Bai Ling Tiao Gan Tang - 百灵调肝汤 - One Hundred Spirit And Liver Decoction

English:	One Hundred Spirit and Liver Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelicae Sinensis	Dang Gui	3-15g	Tonifies, invigorates and harmonizes the Blood, disperses Cold, stops pain due to Blood Stasis and regulates the menses. With Gan Cao, moderates spasms and relieves abdominal pain.
Rx. Paeoniae Rubra	Chi Shao	4.5-15g	Clears Heat, Cools the Blood, Dispels Blood Stasis, Invigorates the Blood, Relieves pain.
Rx. Achyranthis Bidentatae	Niu Xi	6-16g	Invigorates the Blood,expels Blood Stasis, nourishes Liver and Kidney Yin and clears Damp-Heat in the Lower Jiao.
Sm. Vaccariae	Wang Bu Liu Xing	4-30g	Promotes the movement of Blood, promotes lactation and invigorates the channels.
Fr. Toosendan	Chuan Lian Zi	3-15g	Dredges Liver Qi, Releases Stagnation, Stops pain and conducts Heat out from below.
Fr. Aurantii Immaturus	Zhi Shi	3-10g	Breaks up Stagnant Qi, Descends Qi, Reduces accumulation, Reduces distention, Removes Stagnant Food, Transforms Phlegm, Unblocks the bowels.
Per. Citri Reticulatae Viride	Qing Pi	3-10g	Breaks up Stagnant Qi, Dissipates accumulations, Dries Dampness, Spreads Liver Qi, Transforms Phlegm.
Fr. Trichosanthis	Gua Lou	9-30g	Clears Lung Heat, Regulates Qi and unbinds the chest, Transforms Hot Phlegm.
Spina Gleditsiae	Zao Jiao Ci	3-10g	Discharges pus, Draws out toxicity, Invigorates the Blood, Reduces swelling.
Medulla Tetrapanacis	Tong Cao	2-10g	Promotes urination, resolves Dampness and clears Heat.
Rx. Glycyrrhizae	Gan Cao	3-6g	Moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Tonifies the Blood
• Soothes the Liver
• Unblocks the Liver
• Moves Qi
• Releases Stagnation
• Eliminates Dampness
• Resolves Phlegm
• Regulates menstruation

Syndromes

• Liver Qi Stagnation

Clinical Manifestations

Infertility Inability to conceive for many years Decreased and dark-colored menses that contain clots or Scanty, pale-colored menses Irregular menstruation Breast and hypochondria pain Abdominal pain with periods Maybe premenstrual breast distention Premenstrual breast tension

Painful periods Irritability before periods Anxiety before periods Depression T: Normal color or slightly red on the sides; if Stagnation of Qi arises from Blood Deficiency, the sides might be Pale C: Normal P: Taut or Wiry; if Qi Stagnation arises from Blood Deficiency, it may be Choppy

Treats

Infertility

Contraindications And Herb/Drug Interactions

Notes

Modifications

For more severe Qi and Blood Stagnation with breast distention:		Without Spleen Deficiency:
- Rz. Atractylodis Macrocephalae	Bai Zhu
- Rx. Bupleuri	Chai Hu
- Rx. Paeoniae Alba	Bai Shao	- Poria	Fu Ling
+ Rz. Chuanxiong	Chuan Xiong
+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Spina Gleditsiae	Zao Jiao Ci
+ Rx. Paeoniae Rubra	Chi Shao