HERB FORMULAS

XIAO YU TANG - 消郁汤 - ELIMINATE BLOOD STASIS DECOCTION

English: Eliminate Blood Stasis Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Carapax Trionycis Bie Jia 12g Nourishes Yin and anchors Yang Invigorates the Blood, softens hardness.
Concha Ostreae Mu Li 12g Calms the Liver, benefits Yin and anchors Floating Yang.
Rx. Ginseng Ren Shen 9g Powerfully tonifies Yuan Qi and tonifies Spleen and Stomach Qi.
Rx. Bupleuri Chai Hu 9g Spreads Liver Qi, relieves Stagnation and raises Yang Qi.
With Zhi Ke, for a stifling sensation in the chest, abdominal pain, poor appetite and irregular bowel movements.
With Qing Pi, for intercostal pain due to Qi obstruction in the Liver channel.
Per. Citri Reticulatae Viride Qing Pi 6g Spreads Liver Qi, breaks up Stagnant Qi, dissipates accumulations, reduces Food Stagnation, dries Dampness and transforms Phlegm.
With Chai Hu, restores the Qi circulation between the Upper and Lower Jiaos to treat long-term Qi Stagnation moving to Blood Stasis with fixed pain and occasional palpable lumps.
Fr. Aurantii Zhi Ke 6g Promotes the movement of Qi, reduces distention and pressure and removes stagnated food.
Rz. Curcumae E Zhu 6g Invigorates Blood circulation, dispels Blood Stasis, regulates Qi and alleviates pain.
With Qing Pi, for stagnant Qi with chest and abdominal fullness and pain.
Rx. Notoginseng San Qi 6g Invigorates the Blood, transforms Blood Stasis, reduces swelling and alleviates pain.
Endothelium Corneum Gigeriae Galli Ji Nei Jin 6g Strongly reduces Food Stagnation, improves the Spleen’s transportive function, astringes Jing and urine and stops enuresis.
With Bie Jia, for abdominal and sub costal distention.
Poria Fu Ling 12g Promotes urination, leaches out Dampness and strengthens the Spleen.
Rx. Paeoniae Rubra Chi Shao 12g Invigorates the Blood, dispels Blood Stasis, clears Heat, cools the Blood, relieves pain and reduces swelling.

FORMULA ACTIONS

  • Nourishes Yin
  • Anchors Yang
  • Invigorates the Blood
  • Breaks up Stasis
  • Eliminates Dampness

SYNDROMES

  • Liver and Kidney Yin Deficiency with Blood Stagnation

CLINICAL MANIFESTATIONS

  • A swollen, distended, hard abdomen
  • Obvious dilated, blue-green veins radiating out from the umbilicus
  • Hypochondriac and abdominal pain
  • Pain that is fixed, stabbing and /or severe
  • Pan is worse with pressure
  • Dark, ashen, sallow or purplish complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips and conjunctiva
  • Dark rings under the eyes
  • Purple nails
  • Palmar erythema
  • Dry, scaly skin
  • Blue, dark or purplish discoloration of skin in small or large areas
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • Black, tarry stools
  • T: Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For ascites: For ascites with afternoon fever:
+ Linking Decoction
Yi Guan Jian
+ Linking Decoction
Yi Guan Jian
- Rx. Ginseng Ren Shen - Rx. Ginseng Ren Shen
+ 12g Rx. Codonopsis Dang Shen + 12g Rx. Codonopsis Dang Shen
For ascites with very scanty urination: + 9g Rx. Stellariae Yin Chai Hu
+ Linking Decoction
Yi Guan Jian
 + 12g Cx. Lycii Di Gu Pi
For ascites with bleeding:
- Rx. Ginseng Ren Shen
+ Linking Decoction
Yi Guan Jian
+ 12g Rx. Codonopsis Dang Shen
+ 9g Polyporus Zhu Ling - Rx. Ginseng Ren Shen
+18g Rz. Imperatae Bai Mao Gen + 12g Rx. Codonopsis Dang Shen
+ 6g Medulla Tetrapanacis Tong Cao +12g Rx. Rubiae Qian Cao Gen
+ 9g Cx. Moutan Mu Dan Pi
    + 12g Hb. Agrimoniae Xian He Cao