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Yibian
 Shen Yaozi 
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Fang nameBlood House Stasis-Expelling Decoction
sourceYilin Gaicuo
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[Preparation method and dosage]

Chinese Angelica (Radix Angelicae Sinensis) 9gm
Unprocessed Rehmannia RootYellow (Radix Rehmanniae Recens) 9gm
Peach Kernel (Semen Persicae) 12gm
Carthamus (Flos Carthami) 6gm
Submature Bitter Orange (Fructus Aurantii Immaturus) 6gm
Red Peony Root (Radix Paeoniae Rubra) 6gm
Bupleurum (Radix Bupleuri) 3gm
Liquorice Root (Radix Glycyrrhizae) 3gm
Platycodon Root (Radix Platycodonis) 5gm
Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 5gm
Achyranthes Root (Radix Achyranthis Bidentatae) 9gm

[Efficacy]

invigorating blood and resolving stasis, moving qi to relieve pain.

[Indications]

Blood stasis in the chest, chest pain or headache caused by poor blood circulation, which does not heal over time, the pain is like a pinprick but is localized, or hiccup persists for a long time, or internal heat and depression, palpitation insomnia, irritability and anger, and gradually heat up in the evening , tongue texture is dark red, there are petechiae on the edges of the tongue or petechiae on the tongue surface, dark lips or dark eyes, and astringent or tight pulse.

[Prescription]

This formula is originally used to treat blood stasis in the chest, poor qi movement, chest pain, and depression. Static blood is internally blocked in the chest, so it is chest pain, palpitation insomnia; blood stasis blocks the clear yang and does not rise, so it is headache (no exterior pathogen, no internal syndrome, no qi deficiency and phlegm-fluid retention, etc.); stasis in the stomach When heat rushes up, or there is blood stasis blockage in the esophagus or epiglottis, it is hiccup, retching or fluid retention; water is irritation; qi depression is uncomfortable, it is irritable and angry, and the symptoms of the face, lips, tongue, and pulse are all Symptoms of stasis.

Predecessors believed that this disease was caused by blood stasis and yang qi being suppressed. Therefore, this prescription adopts the method of promoting yang and resolving depression, invigorating blood and resolving stasis to open the chest and relieve pain. The whole formula is based on Peach Kernel, Carthamus and Four-Ingredient Decoction and Cold-Limbs Powder ( Submature Bitter Orange Easy to Immature Orange Fruit), plus Platycodon Root, Twotooth Achyranthes Root. Peach Kernel, Carthamus and Four-Ingredient Decoction invigorating blood and resolving stasis; Cold-Limbs Powder soothing liver and relieving depression; add Platycodon Root Opens the chest and diaphragm Qi, used together with Submature Bitter Orange and Bupleurum, especially good at opening the chest and dispersing stagnation; Twotooth Achyranthes Root Cause static blood to flow downward, rising and falling, making it easier for Qi and blood to circulate.

This prescription not only relieves stasis in the blood aspect, but also relieves stagnation in the qi aspect, activates blood circulation without consuming blood, removes blood stasis and promotes new growth. When combined into a formula, it is not only suitable for the above-mentioned diseases caused by blood stasis, but also can As a general remedy for all qi stagnation and blood stasis.

[Key points of syndrome differentiation]

  1. Chest pain or headache such as pinpricks.
  2. The pain remains.
  3. Lip purple tongue dark.
  4. Pulse stringy and astringent.

[Addition and subtraction]

  1. blood stasis, menstrual pain, amenorrhea: remove Platycodon Root and add Cyperus, Shiny Bugleweed, motherwort herb.
  2. palpitation, insomnia: add Poria with Pine, Schisandra Fruit, Sour Jujube.
  3. Purple tongue and astringent pulse: Add Salvia and Sanqi.
  4. If there is a lump under the flank: add Curcuma Root, Salvia, green tangerine peel.
  5. For thirsty mouth: add Snakegourd Root, Scrophularia Root.
  6. fever: Add Single Flower, Forsythia.
  7. dark urine: add Coptis Rhizome, Grassroot.
  8. Large constipation knot: add Rhubarb Rhizoma, Sodium Sulfate.

[Attention to taboos]

  1. It should not be used without static blood, internal obstruction and other pain syndromes.
  2. Contraindicated for pregnant women.

[Modern application]

This prescription anticoagulates, dilates blood vessels, improves blood circulation, relieves spasms, analgesics, and calms. Used for arrhythmia, chronic coronary stirred pulse disease, hypertension, hyperlipidemia, cardiac colicky pain, stirred pulse sclerosis, gastritis, liver cirrhosis, chronic hepatitis, trigeminal neuralgia, headache vertigo, migraine, alopecia areata, schizophrenia, sterility, amenorrhea, hypermenorrhea, epilepsy, retinal membrane lesions, phlebitis, and hemorrhage disorders.

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