BLACK PEARL BP060 SI WU WAN DANG GUI FOUR

SI WU WAN
四物丸
Dang-gui Four Combination
Product Code: BP060

TCM Actions
Nourishes the Blood, nourishes and regulates the Liver.

Indications
Menstrual disorders due to Blood deficiency, post-partum disorders, anemia, urticaria, headache, insufficient lactation, chronic dry skin and eyes, slow healing skin lesions, chronic eczema or chronic dermatitis.

Dosage & Course Of Treatment
8 pills, 3 times daily, half to one hour away from food.

Course of treatment: 2 to 4 months.

Signs and Syndromes
General Blood deficiency Liver Blood deficiency

Sallow or pale and lustreless complexion

Pale finger nail beds, pale lips

Dizziness

Oligomenorrhoea, delayed menstrual cycle or amenorrhoea

Dry skin that may also be itchy

Palpitations

Emaciation

Poor memory

Paraesthesia or numbness of the extremities

Blurred vision

Insomnia

Pelvic pain (dull in nature) that is alleviated by pressure

Tongue is pale and slightly dry

Pulse is thready and weak and may also be wiry

Cautions & Contraindications
Caution for those on anti-coagulant medications (i.e. heparin, warfarin or aspirin).

Caution during the early stages of pregnancy.

If taking antibiotics, allow at least 90 minutes before taking this formula.

Comments
This formula was first recorded in the ‘Formulary of the Tai Ping Welfare Dispensary Bureau’ (tai ping hui min he ji ju fang), 1151 CE, a compilation of popular and effective formulas that were used in the public dispensaries of the Song dynastic period. It was originally prescribed for Liver Blood deficiency; however, it has since come to be used as the basis for prescriptions that treat generalised Blood deficiency as well as a broad range of disorders related to the state of the Blood. Zhu Dan-xi, the most recent of the Jin-Yuan reform physicians, popularised its use as one of the four essential formulas upon which he based his clinical prescriptions. Zhu classified diseases into four basic types: Qi disorders; Blood disorders; Phlegm disorders; and Stagnation disorders. Thus, he frequently employed four basic formulas as the starting point for prescriptions in his clinical practice: Si Jun Zi Tang (Four Major Herbs) for Qi disorders; Si Wu Tang (Dang-gui Four) for Blood disorders; Er Chen Tang (Citrus & Pinellia) for disorders due to Phlegm; and Yue Ju Wan (Formula to Overcome Stagnation) for disorders due to stagnation. Clinically this formula may be used for chronic diseases due to Wind (e.g. itchy skin conditions, dry and itchy eyes) in addition to gynecological conditions characterised by the standard features of Blood deficiency as described above. The synergistic actions of the ingredients are as follows:

• Paeonia root (bai shao), Rehmannia root (shu di huang), Angelica root (dang- gui), Ligusticum root (chuan xiong): nourish the (Liver) Blood.

• Angelica root (dang-gui), Ligusticum root (chuan xiong): activate the Blood and dispel stasis

Ingredients
ANGELICA POLYMORPHA, ROOT (dang-gui) – 當歸 – 104.2 mg
PAEONIA LACTIFLORA, ROOT (bai shao) – 白芍 – 104.2 mg
REHMANNIA GLUTINOSA, ROOT (shu di huang) – 熟地黃 – 104.2 mg
LIGUSTICUM STRIATUM, RHIZ. (chuan xiong) – 川芎 – 62.5 mg