HERB FORMULAS

ZHU YU TANG - 逐瘀湯 - DRIVE OUT BLOOD STASIS DECOCTION

English: Drive out Blood Stasis Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Sm. Persicae Tao Ren 4-10g Breaks up Blood Stasis and invigorates Blood circulation.
With Hong Hua, invigorates the Blood for all types of Blood Stagnation.
Flos Carthami Hong Hua 3-10g Invigorates the Blood, dispels Blood Stasis, opens the channels, unblocks menstruation and alleviates pain.
With Chuan Xiong, for chest and abdominal pain due to Qi and Blood Stasis.
With San Leng and E Zhu, for abdominal masses and accumulations.
Rz. Sparganii San Leng 3-10g Forcefully breaks up Blood Stasis, regulates Qi and alleviates pain.
With E Zhu, for Qi and Blood Stagnation with clumping and accumulation.
Rz. Curcumae E Zhu 3-10g Invigorates Blood circulation, dispels Blood Stasis regulates Qi and alleviates pain.
With Qing Pi, for stagnant Qi with chest and abdominal fullness and pain.
Rz. Chuanxiong Chuan Xiong 3-10g Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain.
With Xiang Fu, for Qi Stagnation combined with Blood Stasis.
With Dang Gui, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
With Dang Gui, Tao Ren and Hong Hua, for abdominal pain accompanying menstruation, pain due to trauma and headache from Blood Stagnation.
Rx. Salviae Miltiorrhizae Dan Shen 3-15g Invigorates the Blood, dispels Blood Stasis, clears Heat, soothes irritability and cools the Blood.
Rx. Angelicae Sinensis Dang Gui 3-15g Tonifies, invigorates and harmonizes the Blood, disperses Cold, stops pain due to Blood Stasis, regulates the menses, reduces swelling, expels pus, generates flesh and alleviates pain.
With Tao Ren and Hong Hua, for amenorrhea, pain, swelling and other symptoms associated with Blood Stasis.
With Bai Shao, for Blood Deficiency Heat.
Rx. Paeoniae Alba Bai Shao 5-30g Nourishes the Blood, regulates menstruation, softens the Liver, calms Liver Yang and Liver Wind and alleviates pain.
With Gan Cao, regulates the relationship between the Liver and Spleen and nourishes the sinews.
With Dang Gui, nourishes Yin and Blood.
With Xiang Fu and Yan Hu Suo, for dysmenorrhea.
With Gan Cao, moderates spasms and relieves abdominal pain.
With Xiang Fu, tonifies the Blood and moves Qi.
Poria Fu Ling 9-18g Promotes urination, leaches out Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
With Gui Zhi, warms and transforms fluids, unblocks Yang and promotes urination.
Catechu Er Cha 1-3g Drains Dampness, absorbs suppuration, stops bleeding, generates flesh, clears Heat, clears the Lungs, transforms Phlegm, generates fluids and stops diarrhea.
Caulis Spatholobi Ji Xue Teng 9-20g Invigorates and tonifies the Blood, invigorates the channels and relaxes the sinews.
With Dang Gui, Chuan Xiong and Bai Shao, for menstrual disorders.
Sanguis Draconis Xue Jie 0.3-0.6g Invigorates the Blood, dispels Blood Stasis and alleviates pain.
Ram. Cinnamomi Gui Zhi 9-15g Releases the exterior, assists Yang, adjusts the Ying and Wei, releases the muscle layer, warms the channels and collaterals to relieve pain and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels.
With Bai Shao, warms and tonifies the Middle Jiao.
With Chuan Xiong, expels Wind-Dampness, warms the channels and collaterals, facilitates joint movement and relieves the discomfort of painful obstruction.
With Dan Shen, for palpitations and chest pain due to Heart Yang Deficiency and subsequent painful obstruction due to Blood Stasis blocking the channels.
With Tao Ren and Mu Dan Pi, for gynecological discomfort due to Blood Stasis.
With Tao Ren, Fu Ling and Mu Dan Pi, for amenorrhea and abdominal pain due to Cold Invasion and Blood Stasis.
