Zhu Yu Tang - 逐瘀湯 - Drive Out Blood Stasis Decoction

English:	Drive out Blood Stasis Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Sm. Persicae	Tao Ren	4-10g	Breaks up Blood Stasis and invigorates Blood circulation. With Hong Hua, invigorates the Blood for all types of Blood Stagnation.
Flos Carthami	Hong Hua	3-10g	Invigorates the Blood, dispels Blood Stasis, opens the channels, unblocks menstruation and alleviates pain. With Chuan Xiong, for chest and abdominal pain due to Qi and Blood Stasis. With San Leng and E Zhu, for abdominal masses and accumulations.
Rz. Sparganii	San Leng	3-10g	Forcefully breaks up Blood Stasis, regulates Qi and alleviates pain. With E Zhu, for Qi and Blood Stagnation with clumping and accumulation.
Rz. Curcumae	E Zhu	3-10g	Invigorates Blood circulation, dispels Blood Stasis regulates Qi and alleviates pain. With Qing Pi, for stagnant Qi with chest and abdominal fullness and pain.
Rz. Chuanxiong	Chuan Xiong	3-10g	Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain. With Xiang Fu, for Qi Stagnation combined with Blood Stasis. With Dang Gui, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis. With Dang Gui, Tao Ren and Hong Hua, for abdominal pain accompanying menstruation, pain due to trauma and headache from Blood Stagnation.
Rx. Salviae Miltiorrhizae	Dan Shen	3-15g	Clears Heat, Dispels Blood Stasis, Invigorates the Blood, Soothes irritability and cools the Blood.
Rx. Angelicae Sinensis	Dang Gui	3-15g	Tonifies, invigorates and harmonizes the Blood, disperses Cold, stops pain due to Blood Stasis, regulates the menses, reduces swelling, expels pus, generates flesh and alleviates pain. With Tao Ren and Hong Hua, for amenorrhea, pain, swelling and other symptoms associated with Blood Stasis. With Bai Shao, for Blood Deficiency Heat.
Rx. Paeoniae Alba	Bai Shao	5-30g	Nourishes the Blood, regulates menstruation, softens the Liver, calms Liver Yang and Liver Wind and alleviates pain. With Gan Cao, regulates the relationship between the Liver and Spleen and nourishes the sinews. With Dang Gui, nourishes Yin and Blood. With Xiang Fu and Yan Hu Suo, for dysmenorrhea. With Gan Cao, moderates spasms and relieves abdominal pain. With Xiang Fu, tonifies the Blood and moves Qi.
Poria	Fu Ling	9-18g	Promotes urination, leaches out Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm. With Gui Zhi, warms and transforms fluids, unblocks Yang and promotes urination.
Catechu	Er Cha	1-3g	Absorbs suppuration, Clears Heat, Clears the Lungs, Drains Dampness, Generates flesh, Generates fluids, Stops bleeding, Stops diarrhea, Transforms Phlegm.
Caulis Spatholobi	Ji Xue Teng	9-20g	Invigorates and tonifies the Blood, invigorates the channels and relaxes the sinews. With Dang Gui, Chuan Xiong and Bai Shao, for menstrual disorders.
Sanguis Draconis	Xue Jie	0.3-0.6g	Invigorates the Blood, dispels Blood Stasis and alleviates pain.
Ram. Cinnamomi	Gui Zhi	9-15g	Releases the exterior, assists Yang, adjusts the Ying and Wei, releases the muscle layer, warms the channels and collaterals to relieve pain 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. With Chuan Xiong, expels Wind-Dampness, warms the channels and collaterals, facilitates joint movement and relieves the discomfort of painful obstruction. With Dan Shen, for palpitations and chest pain due to Heart Yang Deficiency and subsequent painful obstruction due to Blood Stasis blocking the channels. With Tao Ren and Mu Dan Pi, for gynecological discomfort due to Blood Stasis. With Tao Ren, Fu Ling and Mu Dan Pi, for amenorrhea and abdominal pain due to Cold Invasion and Blood Stasis. With Dang Gui and Chuan Xiong, for irregular menstruation due to Yang Deficiency with Cold Stagnation.
