidentatae Niu Xi
- Rx. Rehmanniae Preparata Shu Di Huang
+ Per. Citri Reticulatae Chen Pi
+ Poria Fu Ling + Rx. Rehmanniae Sheng Di Huang
+ Rx. Angelicae Dahuricae Bai Zhi + Sm. Persicae Tao Ren
+ Rx. Achyranthis Bidentatae Niu Xi
+ Rx. Gentianae Long Dan Cao
+ Rz. et Rx. Notopterygii Qiang Huo + Per. Citri Reticulatae Chen Pi
+ Ram. Cinnamomi Gui Zhi + Poria Fu Ling
+ Rx. Clematidis Wei Ling Xian + Rx. Angelicae Dahuricae Bai Zhi
For panarthralgia due to Blood Deficiency with Blood Stagnation and Phlegm:
+ Rx. Gentianae Long Dan Cao
- Rx. Rehmanniae Preparata Shu Di Huang + Rx. Achyranthis Bidentatae Niu Xi
+ Rx. Rehmanniae Sheng Di Huang + Rx. Aristolochiae Fangji Guang Fang Ji
+ Sm. Persicae Tao Ren
+ Rx. Achyranthis Bidentatae Niu Xi + Caulis Akebiae Mu Tong
+ Cx. Phellodendri Huang Bai
+ Per. Citri Reticulatae Chen Pi
For vaginitis due to parasites with swelling and pain:
+ Poria Fu Ling
+ Rx. Angelicae Dahuricae Bai Zhi + Rx. Bupleuri Chai Hu
+ Rx. Gentianae Long Dan Cao
+ Rx. Gentianae Long Dan Cao + Fr. Gardeniae Zhi Zi
+ Arisaemae cum Bile Dan Nan Xing
For a headache due to Blood Deficiency:
+ Rz. Pinelliae Preparatum Zhi Ban Xia + 10g Fr. Viticis Man Jing Zi
+ 10g Flos Chrysanthemi Ju Hua
+ Rz. Zingiberis Recens Sheng Jiang
For a headache and dizziness due to Blood Deficiency:
For a headache with palpitations due to Blood Deficiency:
+ 10g Fr. Viticis Man Jing Zi + 10g Fr. Viticis Man Jing Zi
+ 10g Flos Chrysanthemi Ju Hua + 10g Flos Chrysanthemi Ju Hua
+ 10g Rz. Gastrodiae Tian Ma + 10g Rx. Salviae Miltiorrhizae Dan Shen
+ 10g Ram. cum Uncis Uncariae Gou Teng
For a headache due to Blood Deficiency with a poor appetite:
For a headache and insomnia due to Blood Deficiency:
 + 10g Fr. Viticis Man Jing Zi
+ 10g Fr. Viticis Man Jing Zi + 10g Flos Chrysanthemi Ju Hua
+ 10g Flos Chrysanthemi Ju Hua
+ 10g Per. Citri Reticulatae Chen Pi
+ 10g Sm. Zizyphi Spinosae Suan Zao Ren
+ 10g Fr. Crataegi Shan Zha
+ 10g Fr. Schisandrae Wu Wei Zi
For a headache and dry stools due to Blood Deficiency:
    + 10g Fr. Viticis Man Jing Zi
    + 10g Flos Chrysanthemi Ju Hua
   
    + 10g Rx. Scrophulariae Xuan Shen
    + 10g Rx. Polygoni Multiflori He Shou Wu