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Below the Diaphragm Dispel Stasis Decoction
 

This formula comes from Wang Qing-ren’s Qing dynasty Yi Lin Gai Cuo (Correcting the Errors in the Forest of Medicine) published in 1830 CE. Our version is a 10:1 powdered extract in 500 mg gelatin capsules.

Rx:
Dang Gui (Radix Angelicae Sinensis)
Chuan Xiong (Rhizoma Chuanxiong)
Tao Ren (Semen Persicae)
Hong Hua (Flos Carthami)
Wu Ling Zhi (Feces Trogopterori)
Wu Yao (Radix Linderae)
Chi Shao (Radix Paeoniae Rubrae)
Dan Pi (Cortex Moutan)
Yan Hu Suo (Rhizoma Corydalis)
Xiang Fu (Rhizoma Cyperi)
Zhi Ke (Fructus Aurantii)
Gan Cao (Radix Glycyrrhizae)

Functions: Quickens the blood and dispels stasis, moves the qi and stops pain

Indications: Qi stagnation and blood stasis primarily below the diaphragm (i.e., in the epigastrium) manifesting as abdominal distention and pain, abdominal tumors, hepatomegaly, splenomegaly, dysmenorrhea, amenorrhea, irregular menstruation, hiatal hernia, etc.

Signs & symptoms of qi stagnation include:

• Abdominal, rib-side, and/or breast distention distention and pain

• Conglomerations and gatherings

• A bowstring pulse

Signs & symptoms of blood stasis include:

• Fixed, severe, and/or piercing pain

• Concretions and accumulations

• Externally visible engorged veins and venules (e.g., varicosities and hemangiomas)

• Possible static spots or macules on the tongue

• Possible dark, purplish tongue

• Possible choppy, deep, slow, bowstring, bound, regularly intermittent, skipping, or absent pulse

Formula explanation: Within this formula, Xiang Fu, Wu Yao, and Zhi Ke move the qi and dispel stagnation, while Dang Gui, Tao Ren, Chuan Xiong, Dan Pi, Chi Shao, Hong Hua, Wu Ling Zhi, and Yan Hu Suo quicken the blood and dispel stasis. In addition, Chuan Xiong and Yan Hu Suo treat both the qi and the blood at the same time and both also are well known for their empirical ability to stop pain. Dang Gui also nourishes the blood so as to prevent damaging the blood by over-attacking and over-draining. Chuan Xiong Gan Cao regulates and harmonizes all the other ingredients in the formula.

Dosage: According to Him-che Yeung in Handbook of Chinese Herbs and Formulas, Vol. 2, the standard daily dose in decoction for this formula is 93 grams. Because of the 10:1 concentration ratio and the efficiency of our manufacturing process it would take only 13 capsules per day of Blue Poppy's version of this formula to equal the standard daily dose. The actual prescribed dose should be determined by the practitioner on a case by case basis.

My patient does present the signs and symptoms of:

Qi stagnation Yes No
Blood stasis  Yes No

(Patients should manifest both of these patterns simultaneously. This formula should not be used for qi stagnation without blood stasis.)
 

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