Theory

Shu Jing Huo Xue Wan Relax The Channels and Invigorate The Blood Decoction - TCM Herbal Formula


Shu Jing Huo Xue Wan Names

  • English Name: Relax The Channels and Invigorate The Blood Decoction
  • Pinyin Name: Shu Jing Huo Xue Wan
  • Alternate Names: Shu Jing Huo Xue Tang, Shu Ching Huo Hsieh Tang, Shu Jin Huo Xue Wan, Clematis and Stephania Combination, Chin-chui and Clemantis Combination
  • Chinese Character: 舒經活血丸



Shu Jing Huo Xue Wan Clinical Usages and Indications

  • Primarily used for blood stasis with wind-damp in the channels and collaterals characterized by internal deficiency with external excesses - joint pain, muscle aches, numbness and/or pain in the lower extremities (may be severe).
  • Wind-cold damp bi-syndrome (i.e. arthritis) - particularly in the lower part of the body, hips, knees, lower back.
  • Sciatic pain with the correct underlying pattern.
  • Neck pain with the correct underling pattern.
  • Fractures that are reluctant to heal, particularly in the lower body.

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Shu Jing Huo Xue Wan Cautions

Contraindication Notes:

  • Avoid during pregnancy.
  • Generally not for long term use and use with caution if at all in deficient patients.



Clinician Notes

  • The underlying deficiency may arise from illness, overindulgence with alcohol or other drugs, excessive sexual activity, etc.

Shu Jing Huo Xue Wan Has 16 Ingredients

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

Bai Shao

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  • White Peony Root
    • Nourishes the blood and regulates menstrual problems due to blood deficiency (pale, lusterless complexion and nails) - menstrual dysfunction, vaginal discharge, uterine bleeding - very common herb for gynecological disorders (Si Wu Tang).
    • Calms liver yang, alleviates pain from constrained liver qi or disharmony between the liver and the spleen due to liver yang rising - cramping and spasms (limbs and abdomen), abdominal pain from dysentery, headache and dizziness.
    • Preserves yin, adjusts ying and wei levels - vaginal discharge and spermatorrhea, exterior wind-cold from deficiency with continuous sweating, spontaneous sweating, night sweats.
  • Herbs That Tonify Blood
  • Cautions
    • Incompatible with Li Lu
    • Avoid in cases of yang deficiency and cold in the middle jiao - diarrhea, cold sensation in the stomach.

Sheng Di Huang

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  • Rehmannia
    • Clears Heat, Cools Blood. High fever, thirst, scarlet tongue, hemorrhage due to heat in the Blood.
    • Nourishes Yin, Generates Fluids. Yin Deficiency with heat signs with injury to body fluids. Dry mouth, low-grade fever, constipation, throat pain from yin deficiency.
    • Cools Ascending Heart Fire (HT, LV). Mouth and tongue sores, irritability, insomnia, malar flush.
    • Wasting thirst disorder.
  • Herbs That Cool The Blood
  • Cautions
  • Spleen Deficiency, Yang Deficiency, Damp Phlegm, Digestion Difficulties.

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

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

Fu Ling

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  • Poria, China Root
    • Promotes urination, drains dampness, transforms phlegm - urinary difficulty, diarrhea, edema, headache, dizziness, greasy tongue coat.
    • Strengthens the spleen, harmonizes the middle jiao - diarrhea, loss of appetite.
    • Quiets the heart and calms the spirit - palpitations, insomnia, forgetfulness.
  • Herbs That Drain Dampness
  • Cautions
    • Avoid Vinegar While Using This Herb.

Cang Zhu

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  • Atractylodes
    • Strongly dries dampness, strengthens spleen - low appetite, diarrhea, epigastric distention, fatigue, vomiting, greasy tongue coat.
    • Expels wind-damp-cold (bi-syndrome) in extremities.
    • Clears damp-heat from lower burner (combine with clear-heat herbs, however, as this has a warm nature (for example, Er Miao San) - vaginal discharge, swollen and sore joints.
    • Induces sweating, release the exterior.
    • Improves vision.
  • Aromatic Herbs That Transform Dampness

Chen Pi

  • Tangerine Peel
    • Regulates Qi, improves transportive function of the spleen, relieves diaphragm - epigastric/abdominal distention, fullness, bloating, belching, nausea, vomiting (promotes movement of qi in general; specifically directing it downward - good for different types of nausea/vomiting).
    • Important herb for drying dampness and the transformation of phlegm - coughs with stifling sensation in the chest/diaphragm, and copious viscous sputum (qi-level herb).
    • Prevents stagnation - prevents cloying of tonifying herbs.
    • Ju Hong is the red part of the tangerine peel - it is more drying and aromatic.
  • Herbs That Regulate The Qi

Qiang Huo

Bai Zhi

Wei Ling Xian

Han Fang Zi

  • Stephania Root
    • Promotes urination, reduces edema - lower extremity edema, borborygmus, abdominal distention, ascites from lower jiao damp accumulation.
    • Expels wind-damp-heat, alleviates pain - fever, red, swollen, hot, painful joints.
  • Herbs That Drain Dampness

Fang Feng

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  • Ledebouriella root, siler
    • Releases exterior, expel wind-cold (headache, chills, body ache)
    • Bi-Syndromes, Wind-Damp, alleviates pain, relieves spasms (not very strong, only as a supporting herb)
    • Trembling hands and/or feet
    • Spleen/Liver intestinal issues - painful diarrhea, bright blood in stool
    • Migraines
    •  
  • Herbs That Release The Exterior Wind Cold
  • Cautions
    • Avoid in Yin Deficiency - Empty Heat
    • Avoid in spasms from Blood Deficiency

Long Dan Cao

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  • Chinese Gentian Root, Gentiana
    • Drains damp-heat from the liver and gallbladder channels - red, swollen, sore throat, eyes, and/or ears, sudden deafness, jaundice, pain, swelling or dampness in the genital region, or foul smelling vaginal discharge and itching.
    • Clears ascending liver fire - headache, red eyes; liver wind-heat with fever, spasms, convulsions, flank pain.
  • Herbs That Clear Heat and Dry Dampness

(Huai) Niu Xi

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  • Achyranthes Root
    • Invigorates blood, expels blood stasis - dysmenorrhea, amenorrhea, lochioschesis.
    • Strengthens the sinews, bones, and joints - lower back and knee issues due to deficiency (tonifies the liver and kidneys).
    • Clears damp heat in the lower burner - damp-heat pouring downward manifesting as back and knee pain, w/lin.
    • Brings blood downward - yin deficiency with fire or hot blood in the upper warmer, vomiting blood, toothache, nosebleed, dizziness, headache, blurred vision (yang rising).
  • Herbs That Invigorate Blood
  • Cautions
    • Avoid During Pregnancy

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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