With Dang Gui and Chuan Xiong, for irregular menstruation due to Yang Deficiency with Cold Stagnation.
Ram. Mori Sang Zhi 9-15g Dispels Wind-Dampness, unblocks the channels and collaterals, benefits the joints and stops spasms.
With Gui Zhi, for pain in the upper extremities.
Rz. Cimicifugae Sheng Ma 1.5-9g Releases the exterior, clears Heat and relieves toxicity.
Flos Caryophylli Ding Xiang 1-5g Warms the Middle Jiao, relieves pain, descends Qi, warms the Kidneys and assists Yang.
Rz. et Rx. Notopterygii Qiang Huo 3-10g Expels Wind-Cold-Dampness, unblocks painful obstruction, guides Qi to the Tai Yang and Du channels and alleviates pain.
With Chuan Xiong, for Headache and generalized body aches and pains associated with the common cold or painful obstruction.
Per Citri Reticulatae Viride Qing Pi 3-10g Spreads Liver Qi and breaks up Stagnant Qi.
With Xiang Fu, for pain and distention of the flanks due to Liver Qi Stagnation.
With San Leng and E Zhu, for masses where prolonged Qi Stagnation has led to Blood Stagnation.
Rz. Cyperi Xiang Fu 6-14g Spreads and regulates Liver Qi, regulates menstruation and alleviates pain.
With Dang Gui, tonifies the Blood and moves Qi, for premenstrual symptoms, menstrual pain and irregular menstruation.
With Dang Gui and Chuan Xiong, for irregular menstruation and dysmenorrhea due to Qi and Blood Stasis.
With Yan Hu Suo, treats everything from Liver Qi Stagnation to Deep Blood Stasis with pain anywhere in the body.
Rz. Alpiniae Officinarum Gao Liang Jiang 1.5-10g Warms the Middle Jiao and alleviates pain.
With Xiang Fu, for epigastric and hypochondriac pain due to Liver Qi Stagnation with Cold congealing in the Stomach.
Fr. Liquidamberis Lu Lu Tong 3-10g Promotes the movement of Qi, invigorates the Blood, opens the Middle Jiao, unblocks the channels, e Expels Wind and promotes water metabolism.
With Xiang Fu, for irregular, scanty periods.
Rx. Gentianae Macrophyllae Qin Jiao 3-12g Expels Wind-Dampness, opens the channels, soothes the sinews and collaterals and clears Deficiency Heat.
With Dang Gui and Bai Shao, for Blood Deficiency with hemiplegia, especially with excess muscle tension in the upper extremities.
With Bie Jia, vents the muscle layer and cools tidal fevers associated with consumption, especially Wind consumption with steaming bones.
Rz. Corydalis Yan Hu Suo 3-12g Invigorates the Blood, circulates Qi, stops pain and disperses extravasation.
With Xiang Fu and Dang Gui, for dysmenorrhea from Qi Stagnation and Blood Stasis.
With Chuan Xiong, for body aches and headaches due to Blood Stagnation.
With Gui Zhi and Dang Gui, for dysmenorrhea due to Cold in the Blood and generalized pain that is more intense in the extremities from Wind-Cold entering the collaterals.
With Dang Gui, Bai Shao, Chuan Xiong and Xiang Fu, for amenorrhea or menstrual pain due to Qi and Blood Stagnation.
Cx. Moutan Mu Dan Pi 6-12g Clears Heat, cools and harmonizes the Blood, clears Deficiency Fire, clears Liver Fire, invigorates the Blood and dispels Blood Stasis.
With Gui Zhi, for chest and abdominal pain due to Blood Stagnation.
Rx. Cyathulae Chuan Niu Xi 4.5-15g Invigorates the Blood, dispels Blood Stasis, unblocks the menses, expels Wind, drains Dampness, tonifies the Kidneys and Liver and strengthens the tendons and bones.
With Hong Hua, Tao Ren and Dang Gui, for gynecological disorders.
Sm. Nelumbinis Lian Zi 6-18g Tonifies the Spleen, astringes diarrhea,Tonifies the Kidneys and astringes Jing.
Fr. Jujube Da Zao 3-12G Tonifies the Spleen and Stomach, augments Qi, nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs.
Rx. Glycyrrhizae Gan Cao 3-6 Tonifies the Spleen, augments Qi, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Invigorates the Blood
  • Dispels Blood Stasis
  • Drains Dampness

