HERB FORMULAS

GUI ZHI FU LING WAN - 桂枝茯苓丸 - CINNAMON AND PORIA PILLS - CINNAMON AND HOELEN COMBINATION

English: Cinnamon and Poria Pills
Also Known As: Cinnamon and Hoelen Formula
Pills of Cinnamon and Poria

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Ram. Cinnamomi Gui Zhi 2-12g Unblocks Yang, transforms Qi, warms the Middle and directs Turbid Yin downward, warms the channels, collaterals and Blood through the vessels to relieve pain and warms and facilitates the flow of Yang Qi in the chest.
With Bai Shao, warms and tonifies the Middle Jiao.
With Fu Ling, unblocks the Yang and facilitates the removal of congested fluids associated with Yang Deficiency edema.
With Fu Ling and Bai Shao, for Heart and Spleen Yang Deficiency with palpitations, edema and shortness of breath.
With Dan Shen, for palpitations and chest pain due to Heart Yang Deficiency and subsequent painful obstruction due to Blood Stasis blocking the channels.
With Tao Ren and Mu Dan Pi, for gynecological discomfort due to Blood Stasis and lower abdominal masses.
With Tao Ren, Mu Dan Pi and Fu Ling, for amenorrhea and abdominal pain due to Cold Invasion and Blood Stasis.
Poria Fu Ling 2-15g Promotes urination, resolves Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
With Gui Zhi, warms and transforms fluids, unblocks Yang and promotes urination.
Rx. Paeoniae Rubra Chi Shao 2-12g Clears Heat, cools the Blood, activates Blood, dispels Blood Stasis and eliminates pain.
With Tao Ren, for Blood Stasis induced menstrual disorders, especially those characterized by early period, excessive bleeding, and thick purple clots.
With Bai Shao, for spasms and cramping pain associated with Blood Deficiency and Blood Stagnation.
With Mu Dan Pi, for Blood Stasis disorders (amenorrhea, menstrual pain, traumatic injury).
(Rx. Paeoniae Alba) (Bai Shao) (2-12g) (Nourishes Blood, regulates menstruation, benefits Yin, astringes weak Ying Qi, softens the Liver and relieves pain.)
With Gui Zhi, harmonizes the Ying and Wei and warms and tonifies the Middle Jiao.)
Cx. Moutan Mu Dan Pi 2-12g Activates Blood, dispels Blood Stasis, drains pus and reduces swelling.
With Tao Ren and Gui Zhi, for amenorrhea and abdominal pain due to Blood Stasis.
With Chi Shao, for irregular menstruation due to Heat and obstruction from Blood Deficiency.
With Tao Ren, Gui Zhi, Fu Ling and Chi Shao, for amenorrhea, dysmenorrhea with severe pain, Heat, masses, lumps and tumors due to Blood Stasis.
Sm Persicae Tao Ren 2-12g Dispels Blood Stasis and invigorates Blood circulation.
(Rx. Salviae Miltiorrhizae) (Dan Shen) (2-12g) (Invigorates the Blood and dispels Blood Stasis. - May be added)

FORMULA ACTIONS

  • Invigorates the Blood
  • Transforms Blood Stasis
  • Softens lumps
  • Reduces fixed abdominal pain

SYNDROMES

  • Fetal malnourishment due to Blood Stasis in the uterus
  • Tender masses in the lower abdomen due to Phlegm and Blood Stagnation
  • Post abortion Blood Stasis

CLINICAL MANIFESTATIONS

  • Mild, persistent uterine bleeding of purple and black blood during pregnancy
  • Abdominal pain that is worse with pressure
  • Abdominal spasms and tension
  • Immobile masses in the lower abdomen with pain and tenderness
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense, deep and slow

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use with extreme caution during pregnancy or postpartum.
  • Use only with confirmed diagnosis of Blood Stasis.
  • This formula is not intended for serious conditions of Blood Stagnation or Excess Heat in the Blood.
HERB/DRUG INTERACTIONS
  • This formula has been shown to treat menopausal symptoms induced by gonadotropin-releasing hormone agonists without a negative effect on the serum estradiol levels.

