Xia Ru Yong Quan San - 下乳涌泉散 - Promoting Lactation Gushing Spring Powder

English:	Promoting Lactation Gushing Spring Powder
Also Known As:	Xian Ru Yong Chuan San

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelicae Sinensis	Dang Gui	6-9g	Tonifies, invigorates and harmonizes the Blood, disperses Cold and regulates the menses. With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat. With Bai Shao and Chai Hu, for dysmenorrhea from Liver Qi Stagnation and Blood Deficiency. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rx. Paeoniae Alba	Bai Shao	6-9	Nourishes the Blood, regulates menstruation, softens the Liver, relieves pain and calms Liver Yang. With Chai Hu, for flank pain due to Liver Qi Stagnation. With Dang Gui, nourishes Yin and Blood.
Rz. Chuanxiong	Chuan Xiong	3-9g	Invigorates the Blood and promotes the movement of Qi. With Sheng Di Huang, Bai Shao and Dang Gui, for headache due to Blood Deficiency.
Rx. Rehmanniae	Sheng Di Huang	6-15g	Clears Heat, cools the Blood, nourishes Yin, and generates fluids. With Bai Shao, for Blood Deficiency Heat.
Rx. Trichosanthis	Tian Hua Fen	6-9g	Drains Heat, generates Fluids, clears and drains Lung Heat, transforms Phlegm, moistens Lung Dryness, relieves toxicity, expels pus and reduces swelling, especially in the breast.
Per. Citri Reticulatae Viride	Qing Pi	4.5-9g	Breaks up Stagnant Qi, Dries Dampness, Spreads Liver Qi, Transforms Phlegm.
Rx. Bupleuri	Chai Hu	6-9	Spreads Liver Qi, relieves Stagnation, disperses Wind-Heat and resolves Phlegm and congestion. With Bai Shao, Dang Gui and Chuan Xiong, harmonizes the Blood for irregular menstruation. With Qing Pi, for intercostal pain due to Qi obstruction in the Liver Channel.
Rx. Platycodi	Jie Geng	3-9g	Expels Phlegm, Expels pus and benefits the throat, Opens the Lungs, Spreads Lung Qi. With Gan Cao, for Excess disorders in the Upper Jiao with no disorder in the Lower Jiao.
Medulla Tetrapanacis	Tong Cao	3-9g	Promotes urination, resolves Dampness and Clears Heat and promotes lactation. With Wang Bu Liu Xing and Chuan Shan Jia, for insufficient lactation.
Rx. Rhapontici	Lou Lu	4.5-9	Clears Heat, resolves toxicity, drains abscesses, swellings and expels pus and promotes lactation. With Tian Hua Fen and Dang gui, for breast abscess with pus that has ruptured. With Wang Bu Liu Xing and Chuan Shan Jia, for insufficient lactation.
Squama Manitis	Chuan Shan Jia	4.5-15	Invigorates the Blood, dispels Blood Stasis, unblocks menstruation and promotes lactation. With Wang Bu Liu Xing, for insufficient lactation or lack of lactation and lactostasis.
Sm. Vaccariae	Wang Bu Liu Xing	4.5-9g	Promotes the movement of Blood, promotes lactation and invigorates the channels.
Caulis Akebiae	Mu Tong	6-9g	Promotes lactation and unblocks Blood vessels. With Dang Gui, promotes the circulation of Blood. With Chuan Shan Jian and Wang Bu Liu Xing, promotes secretion of breast milk.
Rx. Glycyrrhizae	Gan Cao	3-9g	Moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Nourishes and InvigorateS the Blood
• Regulates Qi
• Opens the breasts
• Scatters nodulation

Syndromes

• Insufficient lactation due to Liver Qi Stagnation.
• Breast milk Accumulation

Clinical Manifestations

Postpartum swollen lumps in the breast which begin soft and gradually harden Absent or scanty lactation Breast distention Hardness of the breasts Painful breasts Vexation Hypochondriac distension

Irritability Chest oppression Epigastric distension Agitation T: Red edges C: Slimy P: Wiry or Deep and wiry

Treats

Insufficient lactation

Mastitis

Contraindications And Herb/Drug Interactions

Notes

Modifications

For breast abscess:
+ Hb. Taraxaci	Pu Gong Ying
+ Fr. Trichosanthis	Gua Lou
+ Fr. Luffae Retinervus	Si Gua Luo
+ Fr. Liquidamberis	Lu Lu Tong