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Yibian
 Shen Yaozi 
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This product is the root and rhizome of the perennial herb Salvia (Salvia miltiorrhiza Bge.) from the Lamiaceae family. It is widely distributed across most regions of the country, primarily produced in Jiangsu, Anhui, Hebei, and Sichuan. It is harvested in spring and autumn, washed, and dried in the sun. It is used in its raw form or processed with wine.

bubble_chart Properties and Meridians

Bitter, slightly cold. act on heart and liver channels.

bubble_chart Efficacy

Invigorating blood to regulate menstruation, cooling blood to eliminate abscesses, and calming the mind.

bubble_chart Indications

  1. Used for women's menstrual irregularities, dysmenorrhea, amenorrhea, and postpartum stagnation abdominal pain. This product functions by invigorating blood and resolving stasis, effectively regulating women's Jingshui, making it an essential medicine in gynecology. The "Furen Mingli Lun" states, "A single Salvia powder has the same efficacy as the Four Ingredients Decoction." It can be taken alone as a powder mixed with wine; it is also often combined with Chinese Angelica, Sichuan Lovage Rhizome, motherwort herb, and others to enhance its therapeutic effects. In modern clinical practice, it is often used as the main treatment for ectopic pregnancy: in the acute phase with massive intra-abdominal bleeding, it is combined with Red Peony Root and Peach Kernel; in the chronic phase where the blood has coagulated into a mass, it is further combined with Sparganium Rhizome and Zedoary Rhizome.
  2. Used for blood stasis causing chest and abdominal pain, abdominal mass, and wind-dampness arthralgia. This product is a key medicine for invigorating blood and resolving stasis, widely used for various stasis pattern. For chest impediment and abdominal pain, it is often combined with sandalwood, Villous Amomum Fruit, and others, such as in the Salvia Decoction from "Yixue Jinzhen." Clinically, for coronary heart disease with colicky pain, it is often combined with Rosewood, Sichuan Lovage Rhizome, Carthamus, and others, or used alone, such as in the form of Salvia Shuguan tablets made from its extract. For abdominal mass, it is often combined with Sparganium Rhizome and Zedoary Rhizome to remove stasis and dissolve masses. For wind-dampness arthralgia, it is combined with Saposhnikovia Root, Gentian, and other wind-damp-dispelling medicinals.
  3. Used for sores and ulcers, abscesses, and swelling. This product has a cold nature, cooling blood, and also invigorates blood, clearing stasis heat to reduce abscesses and swelling. It is often combined with Lonicera, Forsythia, and other heat-removing toxin medicinals.
  4. Used for febrile disease dysphoria, unconsciousness, and miscellaneous diseases with palpitation and insomnia. This product can cool blood and calm the mind, treating febrile disease where pathogenic factors enter the heart, combined with Unprocessed Rehmannia Root, Coptis Rhizome, Bamboo Leaf; for miscellaneous diseases where blood does not nourish the heart and heart fire is excessive, causing palpitation and insomnia, it is combined with Unprocessed Rehmannia Root, Sour Jujube, Platycladi Seed, and others.
  5. In modern clinical practice, it is also used to treat ischemic apoplexy, atherosclerosis, viral myocarditis, chronic hepatitis, cirrhosis, and for the prevention and treatment of bronchial asthma, chronic lung heart disease, and others, with certain efficacy.

bubble_chart Documentation

  1. Benjing: "Regulates pathogenic qi in the heart and abdomen... breaks up masses and removes obstructions, relieves irritability and fullness."
  2. Rihuazi Bencao: "Nourishes the spirit and stabilizes the will, promotes the flow of meridians. Treats cold and heat fatigue, joint pain, and paralysis of the limbs. Expels pus and relieves pain, promotes tissue regeneration and muscle growth... stops menorrhagia and leukorrhea, regulates irregular menstruation, blood-related irritability, malignant sores, scabies, and erysipelas."
  3. Zhongqingtang Suibi: "Salvia, descends and promotes blood circulation, suitable for those with stagnant blood heat, hence it is an essential medicine for regulating menstruation and postpartum conditions."

bubble_chart Usage and Dosage

Decoct and take 5-15g. For invigorating blood and resolving stasis, it is advisable to use after wine processing.

bubble_chart Cautions and Contraindications

Anti false hellebore.

bubble_chart Modern Pharmacology

This product contains fat-soluble non-quinone components: Salvia ketone I, IIA, IIIB, hidden Salvia ketone, dihydro Salvia ketone, etc.; water-soluble components: proto Black Catechu aldehyde, proto Black Catechu acid, Salvia element, vitamin E, etc.

  1. Salvia can dilate the coronary stirred pulse, increase coronary flow, improve myocardial ischemia, infarction, and cardiac function, regulate heart rhythm, and dilate peripheral blood vessels, improving microcirculation;
  2. it has anticoagulant, promotes fibrinolysis, inhibits platelet aggregation, and inhibits thrombus formation;
  3. it can lower blood lipids, inhibit the formation of experimental coronary large branch atherosclerotic patches in rabbits;
  4. it can inhibit or reduce hepatocyte degeneration, necrosis, and inflammatory reactions, promote hepatocyte regeneration, and has anti-fibrotic effects;
  5. it can enhance the body's hypoxia tolerance;
  6. it can promote tissue repair, accelerate fracture healing, shorten the stage of convalescence of red blood cells and hemoglobin, and increase reticulocytes;
  7. it has inhibitory effects on various bacteria and subcutaneous node bacilli.
  8. It has a central nervous system inhibitory effect.
  9. It also enhances immunity, lowers blood sugar, and has anti-tumor effects.

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