Gui Zhi Fu Ling Wan - 桂枝茯苓丸 - Cinnamon And Poria Pills - Cinnamon And Hoelen Combination

English:	Cinnamon and Poria Pills
Also Known As:	Cinnamon and Hoelen Formula Pills of Cinnamon and Poria

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Ram. Cinnamomi	Gui Zhi	2-12g	Unblocks Yang, transforms Qi, warms the Middle and directs Turbid Yin downward, warms the channels, collaterals and Blood through the vessels to relieve pain and warms and facilitates the flow of Yang Qi in the chest. With Bai Shao, warms and tonifies the Middle Jiao. With Fu Ling, unblocks the Yang and facilitates the removal of congested fluids associated with Yang Deficiency edema. With Fu Ling and Bai Shao, for Heart and Spleen Yang Deficiency with palpitations, edema and shortness of breath. With Dan Shen, for palpitations and chest pain due to Heart Yang Deficiency and subsequent painful obstruction due to Blood Stasis blocking the channels. With Tao Ren and Mu Dan Pi, for gynecological discomfort due to Blood Stasis and lower abdominal masses. With Tao Ren, Mu Dan Pi and Fu Ling, for amenorrhea and abdominal pain due to Cold Invasion and Blood Stasis.
Poria	Fu Ling	2-15g	Harmonizes the Middle Jiao and transforms Phlegm, Promotes urination, Resolves Dampness, Strengthens the Spleen. With Gui Zhi, warms and transforms fluids, unblocks Yang and promotes urination.
Rx. Paeoniae Rubra	Chi Shao	2-12g	Activates Blood, Clears Heat, Cools the Blood, Dispels Blood Stasis, Eliminates pain. With Tao Ren, for Blood Stasis induced menstrual disorders, especially those characterized by early period, excessive bleeding, and thick purple clots. With Bai Shao, for spasms and cramping pain associated with Blood Deficiency and Blood Stagnation. With Mu Dan Pi, for Blood Stasis disorders (amenorrhea, menstrual pain, traumatic injury).
(Rx. Paeoniae Alba)	(Bai Shao)	(2-12g)	(Nourishes Blood, regulates menstruation, benefits Yin, astringes weak Ying Qi, softens the Liver and relieves pain.) With Gui Zhi, harmonizes the Ying and Wei and warms and tonifies the Middle Jiao.)
Cx. Moutan	Mu Dan Pi	2-12g	Activates Blood, Dispels Blood Stasis, Drains pus, Reduces swelling. With Tao Ren and Gui Zhi, for amenorrhea and abdominal pain due to Blood Stasis. With Chi Shao, for irregular menstruation due to Heat and obstruction from Blood Deficiency. With Tao Ren, Gui Zhi, Fu Ling and Chi Shao, for amenorrhea, dysmenorrhea with severe pain, Heat, masses, lumps and tumors due to Blood Stasis.
Sm Persicae	Tao Ren	2-12g	Dispels Blood Stasis and invigorates Blood circulation.
(Rx. Salviae Miltiorrhizae)	(Dan Shen)	(2-12g)	(Invigorates the Blood and dispels Blood Stasis. - May be added)

Formula Actions

• Invigorates the Blood
• Transforms Blood Stasis
• Softens lumps
• Reduces fixed abdominal pain

Syndromes

• Fetal malnourishment due to Blood Stasis in the uterus
• Tender masses in the lower abdomen due to Phlegm and Blood Stagnation
• Post abortion Blood Stasis
• Blood stasis in the uterus during pregnancy (Secondary source)

Clinical Manifestations

Mild, persistent uterine bleeding of purple and black blood during pregnancy Abdominal pain that is worse with pressure Abdominal spasms and tension Immobile masses in the lower abdomen with pain and tenderness Amenorrhea with distention and pain Dysmenorrhea Headache Sinus congestion Constipation Excess weight in the pelvis Lower back ache Irregular menstruation Nervousness

Fatigue Fetal instability Skin eruptions Scanty menstrual flow Scaly, dry skin Retention of lochia Shoulder stiffness Vertigo Cold low body and feet Flushed face Protruding abdomen T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Tense, deep and slow T: Purple with dark spots and a white or yellow coat (Secondary source)

