Theory

Tong Qiao Huo Xue Wan Unblock the Orifices and Invigorate the Blood Decoction - TCM Herbal Formula


Tong Qiao Huo Xue Wan Names

  • English Name: Unblock the Orifices and Invigorate the Blood Decoction
  • Pinyin Name: Tong Qiao Huo Xue Wan
  • Alternate Names: Tong Qiao Huo Xue, Blood Regulating Orifice Opening Pills, Persica and Musk Combination, Persica and Cnidium Combination
  • Chinese Character: 通窍活血丸



Tong Qiao Huo Xue Wan Clinical Usages and Indications

  • Blood stagnation particularly in the head - migraines and/or headaches with other sensory factors - auras, sound sensitivity, etc.
  • Dizziness, tinnitus, hair loss - with underlying blood stagnation signs.
  • Stroke, seizure disorder, post concussion headaches.
  • Rheumatoid arthritis.

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Tong Qiao Huo Xue Wan Cautions

Contraindication Notes:

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



Tong Qiao Huo Xue Wan Has 8 Ingredients

Bai Zhi

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

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

Da Zao

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  • Chinese Date, Jujube
    • Tonifies spleen qi - weakness, shortness of breath, reduced appetite, loose stools.
    • Nourishes the blood, calms the spirit - irritability, pale complexion, emotional disturbances, restlessness.
    • Useful to harmonize the harsh properties of other herbs.
  • Herbs That Tonify Qi
  • Cautions
    • May cause heat, dampness, and phlegm leading to fullness in the middle jiao, food stagnation.

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

Sheng Jiang

  • Fresh Ginger Rhizome
    • Release the exterior, wind-cold, regulate ying and wei qi
    • Warms the middle jiao - stomach cold/vomiting
    • Alleviates coughing, warms lung
    • Reduces toxicity of other herbs
  • Herbs That Release The Exterior Wind Cold
  • Cautions
    • Avoid w/heat in LU or ST
    • Use cautiously in patients with hypertension

    Shi Chang Pu

    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



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