Huo Yu San Jie Fang - 活瘀散结方 - Invigorate The Blood, Break Up Stasis And Scatter Knots Formula

English:	Invigorate the Blood, Break up Stasis and Scatter Knots Formula
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Curcumae	E Zhu	3-10g	Alleviates pain, Dispels Blood Stasis, Dissolves accumulations, Invigorates Blood circulation, Regulates Qi. With San Leng, for Qi and Blood Stagnation with clumping and accumulation leading to pain with distending pain in the chest, epigastrium and abdomen, amenorrhea, dysmenorrhea, uterine myoma and ovarian cysts.
Rz. Sparganii	San Leng	3-10g	Forcefully breaks up Blood Stasis, regulates Qi, dissolves accumulations, regulates menstruation. and alleviates pain.
Rz. Chuanxiong	Chuan Xiong	3-10g	Invigorates the Blood, promotes the movement of Qi and alleviates pain. With Dang Gui, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Fr. Aurantii	Zhi Ke	3-10g	Promotes the movement of Qi, reduces distention and pressure and resolves hardenings.
Spica Prunellae	Xia Ku Cao	6-18g	Clears Hot Phlegm and dissipates nodules.
Rx. Cyathulae	Chuan Niu Xi	4.5-15g	Invigorates the Blood, dispels Blood Stasis and unblocks the menses.
Ram. Cinnamomi	Gui Zhi	9-15g	Warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels to relieve pain. With Zhi Ke, for stabbing pain in the chest and flanks. With Dang Gui and Chuan Xiong, for irregular menstruation due to Yang Deficiency with Cold Stagnation.
Sm. Persicae	Tao Ren	4-10g	Breaks up Blood Stasis, invigorates Blood circulation and drains abscesses.
Rx. Paeoniae Rubra	Chi Shao	4.5-15g	Invigorates the Blood, dispels Blood Stasis, clears Heat, cools the Blood, reduces swelling and relieves pain. With Chuan Xiong and Dang Gui, for Blood-Stasis induced gynecological disorders such as immobile abdominal masses and amenorrhea with abdominal pain. With Tao Ren, for Blood Stasis induced menstrual disorders, especially those characterized by early period, excessive bleeding, and thick purple clots.
Rx. Angelicae Sinensis	Dang Gui	3-15g	Tonifies, invigorates and harmonizes the Blood, disperses Cold, reduces swelling, expels pus and alleviates pain. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rx. Salviae Miltiorrhizae	Dan Shen	3-15g	Invigorates the Blood, dispels Blood Stasis and reduces abscesses.
Concha Ostreae	Mu Li	9-30g	Softens hardness and dissipates nodules.

Formula Actions

• Activates the Blood
• Breaks up Stasis
• Circulates Qi

Syndromes

• Qi, Phlegm and Blood Stagnation with Blood Stagnation predominant

Clinical Manifestations

Facial color dark and dull Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of the Liver and Spleen Suffocating sensation in chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Anorexia

Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Thirst with no desire to drink Maybe no thirst Palpitations Shortness of breath T: Varies from Normal to Dark purple (maybe purple spots on edge of tongue) C: Thick and slippery P: Wiry, choppy and slow or Slippery, full and maybe wiry

Treats

Uterine Fibroids

Contraindications And Herb/Drug Interactions

Notes

Modifications

For copious menses and abdominal pain:		For persistent bleeding:
- Spica Prunellae	Xia Ku Cao	- Rz. Curcumae	E Zhu
- Concha Ostreae	Mu Li	- Rz. Sparganii	San Leng
+ Pollen Typhae	Pu Huang	+ Rx. Pseudostellariae	Tai Zi Shen
+ Faeces Trogopterori	Wu Ling Zhi	+ Rx. Notoginseng	San Qi