Theory

Ge Xia Zhu Yu Wan Drive Out Blood Stasis Below The Diaphragm Decoction - TCM Herbal Formula


Ge Xia Zhu Yu Wan Names

  • English Name: Drive Out Blood Stasis Below The Diaphragm Decoction
  • Pinyin Name: Ge Xia Zhu Yu Wan
  • Alternate Names: Ge Xia Zhu Yu Tang, Persica and Carthamaus Combination, Tangkuei and Corydalis Combination
  • Chinese Character: 隔下逐於丸



Ge Xia Zhu Yu Wan Clinical Usages and Indications

  • For blood stasis below the diaphgram - abdominal masses, liver and spleen masses/swelling, colitis.
  • A range of liver disorders are possibly applicable - cirrhosis, hepatic hemangioma, hepatitis, jaundice.
  • Spleen disorders - splenomegaly.
  • Pleural adhesions.
  • A range of menstrual disorders - fibroids, endometriosis, dysmenorrhea (although Shao Fu Zhu Yu Wan may be more appropriate as that targets more the lower jiao).
  • Pelvic inflammatory disease.
  • May be used to help expel ectopic pregnancy.

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Ge Xia Zhu Yu Wan Cautions

Contraindication Notes:

  • Avoid during pregnancy.
  • Use only under direction during menstruation.
  • Use only under direction if you are taking blood thinners.
  • Generally not for long term use.



Clinician Notes


Ge Xia Zhu Yu Wan Has 12 Ingredients

Tao Ren

  • Peach Seed
    • Breaks up blood stasis (important herb) - menstrual disorders, abdominal pain/masses, trauma, flank pain, lung abscess, intestinal abscess.
    • Moistens intestines, unblock bowels - constipation due to dry intestines.
  • Herbs That Invigorate Blood
  • Cautions
    • Avoid During Pregnancy

Hong Hua

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  • Safflower Flower
    • Invigorate blood, unblock menstruation - blood stasis patterns w/amenorrhea, abdominal pain, post partum dizziness, lochioschesis, abdominal masses.
    • Dispels blood stasis, alleviates pain - blood stasis wounds and pain, carbuncles, dark purplish erythema, rash, chest pain due to blood stasis.
  • Herbs That Invigorate Blood
  • Cautions
    • Avoid During Pregnancy

Dang Gui

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  • Chinese Angelica Root
    • Tonifies the blood, regulates menses - pallid, ashen complexion, tinnitus, blurred vision, palpitations, irregular menses, amenorrhea, dysmenorrhea.
    • Invigorates/harmonizes the blood, disperses cold - important herb to stop pain due to blood stasis - abdominal pain, trauma, carbuncles due to blood stasis, chronic bi.
    • Moistens dry intestines due to blood deficiency.
    • Reduces swellings, expels pus, generates flesh - sores.
  • Herbs That Tonify Blood

Chuan Xiong

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  • Szechuan Lovage Root
    • Invigorate blood, promote movement of Qi - any blood stasis pattern, important for gynecological issues (amenorrhea, dysmenorrhea, difficult labor, lochioschesis).
    • Expels wind and alleviates pain - headache (temporal, vertex), dizziness, painful obstructions, skin issues.
    • Headache - moves qi upward and alleviates pain; headaches due to wind, heat, cold, blood deficiency.
  • Herbs That Invigorate Blood

Mu Dan Pi

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  • Tree Peony Root Cortex
    • Clears Heat (excess and deficient), Cools Blood. Nose bleed, bloody sputum or vomit, subcutaneous bleeding, frequent and profuse menses due to heat in the Blood.
    • Clear Deficient Fire. Yin deficiency patterns such as steaming bone disorder after a warm-febrile disease particularly those without sweating.
    • Clears Liver Blood Stasis. Amenorrhea, abdominal masses, bruises.
    • Clears Rising Liver Fire. Headache, eye pain, flank pain, flushing, dysmenorrhea.
    • Drains Pus, Reduces Swelling. Used topically for non-draining sores. Used internally for intestinal abscess.
  • Herbs That Cool The Blood
  • Cautions
  • Avoid in Pregnancy, Excess Menses due to Blood moving action.

Chi Shao

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  • Red Peony Root
    • Invigorates blood, dispels stasis (stronger than Mu Dan Pi) - dysmenorrhea, amenorrhea, abdominal pain and masses, traumatic pain associated with swelling, early stages of abscesses and boils.
    • Clears heat, cools the blood (especially for excess heat in the blood) - for heat entering the blood level with fever, purple tongue, skin blotches, bleeding, gyn issues.
    • Clears liver fire - for red swollen, painful eyes.
  • Herbs That Invigorate Blood
  • Cautions

Zhi Ke

Wu Yao

  • Lindera Root
    • Promotes the movement of Qi, alleviates pain by warming and dispersing - flank, chest, epigastric, abdominal pain, hernia, menstrual pains due to cold constraint and qi stagnation.
    • Warms the kidneys - frequent urination or incontinence due to kidney yang deficiency and cold from deficiency of the bladder.
  • Herbs That Regulate The Qi

Xiang Fu

  • Nut Grass Rhizome
    • Spreads and regulates the Qi, soothes the liver - hypochondriac pain, epigastric distention, disharmony between the liver and the spleen.
    • Regulates menses, alleviates pain (by resolving liver qi stagnation) - dysmenorrhea, irregular menses.
  • Herbs That Regulate The Qi

Wu Ling Zhi

  • Flying Squirrel Feces
    • Disperse blood stasis, alleviate pain - amenorrhea, dysmenorrhea, post partum abdominal pain, epigastric pain due to blood stasis.
    • Transforms stasis, stop bleeding - uterine bleeding, lochioschesis.
    • Childhood nutritional impairment with focal distention.
    • Use raw to invigorate blood and dry-fry to stop bleeding.
  • Herbs That Invigorate Blood
  • Cautions

Yan Hu Suo

Gan Cao

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  • Licorice Root
    • Tonifies the spleen and augments qi - spleen deficiency w/shortness of breath, fatigue, loose stools (si jun zi tong).
    • Qi and/or blood deficiency w/irregular pluse or palpitations (Zhi Gan Cao Tang).
    • Moistens the lungs and stops cough - heat/cold in the lungs (Ma Xing Shi Gan Tang).
    • Clears heat and toxic fire (raw) - carbuncles, sores, sore throat due to fire toxin (internally or topically).
    • Alleviates pain and stops spasms - abdomen or legs (Shao Yao Gan Cao Tang).
    • Often used to harmonize and/or moderate characteristics of other herbs.
    • Antidote for toxic substances (internally and topically).
  • Herbs That Tonify Qi
  • Cautions
    • Avoid with excess dampness, nausea, vomiting.
    • Incompatible with Gan Sui, Da Ji, Yuan Hua, Hai Zao (although used in some formulas with Hai Zao).
    • If taken for long periods of time, may cause hypertension and/or edema.



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