formula | Qian's Generation and Transformation Decoction Qian Shi Sheng Hua Tang |
source | Jingyue's Complete Works Citing Qian's Prescription |
Angelica sinensis 15g, Ligusticum chuanxiong 6g, Glycyrrhiza uralensis 15g, Charred ginger 1g, Peach kernel 10 pieces, Rehmannia glutinosa 9g, Jujube 2 pieces.
bubble_chart Preparation and Dosage
Finely chew the right side, add 2 cups of water and 2 jujubes, boil until reduced by 8 parts. Administer while warm. Another prescription omits cooked rehmannia.
Promote blood circulation to remove blood stasis and regenerate new tissue.
Postpartum lochia does not flow, lower abdomen cold and painful. This is the Qian family's ancestral treatment for women.
bubble_chart Formula Principles
The "Genealogy of the Qian Family" from Kuaiji states: It has been discussed that the symptoms of childbirth are fundamentally due to blood deficiency and the exhaustion of yin and yang, leading to a solitary condition where qi is also affected. If one greatly supplements, qi and blood will suddenly increase; however, if improperly regulated, various evils can easily invade. The Four Substances avoid the coldness of Peony Root, yet the Four Substances benefit from the wonders of ginger and peach. Qi should not be dissipated, and the method should also 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 old impurities to stagnate; cold should not be treated with Cinnamon and Aconite, as it may lead to new blood flow collapse. When the three yang show many exterior syndromes, it may seem possible to induce sweating, but using Ephedra will severely deplete yang; when the three yin show severe interior syndromes, it may seem possible to purge, but using Chengqi will greatly dry up the blood. Deafness and hypochondriac pain are due to kidney deficiency and lochia stagnation, so Bupleurum should not be used; delirious speech and excessive sweating are signs of primordial weakness resembling evil, and should not be treated as stomach excess. Syncope is due to the decline of yang qi, making it difficult to distinguish between cold and heat, and only great supplementation can restore yang; convulsions are due to the deficiency of yin blood, and regardless of rigidity or flexibility, only nourishing the camp can moisten the collaterals. Tidal fever resembles malaria, but treating it as malaria will prolong the condition; mental disorder resembles evil, but treating it as evil will immediately cause distress. All are fundamentally due to great deficiency and must be treated with drastic tonification. Excessive blood loss and dry stool require Cistanche added to generation and transformation, not just moistening the intestines and harmonizing qi to achieve relief; suffering from sweating and difficulty in urination requires Six Gentlemen with increased ginseng and astragalus, which will surely generate fluids and aid in urination. Adding ginseng and generation and transformation and taking frequently can save from postpartum danger; life-preserving and longevity-regulating care must be emphasized before childbirth.
bubble_chart Formula Modificationbubble_chart Modern Application
Currently used for poor uterine involution postpartum, postpartum uterine contraction pain, retained placenta after late abortion, persistent bleeding after artificial late abortion, uterine fibroids, uterine hypertrophy, and ectopic pregnancy.