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Chinese Medicinal Material
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【Chinese Name】 |
桂枝茯苓丸
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【Phonetic】 |
Gui Zhi Fu Ling Wan
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【English Name】 |
Cinnamon Twig and Poria Pill |
【Classification】 |
Blood-regulating formulas |
【Source】 |
《Essentials from the Golden Cabinet》Jin Gui Yao Lue《金匱要略》 |
【Combination】 |
Cinnamomi Ramulus (Gui Zhi) 9g, Poria (Fu Ling) 9g, Moutan Cortex (Mu Dan Pi) 9g, Persicae Semen (Tao Ren) 9g, Paeoniae Radix Alba (Shao Yao) 9g |
【Method】 |
Grind all five medicinals into a fine powder, add honey, and make them into pills the size of rabbit droppings. Take one pill (3g) before each meal, if it does not work, take three pills each time. (Modern use: take the honey pills 3-5g a day. It can also be prepared as a decoction by adjusting the medicinal quantities based on the original ratios.) |
【Action】 |
Invigorates blood and dissolves stasis, gradually eliminates masses or lumps. |
【Indication】 |
Gui Zhi Fu Ling Wan is indicated for stasis obstructing the uterus; for instance, women who chronically have masses or lumps, menstrual spotting, restless fetus, dark purple menses, impalpable abdominal pain, painful amenorrhea, or lochiorrhea. The tongue is dark purple with petechia, and the pulse is deep and choppy. |
【Pathogenesis】 |
Originally, this formula is indicated for women who consistently have masses or lumps, with a restless fetus and lochiorrhea associated with stasis obstructing the uterus. Masses and lumps associated with blood stasis that remain in the uterus lead to chong and ren disorders and insecurity of the fetus, which leads to a restless fetus. Stasis that obstructs the uterus and blocks the channels causes the blood to circulate abnormally and blood to leave the vessels, which leads to menstrual spotting. Stasis obstructs the uterus and the blood circulation is unsmooth. Obstruction causes pain so there are symptoms like abdominal pain that aggravates when pressed. The proper treatment is to invigorate blood and dissolve stasis, gradually eliminating masses or lumps. |
【Application】 |
1. Essential pattern differentiation Gui Zhi Fu Ling Wan is commonly used to treat a restless fetus and lochiorrhea due to the retention of blood stasis in the uterus. This clinical pattern is marked by masses in lower abdomen, dark purple menses with blood clots, pain in the lower abdomen that is worse when pressed. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of blood stasis accumulation: uterine fibroids, endometriosis, ovarian cysts, accessories inflammation, chronic pelvic inflammatory disease, and irregular menstruation. 3. Cautions and contraindications When treating masses in pregnant women, the blood-invigorating and dissolves stasis-dissolving methods should be used cautiously. In the original formula description, there are rigid rules regarding the dosage and administration worth paying attention to. |
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