Menorrhagia #2

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Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Ginseng	Ren Shen	6g	Powerfully tonifies Yuan Qi and tonifies Spleen and Stomach Qi. With Shu Di Huang, for severe Qi and Blood Deficiency due to loss of Blood. With Bai Zhu, tonifies the transformation and transportation functions of the Spleen. With Huang Qi, for Qi Deficiency with general debility, anorexia and spontaneous sweat.
Rx. Astragali	Huang Qi	15g	Tonifies Qi and Blood, strengthens the Spleen and raises the Yang Qi of the Spleen and Stomach. With Bai Zhu, for Spleen Qi Deficiency with weakness, lassitude and loose stools. With Sheng Ma, raises the Yang Qi of the Spleen, allowing turbid Yin to descend and be eliminated, treating chronic diarrhea, a dragging sensation in the abdomen, fatigue, shortness of breath, uterine bleeding and prolapses.
Rz. Atractylodis Macrocephalae	Bai Zhu	12g	Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism. With Pao Jiang, for bleeding due to Deficiency of Spleen Yang with hemafecia or hematuria.
Rx. Rehmanniae Preparata	Shu Di Huang	12g	Nourishes Jing and Blood and fills the Marrow.
Rz. Cimicifugae	Sheng Ma	9g	Raises Yang and lifts sunken Qi. With Bai Zhu, for Dai Channel spasms manifested as dragging sensations in the lower body, usually accompanied by vaginal discharge.
Rz. Dioscoreae	Shan Yao	15g	Nourishes Stomach Yin, Tonifies Kidney Yin and astringes Jing, Tonifies the Spleen.
Endoconcha Sepiae	Hai Piao Xiao	9g	Restrains, holds in and stops bleeding.
Rz. Zingiberis Preparata	Pao Jiang	9g	Stops bleeding associated with Deficiency Cold.
Hb. Leonuri	Yi Mu Cao	15g	Invigorates the Blood, dispels Stasis and regulates menstruation.

Formula Actions

• Tonifies Qi
• Nourishes the Blood
• Stops bleeding

Syndromes

• Spleen Qi Deficiency

Clinical Manifestations

Menorrhagia Pale-red to normal Blood color Thin and watery Blood with clots Irregular menstruation Sallow complexion Fatigue Anorexia Abdominal and epigastric distention after eating

Four limbs feel tired and heavy Maybe acid regurgitation or vomiting Loose stools Shortness of breath May be much Blood due to Spleen Not Governing Blood May be little Blood due to Spleen Qi Sinking The Blood is pale-red in color and watery An empty feeling in the lower abdomen

Treats

Menorrhagia

Contraindications And Herb/Drug Interactions

Notes

Modifications

For aversion to Cold, cold limbs, and a weak low back and knees:		For reddish menstrual Blood, dizziness, tinnitus and a weak low back and legs:
- Rx. Rehmanniae Preparata	Shu Di Huang	- Rz. Zingiberis Preparata	Pao Jiang
- Rz. Dioscoreae	Shan Yao	- Rz. Cimicifugae	Sheng Ma
- Endoconcha Sepiae	Hai Piao Xiao	- Rz. Dioscoreae	Shan Yao
+ 9g Colla Cervi Cornus	Lu Jiao Jiao	- Endoconcha Sepiae	Hai Piao Xiao
+ 9g Sm. Cuscutae	Tu Si Zi	+ 9g Fr. Ligustri Lucidi	Nu Zhen Zi
+9g Cx. Eucommiae	Du Zhong	+ 9g Hb. Ecliptae	Han Lian Cao
+ 9g Colla Cervi Cornus	Lu Jiao Jiao