Treats

Primary dysmenorrhea Uterine fibroids Cervical erosion Ovarian cysts Chronic salpingitis Chronic pelvic inflammatory disease Endometritis Endometriosis Lochioschesis Adnexitis Hysteromyoma Metropolypus Pelvic cellulitis Menstrual irregularity Dysmenorrhea Amenorrhea Uterine myoma Infertility Ovaritis Contusions Hemorrhoids Dermatitis Eczema Postpartum uterine bleeding Inflammation of the oviduct Menopausal disorders Perimenopause with uterine leiomyomas Ectopic pregnancy Stillbirth Male infertility with varicocele Prostatitis Nephrotic syndrome Premature ovarian failure Abdominal pain Abdominal spasms Fatigue Vaginal bleeding during pregnancy Abdominal pain during pregnancy Dry skin Lower abdominal masses

Breast cancer Leukorrhea Fetal instability Premenstrual syndrome Low back stiffness and pain Shoulder stiffness Headache Urticaria Black spots on the skin Pimples Frigorism Nervousness Neurosis Hysteria Hordeolum Hemophthalmos Blepharitis Keratitis Prostamegaly Hypertension Arthritis Neuralgia Rheumatism Vertigo Cornification of hand due to irritation by cleaning agents Allergy to cosmetics Prostatic hypertrophy Post ischemic brain injury Scleroderma Blepharitis Bladder cancer Abdominal tension Post-hemorrhoidectomy Enuresis Retained placenta Constipation Fetal restlessness Thyroid cancer

Contraindications And Herb/Drug Interactions

Notes

• Composition: Gui Zhi 9-12g, Fu Ling 9-12g, Bai Shao or Chi Shao 9-15g, Mu Dan Pi 9-12g, Tao Ren 9-12g, made into pills with Feng Mi (honey) as envoy (Secondary source)
• Blood stasis comparison (purple tongue, choppy pulse; points UB-17 and SP-10): Tao He Cheng Qi Tang adds Heat accumulation in the Lower Jiao (lower abdominal pain); Xue Fu Zhu Yu Tang adds Qi stagnation in the chest (chest pain, palpitations); Gui Zhi Fu Ling Wan is for stasis in the uterus (masses, bleeding in pregnancy); Wen Jing Tang adds Deficiency-Cold of the Chong and Ren (irregular menses, infertility).

