Herb Formulas Notebook

Shen Ling Dan

Pregnancy Panacea

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Source: Formulary of the Pharmacy Service for Benefiting the People of the Taiping Era (1107)
Author: Imperial Medical Bureau

Category: Formulas that Stabilise and Bind

Pattern: Uterine bleeding due to deficiency Cold of the Ren Mai and Chong Mai causing Blood stasis

Key Symptoms: Continuous uterine bleeding of purplish-red or dark purple blood with clots, pain and tenderness of the abdomen that passes with the passage of clots

Tongue: Dark purple with purple spots
Pulse: Submerged, thin and wiry

Yu Yu Liang 120g
Zi Shi Ying 120g
Chi Shi Zhi 120g
Dai Zhe Shi 120g
Ru Xiang 60g
Mo Yao 60g
Wu Ling Zhi 60g
Zhu Sha 30g

In the UK practically this entire formula needs to be substituted. Based on the substitutions list by Ken Lloyd and Prof. Leung some suggestions would be:

Yu Yu Liang == Wu Wei Zi
Zi Shi Ying == Yuan Zhi + Fu Shen
Chi Shi Zhi == He Zi + Ji Guan Hua
Dai Zhe Shi == Xia Ku Cao + Zhu Ru
Wu Ling Zhu == Yan Hu Suo + Lian Fang
Zhu Sha == Hu Po (but can also be omitted entirely as it is from later reproductions of this formula)

Some of these substitutions seem more suitable for astringing the intestines than stopping uterine bleeding (eg. Wu Wei Zi and He Zi), or for clearing Heat when this pathology is from Cold (eg. Xia Ku Cao and Zhu Ru) so it may be more advisable to change some of these substitutions for Blood Movers and Astringents that stop bleeding in menstrual disorders and are neutral or warm such as San Qi, Pu Huang, Ai Ye and Lian Zi.

Preparation: All but the last ingredient were ground into powder and mixed with water and 120g of ground glutinous rice and formed into pills which were coated with Zhu Sha. One large pill (9-12g) was taken on an empty stomach with warm water or wine.

Actions: Stabilises uterine bleeding and transforms Blood stasis

Contraindications: Cold from deficiency in the absence of Blood stasis

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.