【Chinese Name】 |
血府逐瘀湯
|
【Phonetic】 |
Xue Fu Zhu Yu Tang
|
【English Name】 |
Blood Stasis-Expelling Decoction |
【Classification】 |
Blood-regulating formulas |
【Source】 |
《Correction of Errors in Medical Works》Yi Lin Gai Cuo《醫林改錯》 |
【Combination】 |
Persicae Semen(Tao Ren) 4 qian (12g),Carthami Flos (Hong Hua) 3 qian (9g), Angelicae Sinensis Radix (Dang Gui) 3 qian (9g), Rehmanniae Radix (Sheng Di) 3 qian (9g), Chuanxiong Rhizoma (Chuan Xiong) 1.5 qian (4.5g), Paeoniae Radix Rubra(Chi Shao) 2 qian (6g), Achyranthis Bidentatae Radix (Niu Xi) 3 qian (9g), Platycodonis Radix (Jie Geng) 1.5 qian (4.5g), Bupleuri Radix (Chai Hu) 1 qian (3g), Aurantii Fructus (Zhi Qiao) 2 qian (6g), Glycyrrhizae Radix et Rhizoma (Gan Cao) 2 qian (6g) |
【Method】 |
Prepare as a decoction. |
【Action】 |
Invigorates blood, dissolves stasis, and moves qi to relieve pain. |
【Indication】 |
Xue Fu Zhu Yu Tang is indicated for blood stasis in the chest. Symptoms include chest pain, headache, and chronic stabbing pain at a fixed location, continual hiccups or choking when drinking water, nausea, internal heat, dizziness, severe palpitations, insomnia, dreaminess, impatience, irascibility, tidal fever at night, dark lips or eyes, a dark red tongue with ecchymosis or purple spots, and a choppy or wiry, tight pulse. |
【Pathogenesis】 |
This pattern is caused by the qi that becomes stagnated due to obstructive blood stasis. Particularly, it is blood stasis in the chest, which is the house of the blood. The chest is where qi roots and blood accumulates, and an area coursed by the liver channel. Long-term chest pain and headaches with stabbing pain at a fixed location are caused by blood stasis in the chest, qi stagnation, and clear yang failing to ascend. Obstruction in the chest caused by blood stagnation may involve the stomach and cause stomach qi to counter-flow ascend. The result is hiccups, belching, and even choking when drinking water. Long-term stasis transforms into heat, which causes internal heat, dizziness, and tidal fever at night. Stasis heat disturbing the heart causes severe palpitations, insomnia, and dreaminess. Enduring qi stagnation hinders the liver’s capacity for free flow, which leads to impatience and irascibility. The manifestations at the lips, eyes, tongue, and pulse reflect symptoms of blood stasis. The therapeutic method is to invigorate blood, dissolve stasis, and move qi to relieve pain. |
【Application】 |
1. Essential pattern differentiation Xue Fu Zhu Yu Tang is commonly used in many diseases caused by blood stasis in the chest. This clinical pattern is marked by chest pain, headache, fixed pain, dusky red tongue or tongue with stasis macules, choppy or wiry, tight pulse. 2. Modern applications This formula is commonly used in biomedically-defined disorders such as coronary heart disease, rheumatic heart disease, chest contusion, rib cartilage inflammation with chest pain, cerebral thrombosis, hypertension, hyperlipidemia, thromboangiitis obliterans, neurosis, sequelae of cerebral concussion, headache, and dizziness when the patient shows signs and symptoms of blood stasis and qi stagnation. 3. Cautions and contraindications This formula mainly contains blood-invigorating, stasis-dissolving, qi-moving, and collaterals-unblocking medicinals. Consequently, it is not applicable for neither pregnant women nor the sick and elderly. |
【Additonal formulae】 |
