Dong quai (Dang Gui) Platycodon roots (Jie Geng) White peony roots (Bai Shao) Szechuan lovage roots (Chuan Xiong) Unprepared Rehmannia (Di Huang) Bupleurum roots (Chai Hu) Maral roots (Lou Lu) Vaccaria seeds  (Wang Bu Liu Xing)

Xia Ru Yong Quan San

Chinese: 下乳涌泉散

Pinyin: Xià Rú Yǒng Quán Sàn

Other names: Promoting Lactation Gushing Spring Powder

Number of ingredients: 11 herbs

Formula category: Formulas that invigorate Blood and dispel Blood Stagnation

Conditions for which it may be prescribed: Low breast milk supply

  1. Nourishes Blood
  2. Increases breast milk supply

Source date: 1840 AD

Source book: 清太医院配方 / Collection of Qing Royal Palace Doctors' fomula

Xia Ru Yong Quan San is a 11-ingredient Chinese Medicine formula with Dong Quai (Dang Gui) as a principal ingredient.

Invented in 1840 AD, it belongs to the category of formulas that invigorate Blood and dispel Blood Stagnation. Its main actions are: 1) nourishes Blood and 2) increases breast milk supply.

In Chinese Medicine health conditions are thought to arise due to "disharmonies" in the body as a system. These disharmonies are called "patterns" and the very purpose of herbal formulas is to fight them in order to restore the body's harmony.

In this case Xia Ru Yong Quan San is used by TCM practitioners to fight patterns like Liver Qi Stagnation. From a Western Medicine standpoint, such patterns can give rise to a range of conditions such as low breast milk supply for instance.

On this page, after a detailed description of each of the eleven ingredients in Xia Ru Yong Quan San, we review the patterns and conditions that Xia Ru Yong Quan San helps treat.

The eleven ingredients in Xia Ru Yong Quan San

Dang Gui is a king ingredient in Xia Ru Yong Quan San. Like the name indicates, it means it has more power than other ingredients in the formula.

1. Dong Quai (Dang Gui)

Part used: Dried root

Nature: Warm

Taste(s): PungentSweet

Meridian affinity: SpleenHeartLiver

Category: Tonic herbs for Blood Deficiency

In general Dang Gui's main actions are as follows: "Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation."

In the context of Xia Ru Yong Quan San, it is used because it nourishes and invigorates Blood.

Learn more about Dong Quai (Dang Gui)

Jie Geng is an envoy ingredient in Xia Ru Yong Quan San. This means that it directs the formula towards certain area of the body and/or harmonizes the actions of other ingredients.

2. Platycodon Roots (Jie Geng)

Part used: Dried root

Nature: Neutral

Taste(s): BitterPungent

Meridian affinity: Lung

Category: Warm herbs that transform Phlegm and stop Cough

In general Jie Geng's main actions are as follows: "Opens the Lungs and smoothes the flow of Lung Qi. Expels Phlegm and pus from the Lungs and throat, can be used for either Wind-Cold or Wind-Heat according to the other herbs in the formula. Directs the actions of other herbs to the Upper Warmer."

In the context of Xia Ru Yong Quan San, it is used because it plays the carrier role to direct the ingredients to the Upper Burner.

Learn more about Platycodon Roots (Jie Geng)

3. White Peony Roots (Bai Shao)

Part used: Dried root

Nature: Neutral

Taste(s): BitterSour

Meridian affinity: SpleenLiver

Category: Tonic herbs for Blood Deficiency

In general Bai Shao's main actions are as follows: "Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain."

In the context of Xia Ru Yong Quan San, it is used because it nourishes and invigorates Blood.

Learn more about White Peony Roots (Bai Shao)

4. Szechuan Lovage Roots (Chuan Xiong)

Part used: Dried rhizome

Nature: Warm

Taste(s): Pungent

Meridian affinity: GallbladderLiverPericardium

Category: Herbs that invigorate the Blood

In general Chuan Xiong's main actions are as follows: "Regulates and moves the Blood. Relieves Wind-Cold and pain. Circulates the Qi in the Upper Burner, relieving headaches."

In the context of Xia Ru Yong Quan San, it is used because it nourishes and invigorates Blood.

Learn more about Szechuan Lovage Roots (Chuan Xiong)

5. Unprepared Rehmannia (Di Huang)

Part used: Prepared dried root tuber

Nature: Cold

Taste(s): Sweet

Meridian affinity: HeartKidneyLiver

Category: Herbs that cool the Blood

In general Di Huang's main actions are as follows: "Expels Heat by Cooling Blood. Tonifies Yin by promoting Fluid production. Soothes the Heart by calming Blazing Fire. Cools and nourishes."

In the context of Xia Ru Yong Quan San, it is used because it nourishes Body Fluids.