SYNDROMES

  • Pain in the extremities due to Blood Stagnation

CLINICAL MANIFESTATIONS

  • Palpitations
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Abdominal pain
  • Irregular menstruation with little flow
  • Fixed lower abdominal pain
  • Vertigo
  • Muscle ache of the neck, back, legs and shoulder
  • Whole body pain
  • Shoulder pain
  • Elbow pain
  • Pain at the waist
  • Arm pain
  • Low back pain
  • Leg pain
  • Tinnitus
  • Pale lips
  • May be amenorrhea
  • Insomnia
  • Menstruation may also be accompanied by distention and pain
  • T: Pale or Purple
  • C: Normal
  • P: Thin and weak or Thin and choppy

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For Stomach cancer:
For Stomach cancer with vomiting:
+ 10g Pollen Typhae Pu Huang + 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 10g Faeces Trogopterori Wu Ling Zhi
+ 10g Caulis Bambusae in Taeniam Zhu Ru
+ 15g Rx. Paeoniae Rubra Chi Shao + 15g Abelmoschus Esculentus Qiu Kui
+ 15g Fr. Toosendan Chuan Lian Zi + 15g Calyx Kaki Ding Xiang
+ 9g Rx. Linderae Wu Yao + 6g Rz. Zingiberis Recens Sheng Jiang
+ 3g Rx. Notoginseng San Qi
+ 30g Hb. Agrimoniae Xian He Cao
For Stomach cancer with thirst:
+ 10g Endoconcha Sepiae Hai Piao Xiao + 15g Hb. Dendrobii Shi Hu
+ 10g Rz. Polygonati Huang Jing
+ 12g Cacumen Platycladi Ce Bai Ye + 15g Rx. Trichosanthis Tian Hua Fen
+ 10g Rx. Ophiopogonis Mai Men Dong
+ 9g Nidus Vespae Lu Feng Fang + 15g Rx. Adenophorae Nan Sha Shen
+ 6g Periostracum Serpentis She Tui + 6g Fr. Mume Wu Mei
+ 15g Fr. Schisandrae Wu Wei Zi
+ 6g Cutis Bufonis Chan Pi
For Stomach cancer with pain:
For Stomach cancer with hypersalivation:
+ 15g Rx. Bupleuri Chai Hu
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia + 6g Rx. Aucklandiae Mu Xiang
+ 10g Sm. Momordicae Mu Bie Zi
+ 3g Rz. Zingiberis Gan Jiang + 30g Hb. Chelidonii Bai Qu Cai
+ 10g Pumex Fu Shi
For Stomach cancer with dry stools:
+ Sm. Cannabis Huo Ma Ren
For Stomach cancer with abdominal distention:
+ 15g Sm. Pruni Yu Li Ren
+ 30g Per. Arecae Bing Lang + 6g Rx. et Rz. Rhei Da Huang
+ 10g Cx. Magnoliae Officinalis Hou Po + 6g Natrii Sulfas Mang Xiao
+ 30g Fr. Trichosanthis Gua Lou
+ 10g Fr. Aurantii Zhi Ke + 30g Hb. Cistanches Rou Cong Rong
+ 15g Sm. Carbonisatus Arecae Bing Lang Tan + 6g Rx. Rumicis Yang Ti
For Stomach cancer with hematochezia:
+ 15g Sm. Raphani Lai Fu Zi + 30g Hb. Agrimoniae Xian He Cao
For Stomach cancer with loose stools:
+ 3g Rx. Notoginseng San Qi
+ Sm. Coicis Preparata Zhi Yi Yi Ren + 10g Flos Sophorae Huai Hua Mi
+ 12g Rz. Atractylodis Macrocephalae Bai Zhu + 10g Petiolus Carbon-isatus Trachycarpi Zong Lu Pi Tan
+ 12g Rz. Atractylodis Cang Zhu
For Stomach cancer with anemia:
+ 10g Catechu Er Cha + Caulis Spatholobi Ji Xue Teng
+ 10g Rz. Dioscoreae Shan Yao + Colla Corii Asini E Jiao
+ 10g Fr. Chebulae He Zi + Hb. seu Rx. Sedum Aizoom Jing Tian San Qi
For Stomach cancer with hematemesis:
+ 2g Chinese patent medicine
Yunnan Bai Yao
 + Placenta Hominis Zi He Che
+ 3g Rx. Notoginseng San Qi    
+ 30g Hb. Agrimoniae Xian He Cao    
+ 12g Crinis Carbonisatus Xue Yu Tan    
   
   
+ 30g Nodus Nelumbo Rhizomatis Ou Jie
   
+ 15g Hb. Ecliptae Mo Han Lian