Si Hai Shu Yu Wan - 四海纾瘀囊 - Four Seas Soothe Stagnation Pill

English:	Four Seas Soothe Stagnation Pill
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Aucklandiae	Mu Xiang	1.5-9g	Adjusts and regulates stagnant Qi in the Intestines, Alleviates pain by dispelling Heat and Dampness, Promotes the movement of Qi, Strengthens the Spleen.
Per. Citri Reticulatae	Chen Pi	12g	Adjusts the Middle, Descends Qi, Dries Dampness, Regulates Qi, Tonifies the Spleen (improves its transportive functions), Transforms Phlegm.
Thallus Eckloniae	Kun Bu	9g	Clears Heat, Reduces swelling, Resolves Phlegm, Softens Phlegm nodules. With Hai Zao, for goiter and scrofula.
Hb. Sargassii	Hai Zao	15 g	Clears Heat, resolves Phlegm and softens Phlegm nodules.
Endoconcha Sepiae	Hai Piao Xiao	9g	Resolves lumps and abscesses.
Concha Meretricis/Cyclinae	Ge Qiao	12g	Clears Heat, Dissipates nodules, Resolves Phlegm, Softens hardness. With Kun Bu and Hai Zao, for goiter and scrofula.

Formula Actions

• Regulates Qi
• Resolves Phlegm and Softens nodules

Syndromes

• Liver Qi Stagnation with Phlegm

Clinical Manifestations

Neck ache Oppressive feeling in the chest Sighing Hypochondriac distention and pain Irritability A feeling of a lump in the throat The lump is soft and becomes larger or the edges are indistinct and smaller according to the emotional situation

Depression With Heart involvement: Palpitations Anxiety Feelings of constriction in the throat With Lung involvement: Dry cough Slight breathlessness Sadness

Treats

Goiter Hashimoto's thyroiditis

Scrofula

Contraindications And Herb/Drug Interactions

Notes

Modifications

For goiter and Hashimoto's thyroiditis:		For neck discomfort:
+ 12g Tub. Curcumae	Yu Jin	+ 12g Rx. Platycodi	Jie Geng
+ 9g Rz. Pinelliae Preparatum	Zhi Ban Xia	+ 12g Rz. Belamcandae	She Gan
+ 9g Rx. Bupleuri	Chai Hu	+ 9g Sm. Pharbitidis	Qian Niu Zi
For Kidney Yang Deficiency:		For depressive Heat:
+ 12g Rx, Rehmanniae	Shu Di Huang	+ 15g Spica Prunellae	Xia Ku Cao
+ 12g Hb. Epimedii	Yin Yang Huo	+ 15g Rx. Scrophulariae	Xuan Shen
+ 9g Ram. Cinnamomi	Gui Zhi	For Spleen Qi Deficiency:
+ 12g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 12g Poria	Fu Ling
+ 30-60g Rx. Astragali	Huang Qi