formula | Qian's Generation and Transformation Decoction Qian Shi Sheng Hua Tang |
bubble_chart Efficacy
Promote blood circulation to remove blood stasis and regenerate new tissue.
Postpartum lochia does not flow, with cold pain in the lower abdomen. The "Jingyue Quanshu" cites the Qian family's formula, which has been passed down through generations for treating women.
bubble_chart Formula Principles
The "Genealogy of the Qian Family" from Kuaiji states: It has been discussed that the postpartum condition is fundamentally due to blood deficiency, yin and yang exhaustion, and the impairment of qi. If heavily tonified, qi and blood may suddenly increase, but if improperly regulated, various pathogens can easily invade. The Four Substances Decoction avoids the cold nature of Peony Root, and benefits from the efficacy of ginger and peach. Qi should not be dissipated, and the method should include tonifying deficiency; food must support the spleen, not solely focus on digestion and elimination. Heat should not be treated with Scutellaria and Coptis, as it may cause stagnation of old impurities; cold should not be treated with cinnamon and aconite, as it may lead to new blood flow collapse. When the three yang meridians show many exterior pattern, it may seem appropriate to induce sweating, but using Ephedra would severely deplete yang. When the three yin meridians show severe interior syndromes, it may seem appropriate to purge, but using Chengqi Decoction would greatly deplete blood. Deafness and hypochondriac pain are due to kidney deficiency and lochia retention, so Bupleurum should not be used; delirious speech and excessive sweating are signs of weak yuan resembling evil, and should not be confused with stomach excess. Syncope is due to the decline of yang qi, making it difficult to distinguish between cold and heat, and only drastic tonification can restore yang. Convulsions are due to the deficiency of yin blood, and regardless of rigidity or flexibility, only nourishing the blood can moisten the collaterals. Tidal fever resembling malaria, if treated as malaria, will be prolonged; mental disorder resembling evil, if treated as evil, will quickly lead to exhaustion. All are fundamentally due to great deficiency and must be treated with drastic tonification. Excessive blood loss leading to dry stool, adding Cistanche to generation and transformation, is not something that moistening the intestines and harmonizing qi can resolve; suffering from excessive sweating and difficulty in urination, doubling the use of ginseng and astragalus in Liu Junzi Decoction, can promote the production of fluids and aid in urination. Adding ginseng and generation and transformation and taking frequently can save from postpartum danger; life-saving and longevity regulation must be emphasized before childbirth.
bubble_chart Formula Modificationbubble_chart Cautions and Contraindications
Currently used for poor postpartum uterine involution, postpartum uterine contraction pain, retained placenta after late abortion, persistent bleeding after artificial late abortion, uterine fibroids, uterine hypertrophy, and ectopic pregnancy.
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