Herbs that regulate the Blood– Invigorate the blood To treat the disease when the flow of blood has been slowed, obstructed, or becomes static. Particularly.

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Herbs that regulate the Blood– Invigorate the blood To treat the disease when the flow of blood has been slowed, obstructed, or becomes static. Particularly useful for problems marked by the following signs and symptoms: - Pain: general or localized. When local, the pain is usually stabbing, clearly localized, and does not move about. - Pain: general or localized. When local, the pain is usually stabbing, clearly localized, and does not move about. - Numbness & paresthesias of the limbs - Numbness & paresthesias of the limbs - Masses due to bleeding, including those associated with truma - Masses due to bleeding, including those associated with truma - Bleeding of any kind of where the blood is dark purple and accompanied by clots - Bleeding of any kind of where the blood is dark purple and accompanied by clots - Dark purple stasis spots on the skin, mucous membranes, or tongue - Dark purple stasis spots on the skin, mucous membranes, or tongue Invigorate Blood Stop Pain chuan xiong, yan hu suo, yu jin, ru xiang, mo yao, Irregular menstruation Dan Shen, Tao Ren, Hong Hua, Niu Xi, Chuan Niu Xi, Wang Bu Liu Xing, Ji Xue Teng, Yi Mu Cao, Ze Lan Break up blood stasis ( masses) E Zhu, San Leng, jiang huang, hu zhang, zi ran tong, wu ling zhi, jiang xiang, Fan Hong Hua, Contraindications Pregnancy

Herbs that Inviograte blood Part One Stops Pain Chuan Xiong 川芎 Yan Hu Suo 延胡索 Yu Jin 郁金 Ru Xiang 乳香 Mo Yao 没药

Chuan Xiong 川芎

Pharmaceutical NameChuanxiong Rhizoma Actions 1. Invigorates the blood & promotes the movement of Qi 1. Expels wind & alleviates pain Indications (Excess) Dysmenorrhea, amenorrhea, difficult labor, or retained lochia Any externally-contracted wind disorder Headache Skin problems caused by wind Dosage3 - 9 g; when taken as a powder, 1-1.5g per dose Cook Toxic Sym. Tingling pain in the abdomen, urinary frequency, pain upon urinating, intense headache Chuan Xiong 川芎 (Warm)

Contraindications pregnancy In those who bleed easily or have profuse menses Combinations IndicationsFormular Xiang Fu 香附 Wide variety of disease due to Qi Stag. Or Blood stasis Dang Gui 当归 Menstrual disorders Tao Ren 桃仁 Hong Hua 红花 Abdominal pain accompanying the menses, usually with clots Pao JiangRetained lochia, as in GenerationSheng Hua Tang Yi Mu Cao Tao Ren Problems due to postpartum blood stasis Fang Feng Jing Jie Headache from externally-contracted wind-cold Chuan Xiong Cha Tiao San Chuan Xiong 川芎 (Warm)

Yan Hu Suo 延胡索

Pharmaceutical NameCorydalis Rhizoma Actions 1. Alleviates Pain 2. Invigorates the blood 2. Promotes the movement of Qi Indications (Excess) For pain of almost any kind affecting the chest, abdomen, or limbs, including that due to blood stasis & trauma Dosage3 -9 g Cook Toxic Sym. In high dosage ( 10 – 15 g): drowsiness, dizziness, and abdominal distention Yan Hu Suo 延胡索 ( Warm)

Contraindications Inappropriate during pregnancy unless warranted by exceptional circumstances Combinations IndicationsFormular Xiang Fu 香附 Dang Gui 当归 Dysmenorrhea due to Qi stag. & blood stasis Yu Jin 郁金 Gua Lou 瓜蒌 Chest & hypochondrial pain Chuan Xiong 川芎 Headache & body aches due to blood stasis Wu Yao 乌药 Abdominal pain from blood stasis due to cold Gui Zhi 桂枝 Dang Gui 当归 Dysmenorrhea due to cold Ru Xiang 乳香 Mo Yao 没药 Pain due to trauma Dan Shen 丹参 Hong Hua 红花 Coronary artery disease Yan Hu Suo 延胡索 ( Warm)

Yu Jin 郁金

Pharmaceutical NameCurcumae Radix Actions 1. Invigorates the blood and stops pain while promoting the movement of qi & resolving constraint 2. Benefits the Gallbladder & reduces jaundice 2. Clears the heart and opens the orifices 3. Clear heat & cools the blood Indications ( Excess ) Pain related to traumatic injury, or pain due to liver Qi stag. Gall stones Anxiety, agitation, seizures, or mental derangement Bleeding due to heat in the blood Dosage6 -12 g Cook Toxic Sym.None noted Yu Jin 郁金 ( Cold )

