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Source: Empirical formula

Ingredients

• Dān shēn (丹参 Salviae Miltiorrhizae Radix, salvia [root]) 15g
• Chì sháo (赤芍 Paeoniae Radix Rubra, red peony [root]) 9g
• Táo rén (桃仁 Persicae Semen, peach kernel) 9g
• Sān léng (三棱 Sparganii Rhizoma, sparganium [root]) 6g
• É zhú (莪朮 Curcumae Rhizoma, curcuma rhizome) 6g

Actions: Quickens the blood and breaks stasis; disperses concretions and relieves pain.

Indications: Miscarriage or rupture due to ectopic (extrauterine) pregnancy, characterized by overdue menses, dark red discharge that may contain fleshy or membranous lumps, fulminant abdominal pain exacerbated by pressure, starting in the lower abdomen and spreading to the whole abdomen.

Method: Decoct with water.

Rationale: According to tradition Chinese medicine, acute lesser abdominal (lower abdominal) pain of fixed location that is exacerbated by pressure indicates a concretion or accumulation, which is treated by quickening the blood and dispelling stasis. Mǔ dān pí, Táo rén, and Chì sháo quicken the blood and transform stasis. Sān léng and é zhú break blood and disperse concretions. When the concretion is eliminated, the discharge ceases and the pain abates.

Variations:

• Repletion heat: Add Dà huáng (大黄 Rhei Radix et Rhizoma, rhubarb) and Máng xiāo (芒硝 Natrii Sulfas , mirabilite). Add Zhǐ shí (枳实 Aurantii Fructus Immaturus, unripe bitter orange) and Hòu pò (厚朴 Magnoliae Officinalis Cortex, officinal magnolia bark). For internal bleeding: Add Rén shēn (人参 Ginseng Radix, ginseng), Wǔ wèi zǐ (五味子 Schisandrae Fructus, schisandra [berry]), or shentang.

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