Ba Wei Dai Xia Fang - 八味帶下方 - Eight-Ingredient Formula For Vaginal Discharge

English:	Eight-Ingredient Formula for Vaginal Discharge
Also Known As:	Tangkuei Eight-Herb Formula

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelicae Sinensis	Dang Gui	5-15g	Tonifies, invigorates and harmonizes the Blood and alleviates pain. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rz. Smilacis Glabrae	Tu Fu Ling	4-15g	Relieves toxicity, eliminates Dampness and dispels Heat from the Lower Jiao.
Rz. Chuanxiong	Chuan Xiong	3-10g	Invigorates the Blood and promotes the movement of Qi. With Dang Gui, for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses, and amenorrhea. With Tu Fu Ling, raises the clear Yang while directing turbid Qi downward, moves Qi, invigorates the Blood, clears Heat and removes Dampness for headache from constrained Damp-Heat in the Liver channel.
Poria	Fu Ling	3-18g	Harmonizes the Middle Jiao, Leaches out Dampness, Promotes urination, Strengthens the Spleen.
Caulis Akebiae	Mu Tong	3-10g	Promotes urination and unblocks painful urinary dysfunction. With Dang Gui, promotes the circulation of Blood.
Per. Citri Reticulatae	Chen Pi	2-9g	Regulates Qi, adjusts the Middle, dries Dampness and transforms Phlegm.
Flos Lonicerae	Jin Yin Hua	2-9g	Clears Heat, resolves Fire toxicity and clears Damp-Heat from the Lower Jiao.
Rx. et Rz. Rhei	Da Huang	0.5-6g	Clears Heat, transforms Dampness, promotes urination and drains Heat from the Blood. With Dang Gui, for Blood Stasis.

Formula Actions

• Clears Heat
• Resolves toxicity
• Dispels Dampness
• Stops vaginal discharge

Syndromes

• Damp-Heat with a feeling of underlying Cold due to Blood Deficiency (Anemia)

Clinical Manifestations

Profuse , red, yellow or white vaginal discharge Itching sores Abdomen is soft to the touch Constipation

Pale complexion Low back pain Abdominal pain Slight anemia

Treats

Vaginal discharge Vaginitis Trichomonas vaginalis Gonorrhea

Uteritis Genital itching Low back pain Constipation

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Damp-Heat vaginal sores, itching and pain or a dark, malodorous discharge:		For Spleen Qi Deficiency:
+ A small amount of Rz. Atractylodis Macrocephalae	Bai Zhu
+ Coptis Decoction to Resolve Toxicity Huang Lian Jie Du Tang
For gonorrhea or syphilis:		+ A small amount of Rx. Codonopsis	Dang Shen
+ Gentiana Decoction to Drain the Liver Long Dan Xie Gan Tang
+ A small amount of Rx. Glycyrrhizae Preparata	Zhi Gan Cao
For Blood Deficiency:
+ Four-Substances Decoction Si Wu Tang