ContraindicationsPregnancy Combinations IndicationsFormular Xiang Fu 香附 Dang Gui 当归 Flank & abdominal pain from live Qi stag. Zhi Ki 枳壳 Live Qi stag. Chai Hu 柴胡 Irregular menses & dysmenorrhea Shi Chang Pu 石菖蒲 Zhu Li 竹沥 Muddled consciousness Yin Chen 茵陈 Zhi Zi 栀子 Jaundice due to damp heat Hai Jin Sha 海金沙 Ji Nei Jin 鸡内金 Gall stones Yu Jin 郁金 ( Cold )

Comparing Chuan XiongYu Jin Both good at 1.invigorate the Blood and 2. Promote Qi Movement TasteWarmCold Location Widely used for all blood stasis Working mainly on the chest & rib area actions Any externally-contracted wind disorder 1. Cool blood & clear heart to treat anxiety & Irritability 2. Benefit GB, clear damp-heat InstructionGood for all headache

Ru Xiang 乳香

Pharmaceutical NameOlibanum Actions 1. Invigorates the blood & promotes the movement of Qi 2. Relaxes the sinews, invigorates the channels, & alleviates pain 3. Reduces swelling & generates flesh Indications ( Excess ) Traumatic pain due to blood stasis Wind-damp painful obstruction, rigidity and spasms Sores, carbuncles Pain, redness and swelling gums, mouth, and throat Dosage3 – 9 g Cook Toxic Sym. Ingestion of this substance can cause allergic reactions Ru Xiang 乳香 ( Warm)

Contraindications Pregnancy Weak stomachs Combinations IndicationsFormular Wu Ling Zhi 五灵脂 Xiang Fu 香附 Epigastric & abdominal pain Mo Yao 没药 Pain due to trauma Chuan Lian Zi 川楝子 Mu Xiang 木香 Epigastric pain due to Qi stag. & blood stasis Qiang Huo 羌活 Qin Jiao 秦艽 Joints pain due to wind-cold- damp Niu Xi 牛膝 Flank pain due to acute sprain Ru Xiang 乳香 ( Warm)

Mo Yao 没药

Pharmaceutical NameMyrrha Actions 1. Invigorates the blood & dispels blood stasis 2. Promotes healing Indications ( Excess ) Pain from trauma, sores, carbuncles, swelling, fixed abdominal masses, painful obsturction Chronic nonhealing sores Dosage3 -9 g Cook Toxic Sym. Allergic reactions Mo Yao 没药 (Neutral)

ContraindicationsPregnancy & weak stomachs Combinations IndicationsFormular Yan Hu Suo 延胡索 Xiang Fu 香附 Epigastric and abdominal pain Hong Hua 红花 chest & abdominal pain due to blood stasis Mo Yao 没药 (Neutral)

Conclusion Chuan Xiong For all blood stasis & headache Yan Hu Suo Stop pain Yu Jin Cool blood & clear heart to treat anxiety & irritability Ru XiangTraumatic blood stasis Mo YaoTraumatic blood stasis

Herbs that Inviograte blood Part Two To treat irregular menstruation Dan Shen 丹参, Tao Ren 桃仁, Hong Hua, 红花 Niu Xi, 牛膝 Chuan Niu Xi, 川牛膝 Wang Bu Liu Xing, 王不留行 Ji Xue Teng, 鸡血藤 Yi Mu Cao, 益母草 Ze Lan 泽兰

Dan Shen 丹参

Pharmaceutical NameSalviae miltiorrhizae Radix Actions 1. Invigorates the blood & dispels stasis 2. Clears heat & soothes irritability 2. Nourishes the blood & calms the spirit 3. Cools the blood & reduces abscesses Indications ( Excess & def. ) Wide variety of blood stasis disorders in any part of body Restlessness, irritability, palpitation Insomnia due to blood def. Widely used in all heart disease now Dosage6 -15 g Cook Toxic Sym. Dry mouth, dizziness, general weakness Dan Shen 丹参 ( slightly cold )

Contraindications Pregnancy Do not use in combination with Li Lu Combinations IndicationsFormular Tao Ren 桃仁 Yi Mu Cao 益母草 Postpartum abdominal pain Ru Xiang 乳香 Pain & swelling Tan Xiang 檀香 Sha Ren 砂仁 Pain in the chest Dan Shen Yin 丹参饮 Mu Dan Pi 牡丹皮 Sheng Di Huang 生地黄 High fever caused irritibality Suan Zhao Ren 酸枣仁 Bai Zi Ren 柏子仁 Insomnia due to heart blood def. Tian Wang Bu Xin Dan 天王补心丹 Xuan Shen 玄参 Lian Qiao 连翘 Intense irritability Qing Ying tang 清营汤 Dan Shen 丹参 ( slightly cold )

