Xiao Yao San
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Xiao Yao San #2195

Pin Ying Name: Xiao Yao San

English Name: Rambling Decoction

Chinese Name: 逍遙散

Herbs & Actions
Pharmaceutical Latin Pin Yin Dosage Actions
Rx. Bupleuri Chai Hu 3-12g

Relieves Liver Qi Stagnation, pacifies the Liver, relieves the Shao Yang and reduces fever.

With Bo He, for depression, a stifling sensation in the chest and irregular menstruation due to Liver Blood Deficiency with Stagnation.

Rx. Angelicae Sinensis Dang Gui 3-15g

Nourishes the Blood, regulates menses and invigorates and harmonizes the Blood.

With Bai Shao, nourishes Blood and eases anxiety due to Liver Stagnation.

Rx. Paeoniae Alba Bai Shao 3-25g

Calms Liver Yang, alleviates pain, nourishes Blood and regulates menstruation.

With Chai Hu, for flank pain due to Liver Qi Stagnation.

Rz. Atractylodis Macrocephalae Bai Zhu 3-15g

Tonifies the Spleen and tonifies Qi.

With Fu Ling, strengthens the Spleen and resolves Dampness.

Poria Fu Ling 3-20g

Strengthens the Spleen and harmonizes the Middle Jiao.

Rx. Glycyrrhizae Preparata Zhi Gan Cao 1.5-6g

Tonifies Spleen Qi, stops pain and harmonizes the other herbs.

With Bai Shao, moderates spasmodic abdominal pain.

Hb. Menthae Haplocalycis Bo He 1-15g

Relieves Liver Qi Stagnation, disperses stagnant Heat and enhances Chai Hu's ability to relieve the Liver.

With Bai Shao and Chai Hu, for chest and flank distention due to Liver Qi Stagnation.

Rz. Zingiberis Recens Sheng Jiang 1-6g

Harmonizes, prevents rebellious Qi and normalizes the flow of Qi at the center.

Fr. Citri Aurantii Immaturus Zhi Shi 2-6g

May be added to enhance Chai Hu's function of dispersing the Liver.

Formula Actions
  • Pacifies the Liver
  • Spreads Liver Qi
  • Strengthens the Spleen
  • Nourishes the Blood
  • Harmonizes the Liver and Spleen
Syndromes
  • Liver Qi Stagnation Invades Stomach
  • Liver Qi Stagnation Invades the Spleen (Liver and Spleen Disharmony)
  • Liver Qi Stagnation with Blood Deficiency
  • Qi and Blood Stagnation
  • Blood Deficiency with fatigue
  • Disharmony between the Ying and Wei with Phlegm, cough, tidal fever and wasting of limbs which may lead to Bone Steaming
  • Gu Syndrome
Clinical Manifestations
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Anxiety
  • Tightness or fullness in the chest
  • Cold extremities
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five sole heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient
Treats
  • Chronic hepatitis
  • Depression
  • Hysteria
  • Pleurisy
  • Acute tonsillitis
  • Chronic tonsillitis
  • Chronic gastritis
  • Peptic ulcer
  • Anemia
  • Functional uterine bleeding
  • Menopausal syndrome
  • Pelvic Inflammatory Disease
  • Fibrocystic breasts
  • Neurasthenia
  • Optic nerve atrophy
  • Central retinitis
  • Glaucoma
  • Acute retrobulbar neuritis
  • Stress
  • Meniere’s disease
  • Candidiasis
  • Chronic Fatigue Immune Deficiency Syndrome (CFIDS)
  • Cortical blindness
  • Prostatitis
  • Acid reflux
  • Breast lumps
  • Mastitis
  • Breast cancer
  • Gastralgia
  • Enteritis
  • Stomach cancer
  • Hypoglycemia
  • Chronic bronchitis
  • Chronic cough
  • Vomiting
  • Fever
  • Constipation
  • Anxiety neurosis
  • Tinnitus
  • Deafness
  • Anorexia
  • Bi-Polar disorder
  • Fatigue
  • Hyperlipoproteinemia
  • Edema during pregnancy
  • Hernia
  • Colitis
  • Hiccup
  • Morning sickness
  • Paralysis
  • Liver cancer
  • Shoulder pain
  • Low back pain
  • Fetal restlessness
  • Neck pain and stiffness
  • Irritability
  • Nervousness in women
  • Affective psychosis
  • Vaginal discharge
  • Delayed menstruation
  • Irregular menstruation
  • Insomnia
  • Breast distention
  • Epstein Barr
  • Premenstrual syndrome (from ovulation to 1st day)
  • Premenstrual syndrome with breast distention
  • Hyperthyroidism
  • Hepatitis C
  • Leaky gut syndrome
  • Giardiasis
  • Tuberculosis
  • Late menstruation
  • Scanty menstruation
  • Dysmenorrhea
  • Perimenopause syndrome
  • Premenstrual tension
  • Breast tenderness
  • Headache
  • Infertility
  • Irritable bowel syndrome
  • Dysentery
  • Vertigo
  • Dizziness
  • Polyuria
  • AIDS/HIV
  • Pertussis
  • Asthma
  • Nausea
  • Gu syndrome
  • Systemic lupus erythematosis
  • Anxiety
  • Hysteria
  • Schizophrenia
  • Stress-related breathing problems
  • Impotence
  • Hypertension
  • Palpitations
  • Abdominal pain
  • Abdominal pain during pregnancy
  • Dysphagia
  • Hoarseness
  • Migraine headache
  • Hiatus hernia
  • Obesity
  • Indigestion
  • Piriformis syndrome
  • Post-concussion syndrome
  • Upper and middle back pain
Contraindications
  • Use with caution during pregnancy.
  • Use with caution for those with Qi Stagnation with underlying Liver and Kidney Yin Deficiency.