Xiong Gui Tiao Xue Yin - 芎归调血饮 - Chuanxiong And Tangkeui Drink To Regulate The Blood

English:	Chuanxiong and Tangkuei Drink to Regulate the Blood
Also Known As:	Cnidium and Tangkuei Decoction to Regulate Blood

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelicae Sinensis	Dang Gui	6-9g	Tonifies Blood, regulates the menses invigorates and harmonizes the Blood, disperses Cold and stops pain due to Blood Stasis. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood. With Gan Cao, moderates spasms and relieves abdominal pain.
Rz. Chuanxiong	Chuan Xiong	4.5-9g	Invigorates the Blood and promotes the movement of Qi. With Dang Gui, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses and amenorrhea.
Rz. Atractylodis Macrocephalae	Bai Zhu	6-9g	Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism. With Gan Jiang, eliminates Cold Dampness in the Spleen with loss of taste, a sticky sensation in the mouth, nausea, vomiting, diarrhea and a thick,white tongue coat and treats bleeding due to Deficiency of Spleen Yang with hemafecia or hematuria and frequent diarrhea due to Spleen and Stomach Deficiency Cold. With Fu Ling and Gan Cao, for Spleen and Stomach Qi Deficiency. With Fu Ling and Sheng Jiang, for edema with Kidney Yang Deficiency.
Poria	Fu Ling	6-9g	Promotes urination, leaches out Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm. With Bai Zhu, strengthens the Spleen and resolves Dampness.
Rx. Rehmanniae Preparata	Shu Di Huang	6-9g	Nourishes the Blood, nourishes Liver and Kidney Yin, Jing and Blood and fills the Marrow. With Dang Gui , for Blood Deficiency marked by dizziness, palpitations, insomnia and menstrual dysfunction.
Per. Citri Reticulatae	Chen Pi	6-9g	Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm and Descends Qi. With Sheng Jiang, for vomiting and hiccups due to Disharmony of the Stomach Qi and Cold-Dampness Obstructing the Middle with nausea and hiccup. With Bai Zhu, for anorexia and other symptoms of Damp-Obstruction due to Spleen Deficiency.
Rz. Cyperi	Xiang Fu	6-9g	Spreads and regulates Liver Qi, regulates menstruation and alleviates pain. With Dang Gui and Chuan Xiong, for irregular menses and dysmenorrhea due to Qi and Blood Stasis. With Wu Yao, 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 painful, Cold Qi leading to abdominal distention, borborygmus and diarrhea and Qi and Blood Stagnation with menstrual irregularity, pain in the lower abdomen and generalized pain and distention throughout the body. With Dang Gui, tonifies Blood and moves Qi, for premenstrual symptoms, menstrual pain and irregular menstruation. With Chuan Xiong, for Qi Stagnation combined with Blood Stasis.
Charred Rz. Zingiberis	Gan Jiang	3-6g	Warms the Middle, expels Cold, expels Interior Cold, warms the channels and stops bleeding. With Bai Zhu, for hematochezia (profuse menstrual bleeding, char both herbs for treating bloody stools and excessive uterine bleeding). With Gan Cao, for epigastric pain and vomiting due to Spleen and Stomach Deficiency Cold. With Fu Ling, Bai Zhu and Gan Cao, for Cold-Dampness in the Lower Jiao leading to a sense of heaviness and Cold in the lower back.
Rx. Linderae	Wu Yao	6-9g	Promotes movement of Qi, alleviates pain, warms the Kidneys and disperses Cold. With Dang Gui and Xiang Fu, for menstrual pain. With Dang Gui, disperses Cold and stops pain, for abdominal pain due to External Cold.
Hb. Leonuri	Yi Mu Cao	6-9g	Invigorates the Blood, dispels Stasis, regulates menstruation, reduces masses, promotes urination and reduces swelling and edema. With Dang Gui, for Blood Stasis with infertility, irregular menstruation, lower abdominal pain and fullness, and scanty menstruation. With Dang Gui and Chuan Xiong, for dysmenorrhea or lower abdominal pain due to postpartum Blood Stasis.
Cx. Moutan	Mu Dan Pi	6-9g	Clears Deficiency Fire, Clears Heat, Cools and harmonizes the Blood, Dispels Blood Stasis, Invigorates the Blood.
Rx. Glycyrrhizae	Gan Cao	3-6g	Tonifies the Spleen, augments Qi, moderates spasms, alleviates pain clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.
Rz. Zingiberis Recens	Sheng Jiang	3g	Warms the Middle, stops vomiting and reduces the toxicity of other herbs. With Chen Pi, for Cold-Dampness Obstructing the Middle with nausea and hiccup.
Fr. Jujube	Da Zao	3g	Tonifies the Spleen and Stomach, augments Qi and moderates and harmonizes the harsh properties of other herbs. With Sheng Jiang, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen, nourishes the Blood and prevents injury from harsh Blood movers and assists the movement of Qi and enhances the effects of other Qi and Blood tonifying herbs by facilitating their digestion and absorption.

