HERB FORMULAS

SI WU TANG JIA WEI - 四物汤加味 - MODIFIED FOUR SUBSTANCES DECOCTION

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

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Rehmanniae Sheng Di Huang 24g Clears Heat, cools the Blood, Nourishes Yin and generates fluids.
Rx. Paeoniae Rubra Chi Shao 15g Clears Heat, cools the Blood, invigorates the Blood, dispels Blood Stasis and relieves pain.
With Dang Gui, for Blood-Stasis induced gynecological disorders such as immobile abdominal masses and amenorrhea with abdominal pain.
Rx. Angelicae Sinensis Dang Gui 15g Nourishes and activates Blood, regulates Liver and Kidneys, regulates menses and alleviates pain.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis to treat abdominal pain.
Rx. Ligustici Chuan Xiong 6g Invigorates Blood, moves Qi, releases Stagnation and alleviates pain.
 With Dang Gui, for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses and amenorrhea.
Fr. Xanthii Cang Er Zi 9g Disperses Wind and Dampness and opens nasal passages.
With Xin Yi, for blocked nose due to Wind-Cold.
Flos Magnoliae Xin Yi 9g Expels Wind-Cold and unblocks the nasal passages.
With Cang Er Zi, strongly unblocks nasal obstruction and sinus headache due to Wind-Cold or Wind-Heat for sinusitis and rhinitis with loss of smell.
Radix Cynanchi Paniculate Xu Chang Qing 30g Removes Wind and Dampness, invigorates the Blood and stops pain.

FORMULA ACTIONS

  • Nourishes the Blood
  • Cools the Blood
  • Clears Heat
  • Regulates the Liver
  • Improves Blood circulation
  • Diffuses the Lungs
  • Opens the Portals
  • Dispels Evils

SYNDROMES

  • Liver Blood Deficiency
  • Liver Blood Stagnation due to Blood Deficiency

CLINICAL MANIFESTATIONS

  • Itchy nose, mouth, eyes, throat, skin, or any area
  • Problems with smell
  • Runny nose
  • Sneezing
  • Tearing eyes
  • Stuffy nose (nasal congestion)
  • Coughing
  • Clogged ears and decreased sense of smell
  • Sore throat
  • Dark circles under the eyes
  • Puffiness under the eyes
  • Fatigue and irritability
  • Headache
  • Memory problems and slowed thinking
  • 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

NOTES

MODIFICATIONS

For headache: For Wind-Cold:
+ Rx. Angelicae Dahuricae Bai Zhi
+ Jade Windscreen
Yu Ping Feng San
+ Flos Chrysanthemi