Ram. Mori	Sang Zhi	9-15g	Dispels Wind-Dampness, unblocks the channels and collaterals, benefits the joints and stops spasms. With Gui Zhi, for pain in the upper extremities.
Rz. Cimicifugae	Sheng Ma	1.5-9g	Releases the exterior, clears Heat and relieves toxicity.
Flos Caryophylli	Ding Xiang	1-5g	Descends Qi, Relieves pain, Warms the Kidneys and assists Yang, Warms the Middle Jiao.
Rz. et Rx. Notopterygii	Qiang Huo	3-10g	Expels Wind-Cold-Dampness, unblocks painful obstruction, guides Qi to the Tai Yang and Du channels and alleviates pain. With Chuan Xiong, for Headache and generalized body aches and pains associated with the common cold or painful obstruction.
Per Citri Reticulatae Viride	Qing Pi	3-10g	Spreads Liver Qi and breaks up Stagnant Qi. With Xiang Fu, for pain and distention of the flanks due to Liver Qi Stagnation. With San Leng and E Zhu, for masses where prolonged Qi Stagnation has led to Blood Stagnation.
Rz. Cyperi	Xiang Fu	6-14g	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 Dang Gui and Chuan Xiong, for irregular menstruation and dysmenorrhea due to Qi and Blood Stasis. With Yan Hu Suo, treats everything from Liver Qi Stagnation to Deep Blood Stasis with pain anywhere in the body.
Rz. Alpiniae Officinarum	Gao Liang Jiang	1.5-10g	Warms the Middle Jiao and alleviates pain. With Xiang Fu, for epigastric and hypochondriac pain due to Liver Qi Stagnation with Cold congealing in the Stomach.
Fr. Liquidamberis	Lu Lu Tong	3-10g	Promotes the movement of Qi, invigorates the Blood, opens the Middle Jiao, unblocks the channels, e Expels Wind and promotes water metabolism. With Xiang Fu, for irregular, scanty periods.
Rx. Gentianae Macrophyllae	Qin Jiao	3-12g	Expels Wind-Dampness, opens the channels, soothes the sinews and collaterals and clears Deficiency Heat. With Dang Gui and Bai Shao, for Blood Deficiency with hemiplegia, especially with excess muscle tension in the upper extremities. With Bie Jia, vents the muscle layer and cools tidal fevers associated with consumption, especially Wind consumption with steaming bones.
Rz. Corydalis	Yan Hu Suo	3-12g	Invigorates the Blood, circulates Qi, stops pain and disperses extravasation. With Xiang Fu and Dang Gui, for dysmenorrhea from Qi Stagnation and Blood Stasis. With Chuan Xiong, for body aches and headaches due to Blood Stagnation. With Gui Zhi and Dang Gui, for dysmenorrhea due to Cold in the Blood and generalized pain that is more intense in the extremities from Wind-Cold entering the collaterals. With Dang Gui, Bai Shao, Chuan Xiong and Xiang Fu, for amenorrhea or menstrual pain due to Qi and Blood Stagnation.
Cx. Moutan	Mu Dan Pi	6-12g	Clears Heat, cools and harmonizes the Blood, clears Deficiency Fire, clears Liver Fire, invigorates the Blood and dispels Blood Stasis. With Gui Zhi, for chest and abdominal pain due to Blood Stagnation.
Rx. Cyathulae	Chuan Niu Xi	4.5-15g	Invigorates the Blood, dispels Blood Stasis, unblocks the menses, expels Wind, drains Dampness, tonifies the Kidneys and Liver and strengthens the tendons and bones. With Hong Hua, Tao Ren and Dang Gui, for gynecological disorders.
Sm. Nelumbinis	Lian Zi	6-18g	Astringes diarrhea, Astringes Jing, Tonifies the Kidneys, Tonifies the Spleen.
Fr. Jujube	Da Zao	3-12G	Tonifies the Spleen and Stomach, augments Qi, nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs.
Rx. Glycyrrhizae	Gan Cao	3-6	Tonifies the Spleen, augments Qi, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Invigorates the Blood
• Dispels Blood Stasis
• Drains Dampness

