Recipes of Chinese herbs for hypochondrium pain caused by blood stasis blocking branches of meridians

In traditional Chinese medicine, the pain of hypochondrium has five syndromes. This article is about the syndrome caused by the stasis of blood blocking collaterals of meridians.

The theory of meridians and collaterals is the unique theory of traditional Chinese medicine. There are twelve meridians, while collaterals are the branches of the meridians. There are fifteen big collaterals and innumerable small collaterals. Meridians and collaterals constitute a network where Qi and blood run in the whole body.

When the stasis of blood blocks collaterals that are located in the hypochondrium, the person feels prickling pain in the hypochondrium. The pain’s position is fixed. The pain will be unbearable when touching it, and at night the pain also becomes stronger. In the area below the ribs of the hypochondrium, fingers even may touch something hard. The colour of the tongue is purple and dark, and the pulse is sunken and unsmooth.

In Chinese medicine, the treatment principle for the syndrome is to remove the stasis of blood and unblock collaterals. The representative recipe for the syndrome is Ge Xia Zhu Yu Tang.

The recipe Ge Xia Zhu Yu Tang contains Tao Ren (9 g), Hong Hua (9 g), Dang Gui (9 g), Chi Shao (6 g), Chuan Xiong (6 g), Zhi Ke (4.5 g), Gan Cao (9 g), Wu Ling Zhi (6 g), Dan Pi (6 g), Wu Yao (6 g), Yan Hu Suo (3 g), and Xiang Fu (4.5 g).

If the symptoms of the stasis of blood are mild, the recipe can be Xuan Fu Hua Tang.

If the symptoms of the stasis of blood are severe, or in the past the person once suffered from trauma, the treatment principle is mainly to remove the stasis of blood. Fu Yuan Huo Xue Tang can be used as the recipe for the syndrome, and the powder of San Qi may be added to the recipe. When using the recipe, Yunnan Bai Yao, a well-known product of traditional Chinese medicine, can be taken separately.

If fingers can touch something hard in the area below the ribs of the hypochondrium, and the body of the person is still strong, San Leng, E Zhu and Di Bie Chong may be added to the recipe, or the recipe can be combined with recipe Bie Jia Jian Wan.

ANNOTATIONS:

1. Xuan Fu Hua Tang: The original recipe contains Xuan Fu Hua, Xin Jiang, and Cong. The recipe was created by Zhang Zhongjing. About Xin Jiang, there are various understandings, and generally it is replaced with Qian Cao. Cong is Allium fistulosum L., and the fresh above-ground part is used in this recipe.

2. Fu Yuan Huo Xue Tang: The recipe contains Chai Hu, Gua Lou Gen, Dang Gui, Hong Hua, Gan Cao, Da Huang, and Tao Ren. An animal-source medicinal material which is used in the original recipe is excluded here.

3. Yunnan Bai Yao: The recipe was created in 1902 by Qu Huanzhang, a practitioner of traditional Chinese traumatology in Yunnan province.

4. Bie Jia Jian Wan: The recipe contains Bie Jia, Wu Shan (She Gan), Huang Qin, Shu Fu, Gan Jiang, Da Huang, Gui Zhi, Shi Wei, Hou Po, Zi Wei (Ling Xiao Hua), E Jiao, Chai Hu, Qiang Lang, Shao Yao, Mu Dan Pi, Zhe Chong, Feng Ke (Feng Fang), Chi Xiao, Tao Ren, Qu Mai, Ren Shen, Ban Xia, Ting Li. The recipe was created by Zhang Zhongjing. In the times that Zhang Zhongjing lived, people didn’t divide Shao Yao into Bai Shao and Chi Shao. Since the tenth century, people have divided Shao Yao into Bai Shao and Chi Shao. Bai Shao is good at nourishing blood, softening the liver and relieving pain. Chi Shao is good at invigorating the circulation of blood, removing the stasis of blood, and relieving pain. Shu Fu is the body of Armadillidium vulgare (Latreille) or Porcellio scaber Latreille. Chi Xiao is also called Xiao Shi, which is a medicinal mineral material.

REFERENCES:

1. Zhang, Boli, & Wu, Mianhua. (2017). Internal Medicine of TCM. China Press of Traditional Chinese Medicine.

2. Li, Ji, & Lian, Jianwei. (2016). Recipes of Traditional Chinese Medicine. China Press of Traditional Chinese Medicine.

3. Zhong, Gansheng. (2016). Chinese Materia Medica. China Press of Traditional Chinese Medicine.

NOTICE:

Some medicinal materials are not allowed to use in the EU. The knowledge of the article is based on the conditions of China. The actual use of medicinal materials in the EU complies with the regulations of the EU.

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