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Yibian
 Shen Yaozi 
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formula nameInfradiaphragmatic Stasis-Expelling Decoction
sourceYilin Gaicuo
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bubble_chart Preparation and Dosage

Trogopterus Dung (Faeces Trogopterori) 6gm
Chinese Angelica (Radix Angelicae Sinensis) 9gm
Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 6gm
Peach Kernel (Semen Persicae) 9gm
Peony Bark (Cortex Moutan Radicis) 6gm
Red Peony Root (Radix Paeoniae Rubra) 6gm
Lindera (Radix Linderae) 6gm
Corydalis Tuber (Rhizoma Corydalis) 3gm
Liquorice Root (Radix Glycyrrhizae) 9gm
Cyperus (Rhizoma Cyperi) 5gm
Carthamus (Flos Carthami) 9gm
Submature Bitter Orange (Fructus Aurantii Immaturus) 5gm

bubble_chart Efficacy

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

bubble_chart Indications

Blood stasis below the diaphragm forms lumps, or children experience stuffiness below the diaphragm, abdominal pain with a fixed location, or a sensation of something heavy in the abdomen when lying down. The tongue may show a purplish hue, purpura, or purple spots, and the pulse is choppy.

bubble_chart Formula Principles

This formula is suitable for those with blood stasis below the diaphragm, liver depression qi stagnation, distending pain in the hypochondrium and abdomen, or the presence of masses and lumps. In the formula, Chinese Angelica, Red Peony Root, Sichuan Lovage Rhizome tonify blood and invigorate blood circulation; Peach Kernel, Carthamus break blood stasis and promote blood circulation to eliminate stagnation and disperse masses. The combination of blood-tonifying and blood-activating herbs ensures that stasis is removed without harming the body's vital energy. Peony Bark cools blood and activates blood circulation; Lindera, moves qi and dissipates cold to relieve pain; Trogopterus Dung invigorates blood and resolves stasis to alleviate pain; Cyperus, Corydalis Tuber, move qi to eliminate stagnation and relieve pain; Submature Bitter Orange, Liquorice Root strengthen the spleen and harmonize the middle, while preventing qi-regulating medicinals from excessively depleting qi. The combination of these herbs achieves the effects of invigorating blood, removing stagnation, dispersing masses, and relieving pain.

bubble_chart Syndrome Differentiation

  1. There is a mass or distending pain below the diaphragm or in the abdomen.
  2. Stabbing pain that does not move.
  3. The tongue has purpura.
  4. The pulse is choppy.

bubble_chart Formula Modification

  1. Major constipation: Add Rhubarb Rhizoma or combine with Hemp Seed Pill.
  2. With blood deficiency: Add Peony Root, Salvia.
  3. Menstrual pain: Add motherwort herb, Salvia.
  4. Liver and spleen swelling and hardness: Add Bupleurum, Salvia.

bubble_chart Cautions and Contraindications

Avoid use in those with weak constitution and no blood stasis, as well as pregnant women.

bubble_chart Modern Application

This formula has anticoagulant, vasodilatory, smooth muscle spasm-relieving, analgesic, and anti-inflammatory effects. It is used for chronic hepatitis, liver cancer, hepatosplenomegaly, liver cirrhosis, intestinal cancer, chronic leukemia, ectopic pregnancy, chronic pelvic inflammation, adhesive pleuritis, peritonitis, chronic pancreatitis, infertility, dysmenorrhea, menstrual irregularities, and contusions.

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