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Source: Yī Xué Fā Míng 医学发明

Ingredients:

• Chái hú (柴胡 Bupleuri Radix, bupleurum [root]) 3–9g
• Dāng guī (当归 Angelicae Sinensis Radix, Chinese angelica) 6–12g
• Táo rén (桃仁 Persicae Semen, peach kernel) 6–12g
• Hóng huā (红花 Carthami Flos, carthamus [flower]) 3–9g
• Shān jiǎ (山甲 Manis Squama, pangolin scales) 6–9g
• Dà huáng (大黄 Rhei Radix et Rhizoma, rhubarb) (stir-fried with wine) 3–9g
• Tiān huā fěn (天花粉 Trichosanthis Radix, trichosanthes root) 9–12g
• Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) 3g
• Huáng jiǔ (黄酒 Vinum Aureum, yellow wine) 1 spoonful

Action: Courses the liver and quickens the blood; frees the network vessels and heals injuries.

Indication: Static blood obstruction causing rib-side and chest pain due to knocks and falls. According to modern research, this formula also intercostal neuralgia and costal chondritis when attributable to static blood.

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

Method: Decoct with water.

Rationale: Dāng guī, Táo rén, Huáng jiǔ, and Hóng huā quicken the blood and dispel stasis. Chái hú is used to course the liver and relieve depression. Dà huáng stir-fried with wine enters the liver, quickens the blood and frees the network vessels, expelling stasis. It also conducts the static blood downward. Tiān huā fěn and Chuān shān jiǎ used together disperse swelling and disperse binds and are therefore particularly effective for knocks and falls. This formula can be used for knocks and falls affecting parts of the body other than the chest and rib-side. Add Guì zhī for the upper limbs, and Niú xī for the lower limbs.

Variations:

• Blood stasis and qì stagnation due to knocks and falls: Add Mù xiāng (木香 Aucklandiae Radix, costusroot) and Xiāng fù (香附 Cyperi Rhizoma, cyperus [rhizome]).
• Severe pain: Add Rǔ xiāng (乳香 Olibanum , frankincense) and Mò yào (没药 Myrrha , myrrh).
• Liver abscess: Combine with xianfanghuomingyin).
• Intercostal neuralgia: Add Guā lóu (瓜蒌 Trichosanthis Fructus, trichosanthes [fruit]) and Xiè bái (薤白 Allii Macrostemonis Bulbus, long-stamen onion [bulb]).

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