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Source: Yī Lín Gǎi Cuò 医林改错

Ingredients:

• Táo rén (桃仁 Persicae Semen, peach kernel) 6–12g
• Hóng huā (红花 Carthami Flos, carthamus [flower]) 3–9g
• Dāng guī (当归 Angelicae Sinensis Radix, Chinese angelica) 6–9g
• Shēng dì huáng (生地黄 Rehmanniae Radix Exsiccata seu Recens, dried/fresh rehmannia [root]) 6–9g
• Chuān xiōng (川芎 Chuanxiong Rhizoma, chuanxiong [rhizome]) 3–9g
• Chì sháo (赤芍 Paeoniae Radix Rubra, red peony [root]) 6–9g
• Chái hú (柴胡 Bupleuri Radix, bupleurum [root]) 3–9g
• Zhǐ ké (qiào) (枳壳 Aurantii Fructus, bitter orange) 6–9g
• Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) 1.5–3g
• Jié gěng (桔梗 Platycodonis Radix, platycodon [root]) 3–4.5g
• Niú xī (牛膝 Achyranthis Bidentatae Radix, achyranthes [root]) 9–12g

Action: Quickens the blood and rectifies qì; loosens the chest and relieves pain.

Indication: Collection of static blood causing stabbing pain in the chest and rib-side. Tongue: Bearing stasis speckles on the margins. Pulse: Rough or stringlike. If the static blood prevents the normal upbearing of clear yáng qì, there may be a stubborn headache. When enduring blood stasis transforms into heat, signs such as vexation and oppression, heart palpitation, insomnia, tidal heat effusion, and dry mouth may be observed.

Category: Blood-rectifying formulas / Blood-quickening stasis-transforming formulas

Method: Decoct with water.

Warnings: Contraindicated in pregnancy.

Rationale: Dāng guī, Táo rén, Chuān xiōng, Hóng huā, and Niú xī quicken the blood and dispel stasis, treating stasis and stagnation in the blood aspect. Chái hú, zhike, and Jié gěng loosen the chest and move qì, thereby helping to move the blood. Shēng dì huáng combined with Dāng guī nourishes and quickens the blood, ensuring that the stasis-dispelling agents does not wear the blood. Shēng dì huáng and Dāng guī combined with Táo rén and Niú xī can free the stool, conducting the static blood downward. Gān cǎo is included to harmonize all the agents of the formula.

Variations:

• Acute pain due to static blood obstruction: Add Dì lóng (地龙 Pheretima , earthworm) and Chuān shān jiǎ (穿山甲 Manis Squama, pangolin scales).
• Severe qì pain: Qīng pí (青皮 Citri Reticulatae Pericarpium Viride, unripe tangerine peel) and Xiāng fù (香附 Cyperi Rhizoma, cyperus [rhizome]).
• Coronary heart disease characterized by blood stasis and qì stagnation: Increase the Chuān xiōng (川芎 Chuanxiong Rhizoma, chuanxiong [rhizome]) and Hóng huā (红花 Carthami Flos, carthamus [flower]), and add Dān shēn (丹参 Salviae Miltiorrhizae Radix, salvia [root]).

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