Shen Xiao Gua Lou San - 神效栝楼散 - Spirit-Like Effect Trichosanthis Powder

English:	Spirit-Like Effect Trichosanthis Powder
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fr. Trichosanthis	Gua Lou	9-30g	Dissipates nodules, Eliminates pus, Reduces abscesses, Transforms Hot Phlegm. With Ru Xiang, invigorates Qi and Blood to disperse swellings and clumps and treat puerperal breast disorders with accumulation, Stagnation, distention and pain such as insufficient lactation from obstruction or early-stage breast abscess With Ru Xiang and Mo Yao, for Lung abscess marked by irritability, stifling sensation in the chest, and coughing up of pus and blood.
Rx. Glycyrrhizae	Gan Cao	6-14g	Clears Heat, resolves Phlegm and relieves Fire toxicity.
Rx. Angelicae Sinensis	Dang Gui	3-15g	Tonifies, invigorates and harmonizes the Blood, disperses Cold, reduces swelling, expels pus, generates flesh and alleviates pain.
Olibanum	Ru Xiang	3-15g	Invigorates the Blood, promotes the movement of Qi, reduces swelling, generates flesh and alleviates pain. With Mo Yao, for chronic, ulcerated and non-healing sores.
Myrrh	Mo Yao	3-12g	Invigorates the Blood, dispels Blood Stasis, alleviates pain, reduces swelling, generates flesh and promotes healing. With Ru Xiang, for swollen, painful sores and sores that are hard but not painful.

Formula Actions

• Reduces abscesses
• Dissipates nodules
• Eliminates pus
• Clears Heat
• Relieves Fire toxicity
• Tonifies, invigorates and harmonizes the Blood
• Alleviates pain

Syndromes

• Toxic sores

Clinical Manifestations

Initial Stage: Postpartum breast swelling and pain Difficulty breast feeding Cracked nipple Localized burning Heat Maybe redness Palpable nodular lumps which are worse with pressure Aversion to Cold Fever Anhidrosis Headache Muscular soreness and pain Whole body joint pain Chest oppression T: Normal C: Thin and yellow or Thin and white P: Floating and rapid or Floating and tight

Suppurative Stage: Discharge of pus from the breast Gradual return of normal body temperature Relief from severe aversion to Cold Relief from fever Disappearance of swelling and pain Gradual healing of the superficial lesions May still be redness of the breast with pain * If there are lesions, there may be a thick, yellowish exudate with itch around the affected (this is a sign of healing) *If there are multiple lesions with heartburn, nausea and vomiting, recovery may be difficult * If there are ulcerous lesions surrounded by dark flesh with pain radiating to the Heart and a thin, weak constitution, the condition may be critical T: Pink C: Thin and yellow P: Rapid or Weak

Treats

Mastitis

Breast cancer

Contraindications And Herb/Drug Interactions

Notes

• Take as a decoction with one teacup of aged wine.

Modifications

For the initial stage of mastitis:		For the suppurative stage of mastitis as an alternative to surgery:
+ Spica Prunella	Xia Ku Cao
+ Per. Citri Reticulatae Viride	Qing Pi	+ Squama Manitis	Chuan Shan Jia
+ Rx. Codonopsis	Dang Shen
+ Rx. Astragali	Huang Qi