Learn more about Unprepared Rehmannia (Di Huang)

6. Bupleurum Roots (Chai Hu)

Part used: Dried root and rhizome

Nature: Cool

Taste(s): Bitter

Meridian affinity: GallbladderLiver

Category: Cool/Acrid herbs that release the Exterior

In general Chai Hu's main actions are as follows: "Harmonizes exterior and interior. Smoothes the Liver and upraises the Yang."

In the context of Xia Ru Yong Quan San, it is used because it moves Qi and eliminates Stagnation.

Learn more about Bupleurum Roots (Chai Hu)

7. Maral Roots (Lou Lu)

Part used: Dried root

Nature: Cold

Taste(s): BitterSalty

Meridian affinity: StomachLarge intestine

Category: Herbs that clear Heat and relieve Toxicity

In general Lou Lu's main actions are as follows: "Expels Heat and reduces toxic swellings. Increases the flow of mothers' milk."

In the context of Xia Ru Yong Quan San, it is used because it resolves Toxic Heat and promotes lactation.

Learn more about Maral Roots (Lou Lu)

8. Vaccaria Seeds (Wang Bu Liu Xing)

Part used: Dried seeds

Nature: Neutral

Taste(s): Bitter

Meridian affinity: StomachLiver

Category: Herbs that invigorate the Blood

In general Wang Bu Liu Xing's main actions are as follows: "Invigorates Blood. Promotes lactation and menstruation. Reduces painful swelling of the breasts and testicles."

In the context of Xia Ru Yong Quan San, it is used because it invigorates Blood and promotes lactation.

Learn more about Vaccaria Seeds (Wang Bu Liu Xing)

9. Snake Gourd Roots (Tian Hua Fen)

Part used: Dried root

Nature: Cold

Taste(s): BitterSourSweet

Meridian affinity: StomachLung

Category: Cool herbs that transform Phlegm and stop Cough

In general Tian Hua Fen's main actions are as follows: "Clears Heat in the Lungs and moistens Dryness, especially when there is Phlegm that is aggravating the condition. Brings down inflammation and reduces pus."

In the context of Xia Ru Yong Quan San, it is used because it nourishes Body Fluids.

Learn more about Snake Gourd Roots (Tian Hua Fen)

10. Green Tangerine Peel (Qing Pi)

Part used: Dried pericarp of the young or immature fruits

Nature: Warm

Taste(s): BitterPungent

Meridian affinity: GallbladderStomachLiver

Category: Herbs that regulate Qi

In general Qing Pi's main actions are as follows: "Smooths the flow of Liver Qi and releases Stagnation. Reduces Food Stagnation. Dries Damp and reduces Phlegm."

In the context of Xia Ru Yong Quan San, it is used because it moves Qi and eliminates Qi Stagnation.

Learn more about Green Tangerine Peel (Qing Pi)

11. Tetrapanax Piths (Tong Cao)

Part used: Dried stem pith

Nature: Cool

Taste(s): Sweet

Meridian affinity: StomachLung

Category: Herbs that drain Dampness

In general Tong Cao's main actions are as follows: "Removes heat, induces urination and stimulates lactation"

In the context of Xia Ru Yong Quan San, it is used because it removes Stagnation from the breast connecting Meridians.

Learn more about Tetrapanax Piths (Tong Cao)

Xia Ru Yong Quan San is used to treat Liver Qi Stagnation

It's important to remember that herbal formulas are meant to treat patterns, not "diseases" as understood in Western Medicine. According to Chinese Medicine patterns, which are disruptions to the body as a system, are the underlying root cause for diseases and conditions.

As such Xia Ru Yong Quan San is mostly used to treat the pattern "Liver Qi Stagnation" which we describe below.

But before we delve into Liver Qi Stagnation it is worth mentioning that it is often associated with the condition "low breast milk supply". Again it wouldn't be correct to say "Xia Ru Yong Quan San treats low breast milk supply". Rather, Xia Ru Yong Quan San is used to treat Liver Qi Stagnation, which is sometimes the root cause behind low breast milk supply.

Now let's look at Liver Qi Stagnation, a pattern that TCM practitioners commonly treat with Xia Ru Yong Quan San.

The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine

Liver Qi Stagnation

Xia Ru Yong Quan San is sometimes prescribed by TCM practitioners to treat Liver Qi Stagnation. This pattern leads to symptoms such as depression, irregular menstruation, menstrual cramps and irritability. Patients with Liver Qi Stagnation typically exhibit wiry (Xian) pulses as well as a normal (light red) tongue.

When Liver Qi does not flow smoothly or regularly, it becomes Stagnant and in Excess. This leads to Heat accumulating in the Liver. This affects not only the Liver, but other connected Organs too as well as the Seven Emotions.

Liver Qi Stagnation is not only the most seen Liver disharmony, but also... read more about Liver Qi Stagnation

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