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Jia Wei Xiao Yao San

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Pin Ying Name: Jia Wei Xiao Yao San

English Name: Bupleurum & Peony Decoction

Chinese Name: 加味逍遙散

Herbs & Actions
Pharmaceutical Latin Pin Yin Actions
Rx. Angelicae Sinensis Dang Gui

Tonifies Blood, regulates menses, invigorates and harmonizes the Blood and reduces swelling.

With Bai Shao, regulates and harmonizes Qi and Blood and relieves genital pain. With Gan Cao, moderates spasms and relieves abdominal pain. With Chai Hu and Bai Shao, for dysmenorrhea from Liver Qi Stagnation and Blood Deficiency. With Bai Shao and Fu Ling, for diarrhea during pregnancy with mild abdominal pain. With Mu Dan Pi, Zhi Zi, Chai Hu and Bai Shao, for early menstruation, bloating during menstruation, and irritability due to Qi Stagnation with Heat.

Rx. Paeoniae Alba Bai Shao

Calms Liver Yang, nourishes Blood, regulates menstruation and astringes Yin.

With Dang Gui, nourishes Yin and Blood. With Gan Cao, regulates the relationship between the Liver and Spleen and nourishes the sinews for epigastric, hypochondriac or flank pain and muscle spasms, pain and numbness, especially in the calf, due to Blood Deficiency.

Poria Fu Ling

Promotes urination, resolves Dampness, strengthens the Spleen and harmonizes the Middle Jiao.

With Bai Zhu, strengthens the Spleen and resolves Dampness.

Rz. Atractylodis Macrocephalae Bai Zhu

Tonifies the Spleen, tonifies Qi and dries Dampness.

With Fu Ling and Gan Cao, for Spleen and Stomach Qi Deficiency.

Rx. Bupleuri Chai Hu

Resolves Shao Yang disorders, reduces fever, spreads Liver Qi and relieves Stagnation.

With Bai Shao, for Liver Blood Deficiency with Liver Qi Stagnation and vertigo, dizziness, thoracic and costal pain, and menstrual irregularity due to Liver Qi Stagnation. With Bo He, for emotional depression, a stifling sensation in the chest, and irregular menstruation due to Liver Blood Stagnation and Deficiency. With Gan Cao, for hepatitis and upper right quadrant pain. With Bai Shao, Dang Gui and Bo He, for Liver Qi Stagnation with stress and emotional distress.

Cx. Moutan Mu Dan Pi

Clears Heat, cools and harmonizes the Blood, clears Deficiency Fire, activates the Blood, dispels Blood Stasis and clears Liver Fire.

With Zhi Zi, Chai Hu and Bai Shao, for Fire from Stagnation leading to Liver Fire or Liver Yang Rising

Fr. Gardeniae Zhi Zi

Clears Heat, reduces Fire, cools the Blood, disperses toxins, stops bleeding, activates the Blood, eliminates irritability and drains Damp-Heat.

With Mu Dan Pi, resolves Qi Level Stagnation leading to Heat and Heat in the Blood, for dysmenorrhea, headache, dry, scratchy eyes and intercostal pain due to Liver Blood Deficiency and irregular menstruation, headache, red eyes, and thirst due to Liver Qi Heat from Stagnation. With Chai Hu, Mu Dan Pi and Bai Shao, for irritability and a short temper.

Rx. Glycyrrhizae Preparata Zhi Gan Cao

Tonifies the Spleen, tonifies Qi, clears Heat, relieves Fire toxicity and moderates and harmonizes the properties of other herbs.

Disperses Wind-Heat, cools and clears the head and eyes, benefits the throat and relieves Stagnation of Liver Qi. With Bai Shao and Chai Hu, for Liver Qi Stagnation with chest and flank distention.

Hb. Menthae Haplocalycis Bo He

Reduces the toxicity of other herbs.

Rz. Zingiberis Recens Sheng Jiang
Formula Actions
  • Pacifies the Liver
  • Spreads Liver Qi
  • Strengthens the Spleen
  • Nourishes the Blood and Yin
  • Regulates menstruation
  • Sedates the Heart
  • Clears Heat
  • Liver Qi Stagnation turning to Heat with underlying Spleen and Blood Deficiency
  • Gu Syndrome
Clinical Manifestations
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five Sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
  • Menstrual problems
  • Neurasthenia
  • Leukorrhea
  • Chronic endometritis
  • Hysteria
  • Narcolepsy
  • Turbid urine
  • Oliguria
  • Retention of urine
  • Odontorrhagia
  • Epistaxis
  • Infertility
  • Premenstrual tension
  • Stomatitis
  • Premenstrual syndrome
  • Menopause
  • Anxiety
  • Stress
  • Urinary tract infection
  • Fibrocystic breasts
  • Abnormal uterine bleeding
  • Cervical dysplasia
  • Acne due to disharmony between the Chong and Ren (associated with menstruation)
  • Raynaud’s Disease due to Liver Qi Stagnation with Internal Heat
  • Candidiasis
  • Chronic fatigue syndrome
  • Glaucoma
  • Metrorrhagia
  • Amenorrhea
  • Ischemic optic neuropathy
  • Vaginal pain
  • Breast cancer
  • Insomnia
  • Conjunctivitis
  • Dysentery
  • Cough
  • Acute tonsillitis
  • Trigeminal neuralgia
  • Fever
  • Auditory hallucinations
  • Gastrointestinal neurosis
  • Schizophrenia
  • Abdominal pain
  • Anorexia
  • Hemafecia
  • Depression
  • Herpes genitalia
  • Dizziness
  • Psychosis
  • Goiter
  • Hiatus hernia
  • Optic neuritis
  • Otitis media
  • Lung cancer
  • Postpartum uterine bleeding
  • Globus hystericus
  • Nocturnal emission
  • Indigestion
  • Excessive lactation
  • Chronic tonsillitis
  • Chronic hepatitis
  • Hepatomegaly
  • Gingivitis
  • Anxiety neurosis
  • Early-stage cirrhosis of the Liver
  • Urethritis
  • Cystitis
  • Irregular menstruation
  • Early menstruation
  • Anemia
  • Constipation
  • Eczema
  • Hyperkeratosis of the palms
  • Leukoderma
  • Basedow's disease
  • Climacteric disorders
  • Chronic or recurrent vaginal infections
  • Dysmenorrhea
  • Tendinitis
  • Menstrual pain and cramps
  • Emotional instability
  • Pelvic inflammatory disease
  • Wheezing due to Liver Fire Attacking the Lungs (mild)
  • Hemorrhoids due to Central Qi Sinking with Liver Qi Stagnation and Damp Heat
  • Leaky gut syndrome
  • Giardiasis
  • Obesity
  • Polycystic ovary syndrome
  • Vaginal itch
  • Breast discharge
  • Headache
  • Premature ovarian failure
  • Irritable bowel syndrome
  • Gastralgia
  • Optic atrophy
  • Hematuria
  • Asthma
  • Gu syndrome
  • Breast cancer
  • Panic disorder
  • Stress-related breathing problems
  • Abdominal fullness and distention
  • Neurosis
  • Hypertension
  • Cushing's syndrome
  • Bi-Polar disorder
  • Fatigue
  • Vertigo
  • Hoarseness
  • Hernia
  • Lochiorrhea
  • Hot flashes
  • Palpitations
  • Meniere's disease
  • Premenstrual tension
  • Spermatorrhea
  • Dermatitis
  • Abdominal pain during pregnancy
  • Use with caution during pregnancy.
  • Contraindicated for those with underlying Deficiency and Cold.

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