Formula Actions

• Tonifies Qi and Blood
• Invigorates the Blood
• Regulates Qi
• Transforms Stasis
• Harmonizes the Liver and Spleen
• Regulates menstruation

Syndromes

• Postpartum Disorders due to Qi and Blood Deficiency and weakened Spleen and Stomach
• Menstrual irregularities marked by Qi Deficiency and Blood Stasis
• Sequelae of trauma or surgery

Clinical Manifestations

Prolonged lochia Excessive postpartum bleeding Profuse bleeding Puerperal fever Spontaneous sweating Dry mouth Heart irritability Light headedness Delirium Irritability Nausea Vomiting Nervousness Anorexia

Abdominal pain Flank distention and fullness Dizziness Blurred vision Tinnitus Excessive loss of Blood Emotional instability Fullness and distention of the hypochondrium Epigastric pain Aversion to Cold T: Pale C: Slippery P: Weak and Deep

Treats

Postpartum disorders due to Qi and Blood Deficiency and weakened Spleen and Stomach Anemia Irregular menstruation Functional uterine bleeding Palpitations Anxiety Nausea/Vomiting Anorexia Menopause Puerperal fever

Menstrual irregularities marked by Deficiency and Blood Stasis Sequelae of trauma or surgery Retention of lochia Insufficient lactation Erratic behavior Cardiac arrhythmia Dizziness Tinnitus Weakness Postpartum uterine bleeding Postpartum fainting

Contraindications And Herb/Drug Interactions

Notes

Modifications

For postpartum diarrhea from Spleen Deficiency:		For the postpartum woman who returns to her daily work too quickly and suffers from fever and aversion to Cold:
- Rx. Rehmanniae Preparata	Shu Di Huang	+ Rx. Ginseng	Ren Shen
- Rz. Chuanxiong	Chuan Xiong	+ Rx. Astragali	Huang Qi
- Rx. Linderae	Wu Yao	For incessant postpartum bleeding from Blood Deficiency and Blood Heat:
- Hb. Leonuri	Yi Mu Cao	- Hb. Leonuri	Yi Mu Cao
- Cx. Moutan	Mu Dan Pi	- Cx. Moutan	Mu Dan Pi
+ Rx. Ginseng	Ren Shen	- Rx. Linderae	Wu Yao
+ Rz. Atractylodis	Cang Zhu	+ Rx. Ginseng	Ren Shen
+ Cx. Magnoliae Officinalis	Hou Po	+ Rx. Astragali	Huang Qi
+ Fr. Amomi	Sha Ren	+ Rx. Rehmanniae	Sheng Di Huang
+ Polyporus	Zhu Ling	+ Dry-fried Fr. Gardeniae	Chao Zhi Zi
+ Caul. Akebiae	Mu Tong	+ Hb. Schizonepetae	Jing Jie
+ Per. Arecae	Da Fu Pi	+ Colla Corii Asini	E Jiao
+ Dry-fried Rx. Paeoniae Alba	Chao Bai Shao	+ Fr. Mume	Wu Mei
For severe incessant postpartum bleeding from Blood Deficiency and Blood Heat:		For postpartum headache, body aches, fever and aversion to Cold:
- Hb. Leonuri	Yi Mu Cao	- Hb. Leonuri	Yi Mu Cao
- Cx. Moutan	Mu Dan Pi	- Cx. Moutan	Mu Dan Pi
- Rx. Linderae	Wu Yao	- Rz. Chuanxiong	Chuan Xiong
+ Rx. Ginseng	Ren Shen	+ Rx. Ginseng	Ren Shen
+ Rx. Astragali	Huang Qi	+ Rx. Astragali	Huang Qi
+ Rx. Rehmanniae	Sheng Di Huang	For profuse and continuous bleeding:
+ Dry-fried Fr. Gardeniae	Chao Zhi Zi	+ More Hb. Leonuri	Yi Mu Cao
+ Hb. Schizonepetae	Jing Jie	+ More Cx. Moutan	Mu Dan Pi
+ Colla Corii Asini	E Jiao	For epigastric and abdominal fullness due to Food Stagnation:
+ Fr. Mume	Wu Mei	+ Fr. Aurantii Immaturus	Zhi Shi
+ Charred Rx. Sanguisorbae	Di Yu Tan	+ Cx. Magnoliae Officinalis	Hou Po
For pain in the lower abdomen:		+ Fr. Crataegi	Shan Zha
+ Rz. Corydalis	Yan Hu Suo	+ Fr. Amomi	Sha Ren
+ Sm. Persicae	Tao Ren	For severe Qi and Blood Deficiency:
+ Flos Carthami	Hong Hua	+ Rx. Astragali	Huang Qi
+ Lignum Sappan	Su Mu	Or
For irritability, thirst and Dryness:		+ Tangkuei Decoction to Tonify the Blood Dang Gui Bu Xue Tang
+ Rx. Rehmanniae	Sheng Di Huang	For headache and vertigo:
+ Rx. Scutellariae	Huang Qin	+ Rx. Angelicae Dahuricae	Bai Zhi
For Shen disturbance in which the patient becomes easily scared or frightened:		+ Rx. Astragali	Huang Qi
+ Fr. Zizyphi Spinosae	Suan Zao Ren	For palpitations and arrhythmia:
+ Rx. Polygalae	Yuan Zhi	- Rz. Zingiberis Recens	Sheng Jiang
+ Rx. Ophiopogonis	Mai Men Dong	+ Rz. Zingiberis	Gan Jiang
For postpartum fainting with abdominal pain:		For postpartum fainting with thirst:
+ Rx. Paeoniae Alba	Bai Shao	+ Fr. Mume	Wu Mei
+ Cx. Cinnamomi	Rou Gui	+ Rx. Ophiopogonis	Mai Men Dong
For postpartum fainting with vomiting, eructation, and Water Qi Insulting the Heart:		For postpartum fainting with heartburn and insomnia:
+ Poria	Fu Ling	+ Rx. Ginseng	Ren Shen
+ Rz. Zingiberis	Gan Jiang	Hb. Lophatheri	Dan Zhu Ye