Wu Yao San Jia Wei - 烏藥散加味 - Modified Lindera Powder

English:	Modified Lindera Powder
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Linderae	Wu Yao	9-12g	Promotes movement of Qi, alleviates pain, warms the Kidneys and disperses Cold. With Xiang Fu, unblocks Qi in both the Qi and Blood levels, releases constraint from the Liver and Gallbladder, descends Qi in the chest and abdomen and warms Qi which has been slowed by pathogenic Cold for Qi and Blood Stagnation with menstrual irregularity, pain in the lower abdomen and generalized pain and distention throughout the body. With Dang Gui and Xiang Fu, for menstrual pain.
Rz. Cyperi	Xiang Fu	6-12g	Spreads and regulates Liver Qi, regulates menstruation and alleviates pain. With Dang Gui, tonifies the Blood and moves Qi, for premenstrual symptoms, menstrual pain and irregular menstruation. With Yan Hu Suo, for Deep Blood Stasis with pain anywhere in the body including stabbing chest pain, distending pain in the breast, Cold pain in the epigastrium, pain due to bulging disorder in the lower body and dysmenorrhea.
Poria	Fu Ling	9-18g	Promotes urination, leaches out Dampness and strengthens the Spleen. With Gui Zhi, warms and transforms fluids, unblocks Yang and promotes urination.
Per. Citri Reticulatae	Chen Pi	3-9g	Adjusts the Middle, Descends Qi, Dries Dampness, Regulates Qi, Relieves the diaphragm, Transforms Phlegm.
Fr. Crataegi	Shan Zha	9-15g	Transforms Blood Stasis, activates Blood circulation and dissipates clumps.
Rx. Angelicae Sinensis	Dang Gui	3-15g	Disperses Cold, Invigorates and harmonizes the Blood, Regulates the menses, Stops pain due to Blood Stasis, Tonifies Blood. With Xiang Fu, tonifies the Blood and moves Qi, for premenstrual symptoms, menstrual pain and irregular menstruation. With Wu Yao, disperses Cold and stops pain, for abdominal pain due to External Cold. With Xiang Fu and Yan Hu Suo, for dysmenorrhea. With Bai Shao, nourishes Yin and Blood.
Rx. Paeoniae Alba	Bai Shao	6-15g	Nourishes the Blood, regulates menstruation, softens the Liver and alleviates pain. With Dang Gui, regulates and harmonizes Qi and Blood. With Xiang Fu and Yan Hu Suo, for abdominal pain with menstruation.
Rz. Corydalis	Yan Hu Suo	3-12g	Activates the Blood, circulates Qi and stops pain. With Gui Zhi and Dang Gui, for dysmenorrhea due to Cold in the Blood.
Ram. Cinnamomi	Gui Zhi	9-15gg	Warms the channels and collaterals to relieve pain, unblocks Yang, transforms the Qi and thin mucus and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels. With Bai Shao, warms and tonifies the Middle Jiao.

Formula Actions

• Warms the channels
• Disperses Cold
• Regulates Qi
• Nourishes and Activates the Blood
• Calms the Stomach
• Stops pain

Syndromes

• Blood Stasis due to Cold

Clinical Manifestations

Late menses Painful menses with clots The menstrual pain will be relieved by warmth and aggravated by Cold Mild persistent uterine bleeding Irregular menstruation (either early or late) Scanty purple red blood with large clots Cold pain in lower abdomen Complexion is white/blue Whole body feels cold Cold limbs Prolonged menstruation Skipped period Metrorrhagia Extended or continuous menstrual flow Pain Lower abdominal distention Cold-pain in the lower abdomen that is alleviated by warmth Infertility

Dry lips Dry mouth Pale complexion Leukorrhea Amenorrhea Bleeding between periods No desire to drink Distending breast pain Low back coldness and pain Loose stools Cold limbs Aversion to Cold T: Pale or Purple with petechiae or Pale C: White P: Tight maybe choppy (stasis) and deep (internal) or Thready and choppy Menstruation becomes delayed and the menses decreased Menses are dark or grayish in color

Treats

Delayed menstruation

Amenorrhea

Contraindications And Herb/Drug Interactions

Notes

Modifications

For low back pain:
+ Cx. Eucommiae	Du Zhong
+ Rx. Dipsaci	Xu Duan