GUI ZHI FU LING WAN (BP055) Cinnamon & Hoelen Combination Complex

Indication

This formula was originally recorded in the ‘Synopsis of Prescriptions of the Golden Cabinet’ (jin gui yao lue fang lun) by Zhang Zhong-jing (circa 150 – 219 CE). This work is the earliest surviving record that details the diagnosis and treatment of miscellaneous diseases of internal medicine, as well as some surgical diseases and gynecological disorders, according to the Eight Principles.

It was originally used for resolving conditions due to Blood stasis during pregnancy causing mild and persistent bleeding, which interferes with the normal development of the fetus. Over the millennia, however, the applications of this formula have been broadened to include several gynecological and post partum disorders – for which it is mainly used today.

As would be expected, the treatment of Blood stasis during pregnancy must be fairly mild, otherwise the fetus may be at risk. Therefore this is a mild acting formula that is suitable for patients with deficiency syndromes or constitutional weakness, and can be safely taken long-term. In addition, because it is a fairly simple formula that is focused on a specific pathodynamic, it may readily be combined with other formulas to give a particular emphasis to the treatment, as described above under ‘Combinations’.

The synergistic actions of the herbs are as follows:

Paeonia root (chi shao), Cinnamomum twig (gui zhi), Paeonia suffruticosa (mu dan pi), Prunus seed (tao ren): activate the Blood and dispel stasis, reduce abdominal mass

Cinnamomum twig (gui zhi), Poria cocos (fu ling): resolve Phlegm-Damp by warming and unblocking the channels and draining Damp

Indications:

Menstrual cramps

Uterine mass (e.g. fibroids)

Endometriosis

Salpingitis

Chronic pelvic inflammatory disease

Cervical erosion

Irregular periods

Ovarian cysts

Amenorrhoea

Lochioschesis

Retention of dead fetus

Prostatomegaly

Signs & Symptoms:

Lower abdominal pain and tenderness (worse with pressure)

Lower abdominal distension or sensation of distension

Dysmenorrhoea

Amenorrhoea

Purple or cyanotic tongue or tongue body with macules or speckles, may also have a greasy coat

Choppy pulse

Combinations –

Endometriosis:

JIA WEI XIAO YAO SAN

XUE FU ZHU YU TANG

HUO LUO XIAO LING DAN

TAO HONG SI WU WAN

STRESS RELIEF 1 Formula

MENSTRUAL RELIEF Formula

PAIN-LESS Formula

Pelvic inflammatory disease:

WU WEI XIAO DU YIN

SI MIAO YONG AN WAN (Jia Wei)

TAO HONG SI WU WAN

Uterine fibroids:

HUO LUO XIAO LING DAN

NEI XIAO LUO LI WAN

TAO HONG SI WU WAN

TCM Syndromes: Blood stasis binding with Phlegm in the uterus.

TCM Actions: Activates the Blood and dispels stasis, reduces abdominal masses.