1. Tong Qiao Huo Xue Tang (Orifices-unblocking and Blood-invigorating Decoction 通竅活血湯) [Source]《Correction of Errors in Medical Works》Yi Lin Gai Cuo《醫林改錯》 [Ingredients] Chi shao 1 qian (3g), chuan xiong 1 qian (3g), hong hua 3 qian (9g), tao ren 3 qian (9g), old spring onions (chopped) 3 roots, fresh ginger (chopped) 3 qian (9g), hong zao (denucleated) 7 pcs, she xiang (wrapped) 5 li (0.16g), yellow wine 0.5 jin (250g) [Preparation and Administration] Decoct the first seven medicinals with water down to one bowl and remove the dregs. Then mix the she xiang to the wine, add it to the decoction, reheat the decoction and bring it to a boil two more times. Take it orally before sleeping. [Actions] Invigorates blood and unblocks the orifices. [Applicable Patterns] Obstructive stasis in the head and face. Symptoms include: headache and vertigo, deafness, blue-purple complexion, rosacea, leucoderma, dried blood consumption of women, infantile malnutrition and accumulation with emaciation, enlarged abdomen with varicose veins, tidal fever, etc. 2. Ge Xia Zhu Yu Tang (Expelling Stasis Below the Diaphragm Decoction 膈下逐瘀湯) [Source]《Correction of Errors in Medical Works》Yi Lin Gai Cuo《醫林改錯》 [Ingredients] Wu ling zhi (dry-fried) 2 qian (6g), dang gui 3 qian (9g), chuan xiong 2 qian (6g), tao ren (triturated) 3 qian (9g), mu dan pi 2 qian (6g), chi shao 2 qian (6g), wu yao 2 qian (6g), yan hu suo 1 qian (3g), gan cao 3 qian (9g), xiang fu 1.5 qian (4.5g), hong hua 3 qian (9g), zhi qiao 1.5 qian (4.5g) [Preparation and Administration] Prepare it as a decoction. [Actions] Invigorates blood and dissolves stasis, and moves qi to relieve pain. [Applicable Patterns] Stasis obstruction under the diaphragm. Symptoms include: masses or abdominal lump of children, or fixed pain in the abdomen, or falling sensation when lying down. 3. Shao Fu Zhu Yu Tang (Lower Abdominal Stasis-Expelling Decoction 少腹逐瘀湯) [Source]《Correction of Errors in Medical Works》Yi Lin Gai Cuo《醫林改錯》 [Ingredients] Xiao hui xiang (dry-fried) 7 pcs (1.5g), gan jiang (dry-fried) 2 fen (3g), yan hu suo 1 qian (3g), dang gui 3 qian (9g), mo yao 2 qian (6g), chuan xiong 2 qian (6g), rou gui 1 qian (3g), chi shao 2 qian (6g), pu huang 3 qian (9g), wu ling zhi (dry-fried) 2 qian (6g) [Preparation and Administration] Prepare it as a decoction. [Actions] Invigorates blood and dissolves stasis, and warms the channels and relieve pain. [Applicable Patterns] Blood stasis of lower abdomen. Symptoms include: painful or painless masses, or pain without masses, or distention and fullness in the lower abdomen, or soreness of waist during period, or menstruation occurs three or five times a month, continuously or intermittently, the color is purple or black, sometimes with blood clots, or flooding and spotting accompanied with lower abdominal pain. 4. Shen Tong Zhu Yu Tang (Generalized Pain Stasis-Expelling Decoction 身痛逐瘀湯) [Source]《Correction of Errors in Medical Works》Yi Lin Gai Cuo《醫林改錯》 [Ingredients] Qin jiao 1 qian (3g), chuan xiong 2 qian (6g), tao ren 3 qian (9g), hong hua 3 qian (9g), gan cao 2 qian (6g), qiang huo 1 qian (3g), mo yao 2 qian (6g), dang gui 3 qian (9g), wu ling zhi (dry-fried) 2 qian (6g), xiang fu 1 qian (3g), niu xi 3 qian (9g), di long 2 qian (6g) [Preparation and Administration] Prepare it as a decoction. [Actions] Invigorates blood and moves qi, dissolves stasis and unblocks the channels, and unblocks bi and relieves pain. [Applicable Patterns] Qi and blood obstruction in channels and collaterals. Symptoms include: pain of the shoulders, arms, waist, and legs or all over the body. |
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