bubble_chart Preparation and Dosage

bubble_chart Efficacy

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

bubble_chart Indications

Chest pain and headache caused by blood stasis and poor blood circulation in the chest, which persist for a long time without healing, with pain like needle pricks in a fixed location, or persistent hiccups, or internal heat causing restlessness, palpitations, insomnia, irritability, and a tendency to anger, with gradual fever in the evening, a dark red tongue texture, ecchymosis on the sides of the tongue or blood stasis spots on the tongue surface, dark lips or dark circles around the eyes, and a choppy or wiry and tight pulse.

bubble_chart Formula Principles

This formula was originally designed to treat blood stasis in the chest, obstructed qi movement, resulting in symptoms such as chest pain, restlessness, etc. Static blood obstructing the chest leads to chest pain, restlessness, palpitations, and insomnia; stasis obstructing the clear yang from rising causes headaches (without exterior pathogens, internal syndromes, qi deficiency, or phlegm-fluid retention); stomach stasis-heat surging upward, or blood stasis obstructing the esophagus or epiglottis results in hiccups, retching, or hiccups upon drinking water; qi depression causing irritability and frequent anger, with signs of stasis visible on the face, lips, tongue, and pulse.

Previous scholars believed this condition was caused by blood stasis and qi depression, with yang qi unable to disperse. Therefore, this formula adopts the method of raising yang to relieve depression, invigorating blood, and resolving stasis to open the chest and relieve pain. The entire formula combines Peach Kernel, Carthamus and Four-Ingredient Decoction with Cold-Limbs Powder (replacing Immature Orange Fruit with Submature Bitter Orange ), and adds Platycodon Root and Achyranthes Root . Peach Kernel, Carthamus and Four-Ingredient Decoction invigorates blood and resolves stasis; Cold-Limbs Powder soothes the liver and relieves depression; adding Platycodon Root to open the qi of the chest and diaphragm, used together with Submature Bitter Orange and Bupleurum , is particularly effective in opening the chest and dispersing stagnation; Achyranthes Root guides static blood downward, with one ascending and one descending, facilitating the smoother movement of qi and blood.

This formula not only addresses stasis in the blood aspect but also resolves depression in the qi aspect, invigorating blood without depleting it, and removing stasis while generating new blood. Combined into a formula, it is not only suitable for the aforementioned conditions caused by blood stasis but can also serve as a general treatment for all cases of qi stagnation and blood stasis.

bubble_chart Pattern Identification

1. Chest pain or headache like needle pricks.
2. The pain is fixed in location.
3. Purple lips and dark tongue.
4. Wiry and choppy pulse.

bubble_chart Formula Modification

1. blood stasis dysmenorrhea, 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, choppy pulse: add Salvia, Sanqi.
4. mass under the hypochondrium: add Curcuma Root, Salvia, green tangerine peel.
5. dry mouth and thirst: add smallpox powder, Scrophularia Root.
6. fever: add Lonicera, Forsythia.
7. dark urine: add Coptis Rhizome, cogongrass root.
8. severe constipation: add Rhubarb Rhizoma, Mirabilite.

bubble_chart Cautions and Contraindications

1. Not suitable for use in pain syndromes with static blood and internal resistance.
2. Contraindicated for pregnant women.

bubble_chart Modern Application

This formula has anticoagulant, vasodilatory, and blood circulation-improving effects, as well as antispasmodic, analgesic, and sedative properties. It is used for arrhythmia, chronic coronary artery disease, hypertension, hyperlipidemia, angina, arteriosclerosis, gastritis, cirrhosis, chronic hepatitis, trigeminal neuralgia, headache, vertigo, migraine, alopecia areata, schizophrenia, infertility, amenorrhea, hypermenorrhea, epilepsy, retinal disorders, phlebitis, and blood circulation disorders.