Syndromes

• Pain in the extremities due to Blood Stagnation

Clinical Manifestations

Palpitations Dizziness Blurred vision Pale, lusterless complexion Pale nails Abdominal pain Irregular menstruation with little flow Fixed lower abdominal pain Vertigo Muscle ache of the neck, back, legs and shoulder Whole body pain Shoulder pain

Elbow pain Pain at the waist Arm pain Low back pain Leg pain Tinnitus Pale lips May be amenorrhea Insomnia Menstruation may also be accompanied by distention and pain T: Pale or Purple C: Normal P: Thin and weak or Thin and choppy

Treats

Peripheral neuropathy Polyneuropathy Diabetic neuropathy Low back pain Shoulder pain

Distal neuropathy Neuralgia Stomach cancer Sciatica Neck stiffness and pain

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Stomach cancer:		For Stomach cancer with vomiting:
+ 10g Pollen Typhae	Pu Huang	+ 10g Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 10g Faeces Trogopterori	Wu Ling Zhi
+ 10g Caulis Bambusae in Taeniam	Zhu Ru
+ 15g Rx. Paeoniae Rubra	Chi Shao	+ 15g Abelmoschus Esculentus	Qiu Kui
+ 15g Fr. Toosendan	Chuan Lian Zi	+ 15g Calyx Kaki	Ding Xiang
+ 9g Rx. Linderae	Wu Yao	+ 6g Rz. Zingiberis Recens	Sheng Jiang
+ 3g Rx. Notoginseng	San Qi
+ 30g Hb. Agrimoniae	Xian He Cao	For Stomach cancer with thirst:
+ 10g Endoconcha Sepiae	Hai Piao Xiao	+ 15g Hb. Dendrobii	Shi Hu
+ 10g Rz. Polygonati	Huang Jing
+ 12g Cacumen Platycladi	Ce Bai Ye	+ 15g Rx. Trichosanthis	Tian Hua Fen
+ 10g Rx. Ophiopogonis	Mai Men Dong
+ 9g Nidus Vespae	Lu Feng Fang	+ 15g Rx. Adenophorae	Nan Sha Shen
+ 6g Periostracum Serpentis	She Tui	+ 6g Fr. Mume	Wu Mei
+ 15g Fr. Schisandrae	Wu Wei Zi
+ 6g Cutis Bufonis	Chan Pi	For Stomach cancer with pain:
For Stomach cancer with hypersalivation:		+ 15g Rx. Bupleuri	Chai Hu
+ 10g Rz. Pinelliae Preparatum	Zhi Ban Xia	+ 6g Rx. Aucklandiae	Mu Xiang
+ 10g Sm. Momordicae	Mu Bie Zi
+ 3g Rz. Zingiberis	Gan Jiang	+ 30g Hb. Chelidonii	Bai Qu Cai
+ 10g Pumex	Fu Shi	For Stomach cancer with dry stools:
+ Sm. Cannabis	Huo Ma Ren
For Stomach cancer with abdominal distention:		+ 15g Sm. Pruni	Yu Li Ren
+ 30g Per. Arecae	Bing Lang	+ 6g Rx. et Rz. Rhei	Da Huang
+ 10g Cx. Magnoliae Officinalis	Hou Po	+ 6g Natrii Sulfas	Mang Xiao
+ 30g Fr. Trichosanthis	Gua Lou
+ 10g Fr. Aurantii	Zhi Ke	+ 30g Hb. Cistanches	Rou Cong Rong
+ 15g Sm. Carbonisatus Arecae	Bing Lang Tan	+ 6g Rx. Rumicis	Yang Ti
For Stomach cancer with hematochezia:
+ 15g Sm. Raphani	Lai Fu Zi	+ 30g Hb. Agrimoniae	Xian He Cao
For Stomach cancer with loose stools:		+ 3g Rx. Notoginseng	San Qi
+ Sm. Coicis Preparata	Zhi Yi Yi Ren	+ 10g Flos Sophorae	Huai Hua Mi
+ 12g Rz. Atractylodis Macrocephalae	Bai Zhu	+ 10g Petiolus Carbon-isatus Trachycarpi	Zong Lu Pi Tan
+ 12g Rz. Atractylodis	Cang Zhu	For Stomach cancer with anemia:
+ 10g Catechu	Er Cha	+ Caulis Spatholobi	Ji Xue Teng
+ 10g Rz. Dioscoreae	Shan Yao	+ Colla Corii Asini	E Jiao
+ 10g Fr. Chebulae	He Zi	+ Hb. seu Rx. Sedum Aizoom	Jing Tian San Qi
For Stomach cancer with hematemesis:
+ 2g Chinese patent medicine Yunnan Bai Yao		+ Placenta Hominis	Zi He Che
+ 3g Rx. Notoginseng	San Qi
+ 30g Hb. Agrimoniae	Xian He Cao
+ 12g Crinis Carbonisatus	Xue Yu Tan
+ 30g Nodus Nelumbo Rhizomatis	Ou Jie
+ 15g Hb. Ecliptae	Mo Han Lian