Gui Zhi Fu Ling Wan (Cinnamon Twig and Poria Pill)

Sub-Category:

• Formulas that Invigorate the Blood and Dispel Blood Stasis

Actions:

• Invigorates the blood and transforms blood stagnation
• Regulates the menses and reduces lower abdominal lumps and masses that are fixed in nature.

Indications:

• Blood stagnation in the Uterus: Fixed lumps or masses in the lower abdomen with pain and tenderness, especially with pressure Dysmenorrhea, amenorrhea, uterine fibroids, and postpartum retention of the lochia.
• Blood stagnation in the uterus during pregnancy: Persistent but mild uterine bleeding during pregnancy with purple or dark blood. Abdominal pain and spasms, abdominal tension and tenderness, and restless fetus syndrome.

Possible Tongue Appearance:

• Purple tongue body with dark or purple spots on the sides

Possible Pulse Patterns:

• Choppy pulse, possibly wiry, and slippery when pregnant

Western Uses:

• Endometritis
• Adnexitis (Pelvic Inflammatory Disease)
• Hysteromyoma
• Ovarian Cyst
• Dysmenorrhea
• Infertility
• Post Partum Bleeding
• Retention of Lochia
• Irregular Menstruation

Cautions, Contraindications, Herb Drug Interactions:

• Use with extreme caution during pregnancy, only after confirming diagnosis

Preparation Notes:

• Decoction. Bai Shao or Chi Shao can be used depending on the nature of the condition.

Originally Appeared In:

• Essentials from the Golden Cabinet (Jin Gui Yao Lue)

Combined Channels of all herbs in this formula:

• Lungs, Heart, Bladder, Spleen, Liver, Kidneys, Large Intestine, Stomach

Substances in this Formula (5 Total):

	Gui Zhi (Cinnamon Twig, Cassia Twig) 桂枝 Qty: 9-12 grams Chan: HT, LU, BL Prop: Spicy, Sweet, Warm Latin: Ramulus Cinnamomi Cassiae Cat: Warm, Spicy Herbs that Release the Exterior
	Fu Ling (Sclerotium of Tuckahoe, China Root, Poria, Hoelen) 茯苓 Qty: 9-12 grams Chan: HT, SP, LU Prop: Sweet, Bland, Neutral Latin: Scierotium Poriae Cocos Cat: Herbs that Regulate Water and Drain Dampness
	Bai Shao (White Peony Root) 白芍 Qty: 9-15 grams Chan: LIV, SP Prop: Bitter, Sour, Cool Latin: Radix Albus Paeoniae Lactiflorae Cat: Herbs that Tonify Blood
	Mu Dan Pi (Cortex of the Peony Tree Root) 牡丹皮 Qty: 9-12 grams Chan: HT, LIV, KI Prop: Spicy, Bitter, Cool Latin: Cortex Radicis Moutan Cat: Herbs that Cool the Blood
	Tao Ren (Peach Kernel) 桃仁 Qty: 9-12 grams Chan: HT, LI, LIV, ST Prop: Bitter, Sweet, Neutral Latin: Semen Pruni Persicae Cat: Herbs that Invigorate Blood and Remove Stagnation