NOTES

MODIFICATIONS

For severe Blood Stasis: For anemia:
+ Rx. et Rz. Rhei Da Huang + Rx. Angelicae Sinensis Dang Gui
For menstrual pain:
 + Rx. Chuanxiong Chuan Xiong
+ Rx. Chuanxiong Chuan Xiong
For edema and scanty urine:
+ Rz. Curcumae E Zhu + Rz. Alismatis Ze Xie
+ Rz. Corydalis Yan Hu Suo
For Liver tension:
or
 + Rx. Bupleuri Chai Hu
+ Rx. Chuanxiong Chuan Xiong + Rx. Cyperi Xiang Fu
+ Rx. Angelicae Sinensis Dang Gui
For uterine tumor:
+ Flos Carthami Hong Hua + Rx. Bupleuri Chai Hu
+ Rz. Corydalis Yan Hu Suo + Fr. Aurantii Zhi Ke
+ Rx. Achyranthis Niu Xi + Sm. Coicis Yi Yi Ren
For Blood stasis following miscarriage or abortion:
 + Rx. Glycyrrhizae Gan Cao
+ Flos Carthami Hong Hua
For Qi tonification:
For fibroid tumors:
 + Rx. Codonopsis Dang Shen
+ Rz. Curcumae E Zhu
For internal chill:
+ Hb. Leonuri Yi Mu Cao + Rz. Zingiberis Gan Jiang
For menstrual pain and cramps:
For prostatic hypertrophy:
+ Rz. Cyperi Xiang Fu + Rz. Cuspidati Hu Zhang
+ Per. Citri Reticulatae Chen Pi
For severe dysmenorrhea:
+ Rz. Corydalis Yan Hu Suo
+ Sudden Smile Powder
Shi Xiao San
For nephrotic syndrome:
+ Five-Peel Powder
Wu Pi San
+ Rz. Corydalis Yan Hu Suo
For amenorrhea:
For uterine fibroids with obesity or Phlegm-Damp Syndrome:
+ Fr. Aurantii Immaturus Zhi Shi
+ Flos Carthami Hong Hua
+ Rz. Pinelliae Preparatum Zhi Ban Xia
or
+ Bul. Fritillariae Thunbergii Zhe Bei Mu - Poria Fu Ling
+ Spica Prunellae Xia Ku Cao + 9g Cx. Poria Fu Ling Pi
+ Hb. Sargassum Hai Zao + 9g Rz. Cyperi Xiang Fu
+ Thallus Eckloniae Kun Bu + 9g Flos Carthami Hong Hua
For large or recalcitrant uterine fibroids:
 + 9g Rx. Linderae Wu Yao
+ Carapax Trionycis Bie Jia + 9g Sm. Leonuri Chong Wei Zi
+ Squama Manitis Chuan Shan Jia
+ Frigid Extremities Powder
Si Ni San
For uterine fibroids with Qi Deficiency:
+ Rx. Codonopsis Dang Shen
- Fr. Aurantii Immaturus
+ Rx. Astragalus Huang Qi
+ 6-9g Fr. Aurantii
+ Rz. Atractylodis Macrocephalae Bai Zhu
For uterine fibroids with Blood Deficiency:
+ Rx. Angelicae Sinensis Dang Gui
For uterine fibroids with Qi Stagnation:
 + Colla Corii Asini E Jiao
+ Per. Citri Reticulatae Viride Qing Pi
For uterine fibroids:
+ Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Bupleuri Chai Hu
+ Rz. Sparganii San Leng + Rx. Achyranthis Bidentatae Niu Xi
+ Rz. Curcumae E Zhu
+ Fr. Toosendan Chuan Lian Zi + Concha Ostreae Mu Li
+ Rz. Corydalis Yan Hu Suo
or
+ Pollen Typhae Pu Huang + Carapax Trionycis Bie Jia
+ Faeces Trogopterori Wu Ling Zhi + Concha Ostreae Mu Li
For pelvic inflammatory disease:
+ Rx. Artemisiae Scopariae Yin Chen
+ Rx. Cyperi Xiang Fu
+ Rx. Corydalis Yan Hu Suo + Per. Citri Reticulatae Viride Qing Pi
+ Rx. Angelicae Sinensis Dang Gui
For oophoritic cysts:
+ Rx. Dipsaci Xu Duan
+ Hb. Dioscoreae Bulbiferae Huang Yao Zi + Cx. Phellodendri Huang Bai
+ Rx. Astragalus Huang Qi
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin + Selanginellae Shi Shang Bai
+ Hirudo Shui Zhi
or
+ Sm. Litchi Li Zhi He + Rx. et Rz. Rhei Da Huang
+ Rx. Linderae Wu Yao + Plastrum Testudinis Gui Ban
+ Rhubarb and Eupolyphaga Pill
Da Huang Zhe Chong Wan
For endometriosis:
+ Rx. et Rz. Rhei Da Huang
For severe endometriosis:
+ Rx. Glycyrrhizae Gan Cao
+ Rx. et Rz. Rhei Da Huang
For endometriosis with severe pain:
+ Rx. Glycyrrhizae Gan Cao + Rx. et Rz. Rhei Da Huang
+ Rz. Sparganii San Leng + Rx. Glycyrrhizae Gan Cao
