Herb Formulas Notebook

Shen Tong Zhu Yu Tang

Drive Out Stasis from a Painful Body Decoction

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Source: Correction of Errors Among Physicians (1830)
Author: Wang Qing-Ren

Category: Formulas that Regulate Blood

Pattern: Blood stasis and Qi stagnation

Key Symptoms: Shoulder pain, arm pain, lower back pain, leg pain or other chronic aches and pains of the body.
Secondary Symptoms: Systemic signs of Qi and Blood stagnation

Tongue: Dark body, stasis spots, distended sublingual veins, white coating
Pulse: Rough, forceful
Abdomen: None necessary but it is common to have pain on pressure in the lower abdomen or visible nevi on the chest or abdomen wall

Qin Jiao 3g
Chuan Xiong 6g
Tao Ren 9g
Hong Hua 9g
Gan Cao 6g
Qiang Huo 3g
Mo Yao 6g
Dang Gui 9g
Wu Ling Zhi 6g (dry fried)
Xiang Fu 3g
Chuan Niu Xi 9g
Di Long 6g

In the UK Wu Ling Zhi and Di Long have to be substituted. Suggestions include:
Wu Ling Zhi == Yan Hu Suo + Lian Fang
Di Long == Xi Xian Cao + Gou Teng.
Some other alternatives to Di Long could be to increase Gan Cao up to 12g and add an equal amount of Bai Shao to incorporate Shao Yao Gan Cao Tang which would then alleviate spasms, especially if the formula needs some moderating influence. Another alternative, if the symbolic shape of Di Long wants to be maintained (it is a symbolic principle that worms and vines are used to enter the blood vessels), then Ji Xue Teng could be used which invigorates Blood and relaxes the tendons.

Preparation: Decoction.

Actions: Invigorates the Blood, promotes the movement of Qi, dispels Blood stasis, unblocks the collaterals, unblocks Painful Obstruction, alleviates pain

Contraindications: Stagnation arising from the deficiency

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.