Gé Xià Zhú Yū Tāng

Drive Out Stasis Below the Diaphram Decoction

Disclaimer    For educational purposes only.  Do not use as medical advice

AboutChinese MedicineCaution/Notes
Health Benefits
For: abdominal pain • fixed pain • menstrual cramps • urinary pain that's not related to UTI
Atributes:
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Tablets

 

 

Pills

 

 

Tea Pills

 

 

Capsules

 

Research

Category: Invigorate the Blood ⌕ 
Subcategory: Invigorate Blood and Dispel Blood Stasis ⌕   Source: Yi Lin Gai Cuo 
Actions: remove stasis below diaphragm • move blood • move Qi to stop pain
Diagnosis
Tongue: purple • dark red      Pulse: choppy    Other:  
Patterns: blood stasis below diaphragm • Qi stagnation 
Indications: blood stagnation under the diaphram • abdominal pain • fixed pain • menstrual cramps • urinary pain that's not related to UTI
Contraindications: anticoagulant and antiplatelet drugs
Description
Name Variations: Ge Xia Zhu Yu Tang, 膈下逐瘀汤, Drive Out Stasis Below the Diaphram Decoction,
Herb List: Tao RenHong HuaChi ShaoChuan XiongDang GuiWu Ling ZhiMu Dan PiWu YaoYan Hu SuoGan CaoXiang FuZhi Ke
Description: attachment formula to Xue Fu Zhu Yu Tang
Related Formulas: Xue Fu Zhu Yu Tang
Herbs Cat/Dosage Actions Attributes
Tao RenPeach Kernel • 桃仁  Regulate Blood - Invigorate
9g
Break up blood stasis • Invigorate blood • Treat abscess • Moisten intestines • Unblock bowels antithrombatic • anti-inflammatory • antitussive • antiallergic • antiparasitic
Hong Hua • Safflower Flower • 红花  Regulate Blood - Invigorate
9g
Invigorate blood • Unblock menses • Dispel blood stasis • Relieve painHong Hua is better at dispersing blood stagnation to open channels/collaterals and extremities pain • Tao Ren better for blood stagnation in the abs and for lung and intestine abscess antiplatelet • antithrombatic • heart stimulant • CNS suppressant • uterine stimulant • adaptogenic
Chuan Xiong • Szechuan Lovage • 川芎  Regulate Blood - Invigorate
6g
Relieve pain • Expel Wind • Invigorate blood • Moves qiAvailable as injections Anticoagulant • Antiplatelet • Analgesic • Antitussive • Anti-inflammatory • Hypotensive • Sedative
Chi ShaoRed Peony Root • 赤芍  Regulate Blood - Invigorate
6g
Clear heat • Cool blood • Invigorate blood • Dispel blood stasis • Clear liver fire antiplatelet • antithrombatic • antibiotic • CNS suppressant • sedative • antipyretic • antiseizure • antispasmodic
Wu Ling ZhiFlying Squirrel Feces • 五灵脂 Regulate Blood - Invigorate
9g
Invigorate blood • Relieve pain • Dispel blood stasis • Stop bleeding
Dang GuiChinese Angelica • 当归 Tonify Blood
9g
Tonify blood • Move Blood and Qi • Regulate menses • Invigorate blood • Dispel cold • Unblock bowels • Reduce abscess swelling • Alleviate pain • Clear pus • Generate flesh • Moisten intestines Dang Gui Shen (body) - tonify blood • Quan Dang Gui - harmonize blood (tonify and invigorate) • Dang Gui Wei (tail) - invigorate blood • According to the Board Exams, this herb does not affect estrogen because it has not yet been determined in which way it does affect it. However, there are numerous research articles on Dang Gui and estrogen. phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost
Mu Dan PiPeony Bark • 牡丹皮 Clear Heat Cool Blood
6g
Cools blood • Clear yin deficient heat • Invigorate blood • Clear blood stasisThere are two different types: Mu Dan and Xiao Yao; both are peony Anti-inflammatory • Antibiotic • Anticonvulsant • Analgesic • Antipyretic • Hypotensive • Immunostimulant • Sedative
Wu YaoLindera Root • 乌药 Regulate Qi
6g - 12g
Yan Hu SuoCorydalis Rhizome • 延胡索 Regulate Blood - Invigorate
3g
Invigorate blood • Move Qi • Relief pain
Xiang FuNut-Grass Rhizome • 香附 Regulate Qi
4.5g
Spreads and regulate Liver qi • Regulate menses • Relieve pain
Zhǐ Ké • Ripe Bitter Orange • 枳壳 Regulate Qi
4.5g
Dissolves Qi stagnation • Clear congestion • Relieve abdominal distention antiplatelet • antithrombatic • hypertensive • diuretic • bronchodilator • antineoplastic
Gan CaoLicorice Root • 甘草 Tonify Qi
9g
Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effectsEnters all 12 channels, often serve as envoy in a formula. Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions:  Normal decoction

Caution
  • Do not use during pregnancy
  • Do not use with heavy menstrual flow
  • Do not use when there are signs of hemorrhaging present.
  • Do not combine with anti-coagulant drugs

ALERT: Contraindications of each herb - use with caution under these conditions:
Tao Ren: Pregnancy • Blood deficiency • Anticoagulant or anti antiplatelet drugs
Hong Hua: pregnancy • anticoagulant and antiplatelet drugs
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Chuan Xiong: Pregnancy • Blood thinners • Fire from yin deficiency • Dry tongue • Dry mouth • Fever • Profuse menstrual bleeding • Spleen deficiency • Poor appetite • Nausea • Vomiting • Unexplained sweating
Chi Shao: Pregnancy • Incompatible with Li Lu • Deficiency cold • Antiplatelet and anticoagulant drugs
Wu Ling Zhi: Pregnancy • Spleen deficiency • Stomach Qi deficiency • Antagonize Ren Shen
Mu Dan Pi: Deficiency cold • Pregnancy • Excessive menstruation
Wu Yao:
Yan Hu Suo: Pregnancy
Xiang Fu: Qi deficiency without stagnation • Yin deficiency • Blood heat
Zhǐ Ké: pregnancy • anticoagulant or antiplatelet drugs • Spleen/Stomach deficiencies • gastric ulcers • duodenal ulcers
Gan Cao: High blood pressure • Low potassium • Pork • Seaweed • Chinese cabbage • Anti-diabetic drugs • Diuretic drugs • Low potassium

Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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