+ Rz. Curcumae E Zhu + Olibanum Ru Xiang
+ Squama Manitis Chuan Shan Jia + Myrrh Mo Yao
For endometriosis with constipation:
+ Fr. Liquidamberis Lu Lu Tong
+ Rx. et Rz. Rhei (large dose) Da Huang
For endometriosis with generalized weakness and Qi Deficiency:
+ Rx. Glycyrrhizae Gan Cao + Rx. et Rz. Rhei Da Huang
+ Sm. Persicae Tao Ren + Rx. Glycyrrhizae Gan Cao
For endometriosis with irregular menstruation:
+ Rx. Astragali Huang Qi
+ Rx. et Rz. Rhei Da Huang + Rx. Codonopsis Dang Shen
+ Rx. Glycyrrhizae Gan Cao
For perimenopause syndrome with uterine leiomyoma:
+ Rx. Angelicae Sinensis Dang Gui
+ Rz. Cyperi Xiang Fu
+ Peony and Licorice Decoction
Shao Yao Gan Cao Tang
+ Hb. Leonuri Yi Mu Cao
For post-ischemic brain injury:
For urolithiasis with lower abdominal Blood Stagnation with pain on palpation:
+ Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
+ 10g Sm. Coicis Yi Yi Ren
+ Bupleurum plus Dragon Bone and Oyster Shell Decoction
Chai Hu Jia Long Gu Mu Li Tang
For infertility with abdominal pain during the period:
+ Flos Carthami Hong Hua
For endometriosis with Yang Deficiency:
+ Rx. Salviae Miltiorrhizae Dan Shen
- Rx. Paeoniae Rubra Chi Shao
+ Rx. Paeoniae Alba Bai Shao + Rz. Sparganii San Leng
+ Rx. et Rz. Rhei Da Huang + Rz. Curcumae E Zhu
+ 6g Fr. Evodiae Wu Zhu Yu
For endometriosis with a short but excessive menstrual cycle due to Heat:
+ Rx. Codonopsis Dang Shen
+ Colla Corii Asini E Jiao - Rx. Paeoniae Rubra Chi Shao
For endometriosis with a short and scanty due to more severe Blood Stasis:
+ Rx. Paeoniae Alba Bai Shao
+ Rx. et Rz. Rhei Da Huang
- Rx. Paeoniae Rubra Chi Shao + carbonized Pollen Typhae Pu Huang Tan
+ Rx. Paeoniae Alba Bai Shao
+ Rx. et Rz. Rhei Da Huang + processed Rz. Cyperi Zhi Xiang Fu
+ Pollen Typhae Pu Huang + Rx. Salviae Miltiorrhizae Dan Shen
+ Faeces Trogopterori Wu Ling Zhi
+ Fr. Crataegi Shan Zha + Rx. Angelicae Sinensis Dang Gui
+ Rz. Curcumae E Zhu + Fr. Gardeniae Zhi Zi
+ Rx. Achyranthis Bidentatae Niu Xi + Rx. Notoginseng San Qi
For endometriosis with abdominal lumps due to even more severe Blood Stasis:
+ Rx. Angelicae Sinensis Dang Gui
+ Rx. Bupleuri Chai Hu - Rx. Paeoniae Rubra Chi Shao
For endometriosis due to severe Blood Stagnation:
+ Rx. Paeoniae Alba Bai Shao
+ Rx. et Rz. Rhei Da Huang
+ Rz Sparganii San Leng + Rx. Salviae Miltiorrhizae Dan Shen
+ Rz Curcumae E Zhu
+ Fr. Toosendan Chuan Lian Zi + Sm. Vaccariae Wang Bu Liu Xing
+ Rz. Corydalis Yan Hu Suo + Concha Arcae Wa Leng Zi
+ Rx. Salviae Miltiorrhizae Dan Shen + Sargassum Hai Zao
+ Rz. Chuanxiong Chuan Xiong
+ Spica Prunellae Xia Ku Cao + Olibanum Ru Xiang
+ Pseudobulbus Cremastrae/Pleiones Shan Ci Gu
For endometriosis due to severe Blood Stagnation with menorrhagia (during menstruation):
For thyroid cancer:
+ Sm. Coicis Yi Yi Ren - Sm. Persicae Tao Ren
For chronic pelvic inflammatory disease:
+ Rx. Notoginseng San Qi
+ 9g Rz. Cyperi Xiang Fu + Faeces Trogopterori Wu Ling Zhi
+ 15g Rx. Salviae Miltiorrhizae Dan Shen + Pollen Typhae Pu Huang
+ Fr. Toosendan Chuan Lian Zi
+ 9g Rx. Paeoniae Alba Bai Shao + Rz. Corydalis Yan Hu Suo
+ 9g Rz. Corydalis Yan Hu Suo + Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Fr. Forsythiae Lian Qiao
+ 9g Myrrh Mo Yao + Spica Prunellae Xia Ku Cao
+ 9g Endothelium Corneum Gigeriae Galli Ji Nei Jin + Rx. Rubiae Qian Cao Gen
+ Endoconcha Sepiae Hai Piao Xiao