Modifications

For severe Blood Stasis:		For anemia:
+ Rx. et Rz. Rhei	Da Huang	+ Rx. Angelicae Sinensis	Dang Gui
For menstrual pain:		+ Rx. Chuanxiong	Chuan Xiong
+ Rx. Chuanxiong	Chuan Xiong	For edema and scanty urine:
+ Rz. Curcumae	E Zhu	+ Rz. Alismatis	Ze Xie
+ Rz. Corydalis	Yan Hu Suo	For Liver tension:
Or		+ Rx. Bupleuri	Chai Hu
+ Rx. Chuanxiong	Chuan Xiong	+ Rx. Cyperi	Xiang Fu
+ Rx. Angelicae Sinensis	Dang Gui	For uterine tumor:
+ Flos Carthami	Hong Hua	+ Rx. Bupleuri	Chai Hu
+ Rz. Corydalis	Yan Hu Suo	+ Fr. Aurantii	Zhi Ke
+ Rx. Achyranthis	Niu Xi	+ Sm. Coicis	Yi Yi Ren
For Blood stasis following miscarriage or abortion:		+ Rx. Glycyrrhizae	Gan Cao
+ Flos Carthami	Hong Hua	For Qi tonification:
For fibroid tumors:		+ Rx. Codonopsis	Dang Shen
+ Rz. Curcumae	E Zhu	For internal chill:
+ Hb. Leonuri	Yi Mu Cao	+ Rz. Zingiberis	Gan Jiang
For menstrual pain and cramps:		For prostatic hypertrophy:
+ Rz. Cyperi	Xiang Fu	+ Rz. Cuspidati	Hu Zhang
+ Per. Citri Reticulatae	Chen Pi	For severe dysmenorrhea:
+ Rz. Corydalis	Yan Hu Suo	+ Sudden Smile Powder Shi Xiao San
For nephrotic syndrome:
+ Five-Peel Powder Wu Pi San
+ Rz. Corydalis	Yan Hu Suo
For amenorrhea:
For uterine fibroids with obesity or Phlegm-Damp Syndrome:		+ Fr. Aurantii Immaturus	Zhi Shi
+ Flos Carthami	Hong Hua
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	Or
+ Bul. Fritillariae Thunbergii	Zhe Bei Mu	- Poria	Fu Ling
+ Spica Prunellae	Xia Ku Cao	+ 9g Cx. Poria	Fu Ling Pi
+ Hb. Sargassum	Hai Zao	+ 9g Rz. Cyperi	Xiang Fu
+ Thallus Eckloniae	Kun Bu	+ 9g Flos Carthami	Hong Hua
For large or recalcitrant uterine fibroids:		+ 9g Rx. Linderae	Wu Yao
+ Carapax Trionycis	Bie Jia	+ 9g Sm. Leonuri	Chong Wei Zi
+ Squama Manitis	Chuan Shan Jia	+ Frigid Extremities Powder Si Ni San
For uterine fibroids with Qi Deficiency:
+ Rx. Codonopsis	Dang Shen	- Fr. Aurantii Immaturus	Zhi Shi
+ Rx. Astragalus	Huang Qi	+ 6-9g Fr. Aurantii	Zhi Ke
+ Rz. Atractylodis Macrocephalae	Bai Zhu	For uterine fibroids with Blood Deficiency:
+ Rx. Angelicae Sinensis	Dang Gui
For uterine fibroids with Qi Stagnation:		+ Colla Corii Asini	E Jiao
+ Per. Citri Reticulatae Viride	Qing Pi	For uterine fibroids:
+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Rx. Bupleuri	Chai Hu
+ Rz. Sparganii	San Leng	+ Rx. Achyranthis Bidentatae	Niu Xi
+ Rz. Curcumae	E Zhu
+ Fr. Toosendan	Chuan Lian Zi	+ Concha Ostreae	Mu Li
+ Rz. Corydalis	Yan Hu Suo	Or
+ Pollen Typhae	Pu Huang	+ Carapax Trionycis	Bie Jia
+ Faeces Trogopterori	Wu Ling Zhi	+ Concha Ostreae	Mu Li
For pelvic inflammatory disease:		+ Rx. Artemisiae Scopariae	Yin Chen
+ Rx. Cyperi	Xiang Fu
+ Rx. Corydalis	Yan Hu Suo	+ Per. Citri Reticulatae Viride	Qing Pi
+ Rx. Angelicae Sinensis	Dang Gui
For oophoritic cysts:		+ Rx. Dipsaci	Xu Duan
+ Hb. Dioscoreae Bulbiferae	Huang Yao Zi	+ Cx. Phellodendri	Huang Bai
+ Rx. Astragalus	Huang Qi
+ Endothelium Corneum Gigeriae Galli	Ji Nei Jin	+ Selanginellae	Shi Shang Bai
+ Hirudo	Shui Zhi	Or
+ Sm. Litchi	Li Zhi He	+ Rx. et Rz. Rhei	Da Huang
+ Rx. Linderae	Wu Yao	+ Plastrum Testudinis	Gui Ban
+ Rhubarb and Eupolyphaga Pill Da Huang Zhe Chong Wan		For endometriosis:
+ Rx. et Rz. Rhei	Da Huang
For severe endometriosis:		+ Rx. Glycyrrhizae	Gan Cao
+ Rx. et Rz. Rhei	Da Huang	For endometriosis with severe pain:
+ Rx. Glycyrrhizae	Gan Cao	+ Rx. et Rz. Rhei	Da Huang
+ Rz. Sparganii	San Leng	+ Rx. Glycyrrhizae	Gan Cao