Tao Ren 桃仁

Pharmaceutical NamePersicae Semen Actions 1. Breaks up blood stasis 2. Moistens the intestines & unblocks the bowels Indications ( Excess ) Menstrual disorders Abdominal pain, traumatic injury, flank pain Constipation Dosage4.5 – 9 g Cook Toxic Sym. Toxic ( amygdalin content ): irritation, headache, vomiting… Tao Ren 桃仁 (neutral)

ContraindicationsPregnancy & blood def. Combinations IndicationsFormular Hong Hua 红花 Dysmenorrhea & amenorrhea Hong Hua 红花 Chi Shao 赤芍 Pain due to trauma Tao Hong Si Wu Tang 桃红四物汤 Pao Jiang 炮姜 Chuan Xiong 川芎 Lower abdominal pain, as in Generation Sheng Hua Tang 生花汤 Da Huang 大黄 Gui Zhi 桂枝 Blood stasis and heat in the lower burner Tao He Chen Qi Tang Yi Yi Ren 薏苡仁 Lu Gen 芦根 Lung abscessWei Jing Tang Xing Ren 杏仁 Huo Ma Ren 火麻仁 ConstipationWu Ren Wan Tao Ren 桃仁 (neutral)

Hong Hua

Pharmaceutical NameCarthami Flos Actions 1. Invigorates the blood, dispels stasis 1. Unblocks menstruation 2. Stops Pain Indications ( Excess ) Wide variety of problems due to blood stasis Amenorrhea Trauma, nonsuppurative sores Abdominal masses Dosage3 – 9 g Cook Toxic Sym. Headache, nausea, dilated pupils Hong Hua 红花 (Warm)

Contraindications Pregnancy Any problem related to bleeding Combinations IndicationsFormula Chuan Xiong 川芎 Pain in the chest & abdomenXue Fu Zhu Yu Tang Sheng Di 生地 Lian Qiao 连翘 Chi Shao 赤芍 Pain, redness, and swelling of the eyes Yi Mu Cao 益母草 Niu Xi 牛膝 Abdominal pain due to blood stasis Zi Cao 紫草 Dang Gui 当归 Carbuncles, boils and other toxic swelling Hong Hua 红花 (Warm)

Niu Xi 牛膝

Pharmaceutical NameAchyranthis bidentatae Radix Actions 1. Invigorates the blood & dispels blood stasis 2. Tonifies the liver and kidney, strengthens the sinews and bones and benefits the joints 1. Induces the downward movement of blood & fire Indications ( Excess & Def. ) Dysmenorrhea, amenorrhea, and retained lochia Post-traumatic pain Pain & soreness affecting the lower back and knees Damp-painful obstruction Liver Yang rising; Dosage6 -15 g Cook Toxic sym. None noted Niu Xi 牛膝 (neutral)

Contraindications Pregnancy Excessive menstruation Combinations IndicationsFormular Hong Hua 红花 Rou Gui 肉桂 Dang Gui 当归 Amenorrhea, dysmenorrhea, and delayed menstruation Ru Xiang 乳香 Mo Yao 没药 Pain from truma Du Zhong 杜仲 Pain & weakness of the lower back Shu Di Huang 熟地 Gui Ban 龟板 Weak lower back Hu Qian Wan 虎潜丸 Dai Zhe Shi 代赭石 Mu Li 牡蛎 Dizziness & vertigo due to Liver & kid. Def. Zhen Gan Xi Feng Tang Dang Gui 当归 Huang Qin 黄芩 Hot painful urinary dribbling Niu Xi 牛膝 (neutral)

Chuan Niu Xi 川牛膝

Pharmaceutical NameCyathulae Radix Actions 1. Invigorates the blood & unblocks the menses 2. Expels wind, drains dampness Indications (Excess) Dysmenorrhea or amenorrhea Pain due to truma Atrophy & spasms of the lwer extremities due to wind- dampness Dosage g Cook Toxic Sym. Chuan Niu Xi 川牛膝 ( Neutral )

Wang Bu Liu Xing 王不留行

Pharmaceutical NameVaccariae Semen Actions 1. Promotes the movement of blood & invigorates the channels 2. Reduces swelling Indications (Excess ) Promotes lactation in upper body Unblocks menstruation in the lower body Painful swellings, especially of the breast or testicles Dosage4.5- 9g Cook Toxic Sym.None noted Wang Bu Liu Xing 王不留行 (Neutral)

ContraindicationsPregnancy Combinations IndicationsFormular Dang Gui 当归 Xiang Fu 香附 Menstrual irrregularies or amenorrhea Chuan Shan Jia 穿山甲 Insufficient lactation & breast abscess Lu Lu Tong 路路通 Tong Cao 通草 Huang Qi 黄芪 Insufficient lactation Pu Gong Ying 蒲公英 Gua Lou 瓜蒌 Breast abscess Wang Bu Liu Xing 王不留行 (Neutral)

