Gu Jing Wan - 固精丸 - Stabilize The Menses Pill

English:	Stabilize the Menses Pill
Also Known As:	Pill for Arresting Uterine Bleeding Pills for Menorrhagia

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Prepared Plastrum Testudinis	Zhi Gui Ban	9-30g	Anchors the Yang, Cools the Blood, Enriches Yin, Nourishes the Blood, Nourishes Yin, Stabilizes the Chong and Ren channels, Stops uterine bleeding.
Dry-Fried Rx. Paeoniae Alba	Chao Bai Shao	15-30g	Nourishes the Blood and regulates menstruation. With Huang Qin, cools Heat and nourishes the Blood for calming the fetus which is disturbed by Heat.
(Rx. Paeoniae Rubra)	(Chi Shao)	(6-9g)	(Invigorates the Blood, dispels Blood Stasis, relieves pain, clears Heat and cools the Blood. May substitute for Chao Bai Shao.) (With Xiang Fu, for flank pain, abdominal pain, and dysmenorrhea due to Qi and Blood Stagnation.)
Dry-Fried Rx. Scutellariae	Chao Huang Qin	6-30g	Cools the Blood, stops bleeding, clears Heat and calms the fetus.
Cx. Ailanthi	Chun Pi	3-22.5g	Clears Heat, astringes Intestines, dries Dampness, stops diarrhea and stops bleeding. With Gui Ban, Bai Xiao, Huang Qin, Huang Bai and Xiang Fu, for continuous uterine bleeding.
Dry-Fried Cx. Phellodendri	Chao Huang Bai	6-9g	Drains Kidney Fire.
Rz. Cyperi	Xiang Fu	6-9g	Spreads and regulates Liver Qi, regulates menstruation and alleviates pain.

Formula Actions

• Enriches Yin
• Clears Heat
• Clears Deficiency Heat
• Stops bleeding
• Stabilizes the Menses

Syndromes

• Blood Heat due to Heat in the Chong and REN channels
• Yin Deficiency Heat
• Constrained Liver Fire injuring Chong & Ren causing Beng Lou syndrome (Secondary source)

Clinical Manifestations

Continuous menstruation or Uterine bleeding that alternates between spotting and gushing The Blood is very red, thick and sticky and may contain dark-purple clots A sensation of Heat and irritability in the chest Menstruation may be delayed Dry mouth Leukorrhea

Dysuria Abdominal pain Dark urine Red urine Red face Difficulty defecating T: Red C: Normal or Yellow P: Wiry or Wiry and rapid or Tight and rapid or Slippery and rapid

Treats

Dysfunctional uterine bleeding Habitual miscarriage Gastrointestinal bleeding Menorrhagia Irregular menstruation Vaginal discharge

Chronic pelvic inflammatory disease Threatened miscarriage Metrorrhagia Prolonged menstruation

Contraindications And Herb/Drug Interactions

Notes

• In this pattern the underlying Yin Deficiency is masked by the Heat; the Su Wen (Basic Questions) calls it "deficient Yin and belligerent Yang."
• Compared with Wen Jing Tang: both treat continuous menstruation or uterine bleeding. Gu Jing Wan is for Liver Fire leading to Yin Deficiency Heat; Wen Jing Tang is for Deficiency Cold with Blood Stasis.

Modifications

For more severe Yin Deficiency:		For severe bleeding:
- Rx. Scutellariae	Huang Qin	+ Rx. Sanguisorbae	Di Yu
- Rz. Cyperi	Xiang Fu	+ Hb. Agrimoniae	Xian He Cao
+ Cx. Lycii	Di Gu Pi	Or
+ Rx. Rehmanniae Preparata	Shu Di Huang	+ Endoconcha Sepiae	Hai Piao Xiao
Or		+ Rx. Rubiae	Qian Cao Gen
- Cx. Phellodendri	Huang Bai	+ Fossilia Ossis Mastodi	Long Gu
- Rz. Cyperi	Xiang Fu	+ Concha Ostreae	Mu Li
+ Rx. Rehmanniae Preparata	Shu Di Huang	For irregular menstruation in women during puberty due to Kidney Yin Deficiency Heat:
+ Fr. Corni	Shan Zhu Yu	- Plastrum Testudinis	Gui Ban
+ Cx. Lycii	Di Gu Pi	- Cx. Phellodendri	Huang Bai
Or		+ 10g Carapax Trionycis	Bie Jia
- Cx. Phellodendri	Huang Bai	+ 10g Rx. Cynanchi Atrati	Bai Wei
- Rz. Cyperi	Xiang Fu	+ 10g Dry-Fried Rz. Atractylodis Macrocephalae	Chao Bai Zhu
+ Anemarrhena, Phellodendron and Rehmannia Pill Zhi Bai Di Huang Wan		+ 10g Dry-Fried Fr. Mume	Chao Wu Mei
For flooding and spotting in perimenopausal women due to For flooding and spotting in perimenopausal women due to Yin Deficiency with Blood Heat:		+ 18g Dry-Fried Rx. Codonopsis	Dang Shen
- Plastrum Testudinis	Gui Ban	+12g Fr. Ligustri Lucidi	Nu Zhen Zi
+ 10g Carapax Trionycis	Bie Jia	+ 12g Hb. Ecliptae	Mo Han Lian
+ 12g Charred Rx. Angelicae Sinensis	Chao Dang Gui	+ 5g Rx. Glycyrrhizae Preparata	Zhi Gan Cao
+ 12g charred Rx. Dipsaci	Chao Xu Duan	For vaginal discharge due to empty Heat:
- Rx, Scutellariae	Huang Qin
+ 18g Dry-Fried Rx. Codonopsis	Dang Shen	- Cx. Ailanthi	Chun Pi
- Rz. Cyperi	Xiang Fu
+ 5g Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ 22.5g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 30g processed Rz. Polygonati	Huang Jing	+ 15g Fr. Corni	Shan Zhu Yu
+ More (60g) Cx. Phellodendri	Huang Bai
+ 30g Endoconcha Sepiae	Hai Piao Xiao
For vaginal discharge due to empty Heat with serious Dampness:
+ 12g Hb Taxilli	Sang Ji Sheng
- Rx, Scutellariae	Huang Qin
- Rz. Cyperi	Xiang Fu
+ 22.5g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 15g Fr. Corni	Shan Zhu Yu
+ More (60g) Cx. Phellodendri	Huang Bai
+ 6g Rx. Sophorae Flavescentis	Ku Shen
+ 6g Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ 6g Fried Rz. Zingiberis	Pao Jiang