+ Rz. Curcumae	E Zhu	+ Olibanum	Ru Xiang
+ Squama Manitis	Chuan Shan Jia	+ Myrrh	Mo Yao
For endometriosis with constipation:		+ Fr. Liquidamberis	Lu Lu Tong
+ Rx. et Rz. Rhei (large dose)	Da Huang	For endometriosis with generalized weakness and Qi Deficiency:
+ Rx. Glycyrrhizae	Gan Cao	+ Rx. et Rz. Rhei	Da Huang
+ Sm. Persicae	Tao Ren	+ Rx. Glycyrrhizae	Gan Cao
For endometriosis with irregular menstruation:		+ Rx. Astragali	Huang Qi
+ Rx. et Rz. Rhei	Da Huang	+ Rx. Codonopsis	Dang Shen
+ Rx. Glycyrrhizae	Gan Cao	For perimenopause syndrome with uterine leiomyoma:
+ Rx. Angelicae Sinensis	Dang Gui
+ Rz. Cyperi	Xiang Fu	+ Peony and Licorice Decoction Shao Yao Gan Cao Tang
+ Hb. Leonuri	Yi Mu Cao
For post-ischemic brain injury:		For urolithiasis with lower abdominal Blood Stagnation with pain on palpation:
+ Coptis Decoction to Relieve Toxicity Huang Lian Jie Du Tang
+ 10g Sm. Coicis	Yi Yi Ren
+ Bupleurum plus Dragon Bone and Oyster Shell Decoction Chai Hu Jia Long Gu Mu Li Tang		For infertility with abdominal pain during the period:
+ Flos Carthami	Hong Hua
For endometriosis with Yang Deficiency:		+ Rx. Salviae Miltiorrhizae	Dan Shen
- Rx. Paeoniae Rubra	Chi Shao
+ Rx. Paeoniae Alba	Bai Shao	+ Rz. Sparganii	San Leng
+ Rx. et Rz. Rhei	Da Huang	+ Rz. Curcumae	E Zhu
+ 6g Fr. Evodiae	Wu Zhu Yu	For endometriosis with a short but excessive menstrual cycle due to Heat:
+ Rx. Codonopsis	Dang Shen
+ Colla Corii Asini	E Jiao	- Rx. Paeoniae Rubra	Chi Shao
For endometriosis with a short and scanty due to more severe Blood Stasis:		+ Rx. Paeoniae Alba	Bai Shao
+ Rx. et Rz. Rhei	Da Huang
- Rx. Paeoniae Rubra	Chi Shao	+ Carbonized Pollen Typhae	Pu Huang Tan
+ Rx. Paeoniae Alba	Bai Shao
+ Rx. et Rz. Rhei	Da Huang	+ Processed Rz. Cyperi	Zhi Xiang Fu
+ Pollen Typhae	Pu Huang	+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Faeces Trogopterori	Wu Ling Zhi
+ Fr. Crataegi	Shan Zha	+ Rx. Angelicae Sinensis	Dang Gui
+ Rz. Curcumae	E Zhu	+ Fr. Gardeniae	Zhi Zi
+ Rx. Achyranthis Bidentatae	Niu Xi	+ Rx. Notoginseng	San Qi
For endometriosis with abdominal lumps due to even more severe Blood Stasis:
+ Rx. Angelicae Sinensis	Dang Gui
+ Rx. Bupleuri	Chai Hu	- Rx. Paeoniae Rubra	Chi Shao
For endometriosis due to severe Blood Stagnation:		+ Rx. Paeoniae Alba	Bai Shao
+ Rx. et Rz. Rhei	Da Huang
+ Rz Sparganii	San Leng	+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Rz Curcumae	E Zhu
+ Fr. Toosendan	Chuan Lian Zi	+ Sm. Vaccariae	Wang Bu Liu Xing
+ Rz. Corydalis	Yan Hu Suo	+ Concha Arcae	Wa Leng Zi
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ Sargassum	Hai Zao
+ Rz. Chuanxiong	Chuan Xiong
+ Spica Prunellae	Xia Ku Cao	+ Olibanum	Ru Xiang
+ Pseudobulbus Cremastrae/Pleiones	Shan Ci Gu	For endometriosis due to severe Blood Stagnation with menorrhagia (during menstruation):
For thyroid cancer:
+ Sm. Coicis	Yi Yi Ren	- Sm. Persicae	Tao Ren
For chronic pelvic inflammatory disease:		+ Rx. Notoginseng	San Qi
+ 9g Rz. Cyperi	Xiang Fu	+ Faeces Trogopterori	Wu Ling Zhi
+ 15g Rx. Salviae Miltiorrhizae	Dan Shen	+ Pollen Typhae	Pu Huang
+ Fr. Toosendan	Chuan Lian Zi
+ 9g Rx. Paeoniae Alba	Bai Shao	+ Rz. Corydalis	Yan Hu Suo
+ 9g Rz. Corydalis	Yan Hu Suo	+ Rx. Salviae Miltiorrhizae	Dan Shen
+ 9g Fr. Forsythiae	Lian Qiao
+ 9g Myrrh	Mo Yao	+ Spica Prunellae	Xia Ku Cao
+ 9g Endothelium Corneum Gigeriae Galli	Ji Nei Jin	+ Rx. Rubiae	Qian Cao Gen
+ Endoconcha Sepiae	Hai Piao Xiao