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Wen jing tang(Meridians-Warming Decoction) ---温经汤

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【组成】  吴茱萸(9g)  当归(6g)  芍药(6g)  川芎(6g)  人参(6g)  桂枝(6g)  阿胶(6g)  牡丹皮(6g)  生姜(6g)  甘草(6g)  半夏(6g)  麦冬(9g)
【功用】  温经散寒,祛瘀养血。
【主治】  冲任虚寒,瘀血阻滞证。漏下不止,月经不调,或前或后,或一月再行,或经停不至,而见入暮发热,手心烦热,唇口干燥。亦治妇人久不受孕。
【歌诀】  温经汤用吴萸芎,归芍丹桂姜夏冬,参草益脾胶养血,调经重在暖胞宫。
Meridians-Warming Decoction wen jing tang

[SOURCE]: Synopsis of the Golden Chamber

[INGREDIENTS]:Evodia fruit 9g,  Chinese angelica root 9g,  peony root 9g,  Chuanxiong rhizome 6g,  Ginseng 6g,  Cinnamon twig 6g,  Donkey-hide gelatin 9g,  Moutan bark 6g,  Fresh ginger 6g,  Licorice root 6g,  Pinellia tuber 9g,  Lilyturf root( Ophiopogon) 9g

[DIRECTIONS] Decoct all the above herbs in water for oral administration.

[EFFECTS]: Warming the meridians to expel cold, nourishing the blood and resolving blood stasis.   

[INDICATIONS]: Deficiency-cold of Chong and Ren Meridians and stagnation of blood marked by metrorrhagia and metrostaxis, or irregular menstruation, pre­ceded or delayed menstrual cycle, or overdue or unceased menstrual duration, or occurrence of menstruation twice or more in one month, or evening fever, hot in the palms, dry lips and mouth, cramping of the lower abdomen, abdominal full­ness, pale and dark tongue with thin white coating, deep, thready with forceless pulse or taut, thready and hesitant pulse. It is also used for failure to be pregnanted.   

[ANALYSIS OF FORMULA]: It is a basic formula commonly used for regula­ting menstruation. Evodia fruit warms the liver and kidney, and activates qi to stop pain. Cinnamon twig warms the meridians to expel cold and clears the blood vessels. The two herbs are used together as principal herbs. Chinese angelica root and chuanxiong rhizome are assistant herbs with the effects of nourishing blood to regulate menstruation and promoting blood circulation to resolve stasis. Donkey- hide gelatin, peony root and lilyturf root replenish yin and blood, and moistens dryness to clear heat. Moutan bark cools blood, dispels stasis and clears away deficiency-heat. Ginseng, fresh ginger and pinellia tuber invigorate qi and harmonize the stomach to promote yang germination and yin growth, assisting the source of qi and blood formation. The above herbs act together as adjuvant herbs. Licorice root, as a dispatcher herb, can coordinate the effects of the other herbs in the for­mula. 

In clinical practice, dysfunctional uterine bleeding, chronic pelvic inflamma­tion, hysteromyoma and leukorrhea manifested as symptoms of deficiency-cold of Chong and Ren Meridians can be treated by modified formulas.

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