BLACK PEARL BP091 WEN JING TANG DANG GUI & EVODIA

WEN JING TANG
溫經湯
Danggui & Evodia Formula
Product Code: BP091

TCM Actions
Warms the uterus and dispels Cold, nourishes and activates the Blood to dispel stasis.

Indications
Amenorrhea, dysmenorrhea, infertility, maldevelopment of the uterus, ovarian cysts, functional uterine bleeding, menopausal flushing, leukorrhea.

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

Course of treatment: 3 – 6 months.

Signs and Syndromes
Cold in the Chong-Ren channels (affecting the uterus) Blood stasis in the Chong-Ren channels (affecting the uterus)

Irregular menstruation

Lower body cold

Dry mouth and lips

Prolonged uterine bleeding or bleeding between periods

Lower abdominal pain (with cold sensation)

Afternoon fever

Hot hands

Tongue may be dark or purple

Pulse is thready and choppy

Cautions & Contraindications
Contains Glycyrrhiza, which potentiates prednisone and corticosteroids by prolonging steroid biological half-life

Caution in patients with hypertension.

Comments
This formula was originally recorded in the ‘Synopsis of Prescriptions of the Golden Cabinet’ (jin gui yao lue fang lun) by Zhang Zhong-jing (circa 150 – 219 CE). It was specifically indicated for the treatment of conditions due to pathogenic Cold in the Chong and Ren Channels that affects the uterus, resulting in continual uterine bleeding with a light flow. The underlying pathodynamic is Blood stasis induced by Cold. This generally occurred after a miscarriage. As with many of Zhang’s ingenious formulations, the clinical applications of this formula have been expanded to include a wide variety of menstrual disorders (including menopausal syndrome) as well as infertility. The key clinical features include a combination of Cold and Heat signs; specifically, Cold in the lower body and Heat in the upper. Thus, the clinical presentation is significantly different from pure Kidney Yin deficiency or Kidney Yang deficiency. The synergistic actions of the herbs are as follows:

• Angelica root (dang-gui); Tetradium fruit (wu zhu yu); Cinnamomum twig (gui zhi): move the Qi, activate the Blood, dispel Cold and alleviate pain.

• Rehmannia root (shu di huang); Paeonia root (bai shao); Ophiopogon tuber (mai dong): nourish the Blood and Yin.

• Codonopsis pilosula, root (dang shen); Glycyrrhiza root (gan cao); Zingiber rhizome (sheng jiang); Pinellia tuber (ban xia): tonify the Qi, harmonize and warm the Stomach-Spleen to promote production of Qi and Blood.

• Ligusticum rhizome (chuan xiong); Paeonia stem bark (mu dan pi): activate the Blood and dispel stasis

Ingredients
CODONOPSIS PILOSULA, ROOT (dang shen) – 黨參 – 52.2 mg
OPHIOPOGON JAPONICUS, TUBER (mai dong) – 麥冬 – 39.0 mg
REHMANNIA GLUTINOSA, ROOT (shu di huang) – 熟地黃 – 39.0 mg
TETRADIUM RUTICARPUM, FRUIT (wu zhu yu) – 吳茱萸 – 39.0 mg
ANGELICA POLYMORPHA, ROOT (dang-gui) – 當歸 – 26.2 mg
PAEONIA LACTIFLORA, ROOT (bai shao) – 白芍 – 26.2 mg
PINELLIA TERNATA, TUBER (ban xia) – 半夏 – 26.2 mg
CINNAMOMUM CASSIA, TWIG (gui zhi) – 桂枝 – 26.2 mg
ZINGIBER OFFICINALE, RHIZ. (sheng jiang) – 生薑 – 26.2 mg
PAEONIA SUFFRUTICOSA, STEM BARK (mu dan pi) – 牡丹皮 – 26.2 mg
LIGUSTICUM STRIATUM, RHIZ. (chuan xiong) – 川芎 – 26.2 mg
GLYCYRRHIZA URALENSIS, ROOT (gan cao) – 甘草 – 26.2 mg