Si Wu Tang (Four Substance Decoction)
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Si Wu Tang (Four Substance Decoction)

Formula 7 of 30 in Formulas that Tonify

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Sub-Category:

  • Formulas that Tonify the Qi

Pattern:

  • Liver Blood Deficiency

Actions:

  • Tonifies and invigorates the blood
  • Regulates the Liver, harmonizes the menses, and alleviates pain.

Indications:

  • Irregular menstruation with scanty flow, dysmenorrhea, amenorrhea, lower abdominal or periumbilical pain, and PMS
  • Dizziness, fatigue, tinnitus, blurred vision, palpitations, and pale nails and complexion
  • Painful and hard abdominal masses, threatened miscarriage, and lochioschesis.

Possible Tongue Appearance:

  • Pale, purple, or dusky tongue

Possible Pulse Patterns:

  • Wiry and thin pulse
  • Choppy and thin pulse

Western Uses:

  • Dysmenorrhea
  • Irregular Menstruation
  • Pre-Menstrual Syndrome
  • Anemia
  • Threatened Miscarriage
  • Post Partum Weakness
  • Insufficient Lactation
  • Urticaria
  • Neurogenic Headache

Cautions, Contraindications, Herb Drug Interactions:

  • This formula is heavy and cloying and should not be used in cases with loose stool, poor appetite, and indigestion due to Spleen Qi/Yang deficiency
  • Do not use in cases of acute or severe blood loss.

Preparation Notes:

  • Decoction.

Originally Appeared In:

  • Imperial Grace Formulary of the Tai Ping Era (Tai Ping Hui Min He Ji Ju Fang)

Combined Channels of all herbs in this formula:

  • Heart, Kidneys, Liver, Spleen, Pericardium, Gall Bladder

There are 4 Substances in this Chinese Medicne

Shu Di Huang (Qty: 9-21 grams)

Slightly Warm Shu Di Huang (Processed Radix Rehmanniae)
Channels:
LIV, KI, (HT)
Properties:
Sweet, Slightly Warm
Latin:
Processed Radix Rehmanniae
Chinese:
熟地黄
Tone Marks:
shú dì huáng
Alt Names:
Shu Di
Translation:
Cooked Earth Yellow

Bai Shao (Qty: 9-15 grams)

Cool Bai Shao (Radix Albus Paeoniae Lactiflorae)
Channels:
LIV, SP
Properties:
Bitter, Sour, Cool
Latin:
Radix Albus Paeoniae Lactiflorae
Chinese:
白芍
Tone Marks:
bái sháo
Alt Names:
Bai Shao Yao
Translation:
White Peony

Dang Gui (Qty: 9-12 grams)

Warm Dang Gui (Radix Angelicae Sinensis)
Channels:
HT, LIV, SP
Properties:
Sweet, Spicy, Bitter, Warm
Latin:
Radix Angelicae Sinensis
Chinese:
当归
Tone Marks:
dāng guī
Translation:
State of Return

Chuan Xiong (Qty: 3-6 grams)

Warm Chuan Xiong (Rhizoma Ligustici Chuanxiong)
Channels:
LIV, GB, PER
Properties:
Spicy, Warm
Latin:
Rhizoma Ligustici Chuanxiong
Chinese:
川芎
Tone Marks:
chuān xiōng

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