formula | Menses-Smoothing Decoction Shun Jing Tang |
bubble_chart Indications
Women may experience sudden abdominal pain and hematemesis one or two days before their menstrual period is due. People often attribute this to extreme heat in the body, but who would have thought it is due to the counterflow of liver qi? The nature of the liver is extremely urgent; it should be harmonized and not counterflowed. When it is harmonized, the qi is calm; when it counterflows, the qi becomes agitated. Blood follows the movement of qi; when qi is calm, blood is calm, and when qi is agitated, blood is agitated. This is not surprising. Some say that menstrual counterflow is related to the kidneys, not the liver. Why then does the blood flow recklessly, even to the point of exiting through the mouth? Is it because the liver fails to store blood? Or is it due to the failure of the kidneys to receive qi? It is little known that the fire of the Shaoyin is as swift as a galloping horse. When liver fire rushes upward, its momentum is extremely rapid, turning the menstrual flow into blood, which is also very convenient. It is not necessarily due to the liver's failure to store blood that hematemesis occurs. However, this type of hematemesis is different from hematemesis in other meridians. Hematemesis in other meridians is caused by internal damage, while hematemesis due to menstrual counterflow is caused by internal overflow and stimulation. The symptoms are completely different, but the counterflow of qi is the same. The treatment should focus on calming the liver to harmonize qi, rather than nourishing the essence to tonify the kidneys. Although hematemesis due to menstrual counterflow does not greatly damage the blood, the repeated turmoil inevitably injures the kidney qi. Therefore, it is essential to use methods to harmonize qi within the context of tonifying the kidneys to achieve the appropriate treatment.
bubble_chart Formula PrinciplesThis formula, while tonifying the kidney and regulating menstruation, incorporates herbs that guide blood and follow meridian tropism. This method of harmonizing blood inherently embodies the method of smoothing qi. When the liver does not rebel, the kidney qi naturally flows smoothly. Once the kidney qi is smooth, how can there be any meridian rebellion?
bubble_chart Formula Modification
In young and strong women, hematemesis often occurs and should not be treated as a consumptive disease. If it is mistaken for a consumptive disease, it will inevitably lead to further reversal of liver qi, and what is not a consumptive disease will turn into one. The prescription includes India Madder Root one qian, Achyranthes Root eight fen, especially Achyranthes Root eight fen, which is particularly effective.