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Yibian
 Shen Yaozi 
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formulaQian's Generation and Transformation Decoction Qian Shi Sheng Hua Tang
sourceJingyue's Complete Works Citing Qian's Prescription
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bubble_chart Composition

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.

bubble_chart Efficacy

Promote blood circulation to remove blood stasis and regenerate new tissue.

bubble_chart Indications

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 Modification

  1. In cases where the placenta does not descend, or there is cold blood and qi block, blood depletion and qi weakness, etc., taking Generation and Transformation Decoction for two or three doses will cause it to descend, or using this to send down one pill of Motherwort Pill will also cause it to descend. This is because motherwort herb promotes blood circulation and nourishes blood, and its nature is good at moving without harming the body.
  2. This medicine is suitable for all women, whether before or after childbirth.
  3. For postpartum dizziness due to hemorrhage and deficiency dizziness, add six to seven fen of fineleaf nepeta spike.
  4. For postpartum qi deficiency and qi collapse, fatigue, and lack of strength, add Ginseng and Astragalus Root.
  5. For yang deficiency reversal cold of limbs, add Aconite Lateral Root and Cassia Bark.
  6. For weak pulse, irritability, and thirst, add Ophiopogon Tuber and five flavors.
  7. For qi stagnation and phlegm, add Dried Tangerine Peel and Bamboo Juice.
  8. For blood deficiency, blood dryness, and constipation, add Hemp Seed, Bitter Apricot Seed, and Cistanche.
  9. For profuse sweating and insomnia, add Poria with Pine, Jujube Seed, and Astragalus Root; for profuse sweating in the upper body, add Ephedra Root; for profuse sweating in the lower body, add Fourstamen Stephania Root.
  10. For irritability and heat, add Moutan Bark and Chinese Wolfberry Root-bark.
  11. For lockjaw resembling wind, convulsions, and opisthotonos, add three to four fen each of Schizonepeta and Saposhnikovia Root.
  12. For incomplete lochia, chills and fever, headache, hypochondriac distension, and inevitable distending pain in the lower abdomen, add three to four fen each of Carthamus, Moutan Bark, and Cassia Bark, and one qian of Corydalis.
  13. For internal damage to diet, add hawthorn fruit, Dried Tangerine Peel, and Villous Amomum Fruit, or Medicated Leaven and Germinated Barley.
  14. For external cold-damage disease and dampness, add Atractylodes Rhizome and White Atractylodes Rhizome.
  15. For blood accumulation and food accumulation, dry stool in the stomach, and umbilical abdominal distension and fullness pain, add two qian of Rhubarb Rhizoma.
  16. For postpartum bleeding that does not stop, or dark black fistula disease water that is not red, or intermittent bleeding, or watery bleeding, or with clots, dripping continuously, this is a sign of great deficiency of qi and blood, and cold and cool medicines should not be mistakenly used. If the pulse is floating and there is collapse, yang-tonifying medicines such as Aconite Lateral Root can be added, otherwise there is no cure. For finger citron powder, use three qian of Chinese Angelica and two qian of Sichuan Lovage Rhizome alone, which is a variation of the formula.

bubble_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.

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