Yi Mu Cao 益母草

Pharmaceutical NameLeonuri Herba Actions 1. Invigorates the blood & dispels stasis 2. Promotes urination & reduces swelling 3. Clears heat & resloves toxicity Indications (Excess ) Gynecological discorders such as irregular mensturation, premenstrual abdominal pain, heavy menstruation Acute systemic edema Sores, abscess and toxic swelling Dosage9-15g Cook Toxic Sym.Sudden general weakness, stiffness and paralysis Yi Mu Cao 益母草 (slightly cold)

ContraindicationsPregnancy Combinations IndicationsFormular Dang Gui 当归 Irregular menstruation Chuan Xiong 川芎 Xiang Fu 香附 Dysmenorrhea Bai Mao Gen 白茅根 Edema accompanied by blood stasis Huang Jing 黄精 Shi Wei 石韦 Kidney stones & bloody urine Yi Mu Cao 益母草 (slightly cold)

Ji Xue Teng 鸡血藤

Pharmaceutical NameSpatholobi Caulis Actions 1. Promotes the movement of blood & tonifies the blood 2. Invigorates the channels & relaxes the sinews Indications (Excess & def. ) Dysmenorrhea, irregular menstruation, or amenorrhea Numbness or the extremities Generalized joint soreness due to blood def. or blood stasis Dosage9-15g Cook Toxic Sym.None noted Ji Xue Teng 鸡血藤 ( warm )

ContraindicationsProfuse menses Combinations IndicationsFormular Shu Di Huang 熟地 Bai Shao 白芍 Dang Gui 当归 Blood deficiency after traumatic injury Dang Gui Ji Xue Teng Tang Sang Ji Sheng 桑寄生 Niu Xi 牛膝 Wind-damp painful obstruction Qiang Huo 羌活 Luo shi Teng 络石藤 Painful obstruction Dan Shen 丹参 Du Zhong 杜仲 Weakness & numbness, and paralysis of the limbs Ji Xue Teng 鸡血藤 ( warm )

Ze Lan 泽兰

Pharmaceutical NameLycopi Herba Actions 1. Invigorates the blood & dispels stasis 2. Promotes urination Indications (Excess) Blood stasis obstructiong the menses Postpartum abdominal pain from blood stasis Tramuatic injury Postpartum edema, systemic or facial edema Dosage9-15g Cook Toxic Sym.None noted Ze Lan 泽兰 ( slightly warm )

ContraindicationsPregnancy Blood def. or in the absence of blood stasis Combinations IndicationsFormular Chuan Xiong 川芎 Amenorrhea, dysmenorrhea, and trauma-induced pain Dan Shen 丹参 Trauma induced swelling Dang Gui 当归 Jin Yin Hua 金银花 Swelling and pain from abscess Han Fang Ji 汉防己 Postpartum edema Ze Lan 泽兰 ( slightly warm )

Herbs that Inviograte blood Part Three Breaks up blood stasis ( masses) Sang Leng 三棱 E Zhu 莪术

San Leng 三棱

Pharmaceutical NameSparganii Rhizoma Actions 1. Forcefully breaks up blood stasis, promotes the movement of qi, and alleviates pain 2. Dissolves accumulations Indications (Excess) Blood stasis pattern with amenorrhea, dysmenhorrea Abdominal masses Pain due to food stagnation. Dosage3-9g Cook Toxic Sym.None noted San Leng 三棱 ( neutral)

ContraindicationsPregnancy Excessive menstruation Combinations IndicationsFormular E Zhu 莪术 Dang Gui 当归 Hong Hua 红花 Tao Ren 桃仁 Amenorrhea, postpartum abdominal pain, and fixed abdominal masses due to blood stasis Yan Hu Suo 延胡索 Pain due to blood stasis Mu Xiang 木香 Qing Pi 青皮 Shen Qu 神曲 Pain due to food stagnation San Leng 三棱 ( neutral)

E Zhu 莪术

Pharmaceutical NameCurcumae Rhizoma Actions 1. Breaks up blood stasis, promotes the movement of Qi, and alleviates pain 2. Dissolves accumulations & alleviates pain Indications (Excess) Abdominal pain, dysmenorrhea, amenorrhea Abdominal masses Distention due to food stagnation. Dosage3-9g Cook Toxic Sym.Dizziness, nausea, dyspnea E Zhu 莪术 ( warm)

ContraindicationsPregnancy Excessive menstruation Combinations IndicationsFormular Sang LengFixed palpable masses Dan Shen Bie Jia Firm abdominal masses Dang Gui Niu Xi Chuan Xiong Menstrual disorders Fixed abdominal masses Mu Xiang Abdominal fullness due to food stag. Qing Pi Pain & fullness in the chest due to Qi stag. E Zhu 莪术 ( warm)