Tonify Blood

Question 1

Tonifies the blood, regulates the liver

Sx: dizziness, blurred vision, lusterless complexion and nails, generalized muscle tension, insomnia, palpitations, a thin body lacking strength, irregular menstruation with little flow or amenorrhea, periumbilical and lower abdominal pain

Can also be used for menorrhagia, hard abdominal masses with recurrent pain, restless fetus disorder, or lochioschesis with a firm and painful abdomen and sporadic fever and chills
T: pale
P: thin, wiry or thin and choppy

A: Si wu tang - four substance decoction
B: Dang gui bu xue tang - tangkui decoction to tonify the blood
C: Shao yao gan cao tang - peony and licorice decoction

Answer 1

A: Si wu tang - four substance decoction

shu di huang - rehmannia prep (tonify blood)
bai shao - white peony radix (tonify blood)
dang gui - angelica radix (tonify blood)
chuan xiong - chuanxiong rhizoma (invig. blood)

generalized liver blood xu and stagnation

Question 2

Si wu tang - four substance decoction and xiao yao san - rambling powder focus on liver blood xu and an excess liver condition.

Si wu tang helps liver blood xu + _______________.
Xiao yao san helps liver blood xu + _____________.

Answer 2

Si wu tang helps liver blood xu + BLOOD STASIS.
Xiao yao san helps liver blood xu + LV QI STAGNATION.

Question 3

Tonifies the qi and generates blood

Sx: hot sensation in the muscles, a red face, irritability, thirst with a desire to drink warm beverages

Also for fever and HA due to loss of blood
T: pale
P: flooding, large and forceless when pressed hard

A: Si wu tang - four substance decoction
B: Dang gui bu xue tang - tangkui decoction to tonify the blood
C: Shao yao gan cao tang - peony and licorice decoction

Answer 3

B: Dang gui bu xue tang - tangkui decoction to tonify the blood

huang qi - astragali radix (tonify qi)
dang gui - angelicae radix (tonify blood)

Heat from defciency characterized by blood xu and floating yang. When blood is deficient, the yin is then unable to contain the yang, which floats to the superficial aspects of the body.

The classic signs of “floating yang” include a hot sensation in the muscles, a red face, irritability, and thirst with a desire for warm drinks. The flooding, large and deficient pulse reflects the weak yang qi attempting to reach the superficial parts of the body.

Question 4

Nourishes the blood, augments the yin, moderates painful spasms, alleviates pain

Sx: irritability, slight chills, spasms of the calf muscles, cramps in the hands, abdominal pain that improves with pressure
T: no coating

A: Si wu tang - four substance decoction
B: Dang gui bu xue tang - tangkui decoction to tonify the blood
C: Shao yao gan cao tang - peony and licorice decoction

Answer 4

C: Shao yao gan cao tang - peony and licorice decoction

shao yao - paeoniae radix (tonify blood)
zhi gan cao - prep. licorice (tonify qi)

Used for when the inappropriate use of sweating has injured the blood or yin. The spasms, cramps, and abdominal pain are typically spasmodic, wind-like manifestations that are commonly associated with liver blood xu or exuberant wood overwhelming earth.