Unprepared Rehmannia (Di Huang) Dong quai (Dang Gui) Bitter oranges (Zhi Ke) Rhubarb (Da Huang) Red peony roots (Chi Shao) Mudan peony bark (Mu Dan Pi) Peach kernels (Tao Ren) Tortoise plastrons (Gui Ban)

Zhu Yu Zhi Xue Tang

Chinese: 逐瘀踯血汤

Pinyin: Zhú Yū Zhí Xiě Tāng

Other names: Eliminating Stagnation and Stopping Bleeding Decoction

Number of ingredients: 8 herbs

Formula category: Formulas that invigorate Blood and dispel Blood Stagnation

Conditions for which it may be prescribed: Intermenstrual bleeding

  1. Invigorates Blood
  2. Stops bleeding

Source date: 1826 AD

Source book: Fu Qing Zhu's Gynecology

Zhu Yu Zhi Xue Tang is a 8-ingredient Chinese Medicine formula with Unprepared Rehmannia (Di Huang) as a principal ingredient.

Invented in 1826 AD, it belongs to the category of formulas that invigorate Blood and dispel Blood Stagnation. Its main actions are: 1) invigorates Blood and 2) stops bleeding.

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 Zhu Yu Zhi Xue Tang is used by TCM practitioners to fight patterns like Blood Stagnation. From a Western Medicine standpoint, such patterns can give rise to a range of conditions such as intermenstrual bleeding for instance.

On this page, after a detailed description of each of the eight ingredients in Zhu Yu Zhi Xue Tang, we review the patterns and conditions that Zhu Yu Zhi Xue Tang helps treat.

The eight ingredients in Zhu Yu Zhi Xue Tang

Di Huang is a king ingredient in Zhu Yu Zhi Xue Tang. Like the name indicates, it means it has more power than other ingredients in the formula.

1. 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 Zhu Yu Zhi Xue Tang, it is used because it nourishes and cools Blood.

Learn more about Unprepared Rehmannia (Di Huang)

2. Dong Quai (Dang Gui)

Part used: Dried root

Nature: Warm

Taste(s): PungentSweet

Meridian affinity: SpleenHeartLiver

Category: Tonic herbs for Blood Deficiency

Dang Gui nourishes and cools Blood. Only Dang Gui's stem should be used here for a better invigorating effect.

Learn more about Dong Quai (Dang Gui)

3. Bitter Oranges (Zhi Ke)

Part used: Dried ripe fruit

Nature: Warm

Taste(s): BitterPungentSour

Meridian affinity: SpleenStomach

Category: Herbs that regulate Qi

In general Zhi Ke's main actions are as follows: "To regulate the flow of Qi, remove its stagnation, and alleviate distension."

In the context of Zhu Yu Zhi Xue Tang, it is used because it invigorate Qi to move Blood.

Learn more about Bitter Oranges (Zhi Ke)

4. Rhubarb (Da Huang)

Part used: Dried root and rhizome

Nature: Cold

Taste(s): Bitter

Meridian affinity: SpleenStomachLarge intestineLiverPericardium

Category: Purgative herbs that drain downward

In general Da Huang's main actions are as follows: "Drains Excess Heat and eliminates Dampness, especially when in the Sunlight Yang stage. Cools the Blood and stops bleeding. Invigorates Blood, breaks up Stasis and relieves pain. Clears Heat and toxins from Excess. Applied topically for Hot sores and Blood Stasis."

In the context of Zhu Yu Zhi Xue Tang, it is used because it invigorates Blood and removes Stagnation.

Learn more about Rhubarb (Da Huang)

5. Red Peony Roots (Chi Shao)

Part used: Dried root

Nature: Cool

Taste(s): Bitter

Meridian affinity: Liver

Category: Herbs that invigorate the Blood

In general Chi Shao's main actions are as follows: "Moves Blood, relieves pain and reduces swelling. Cools the Blood and the Liver."

In the context of Zhu Yu Zhi Xue Tang, it is used because it invigorates Blood and removes Stagnation.

Learn more about Red Peony Roots (Chi Shao)

6. Mudan Peony Bark (Mu Dan Pi)

Part used: Root barks

Nature: Cool

Taste(s): BitterPungent

Meridian affinity: HeartKidneyLiver

Category: Herbs that cool the Blood

In general Mu Dan Pi's main actions are as follows: "Cools the Blood, activates Blood circulation and resolves Blood stasis."

In the context of Zhu Yu Zhi Xue Tang, it is used because it invigorates Blood and removes Stagnation.

Learn more about Mudan Peony Bark (Mu Dan Pi)

7. Peach Kernels (Tao Ren)

Part used: Dried ripe seed

Nature: Neutral

Taste(s): BitterSweet

Meridian affinity: HeartLarge intestineLiver

Category: Herbs that invigorate the Blood

In general Tao Ren's main actions are as follows: "Moves Blood and breaks up Stasis. Moistens the Intestines. Relieves coughing."

In the context of Zhu Yu Zhi Xue Tang, it is used because it invigorates Blood and removes Stagnation.

Learn more about Peach Kernels (Tao Ren)

8. Tortoise Plastrons (Gui Ban)

Part used: Carapace and plastron

Nature: Cool

Taste(s): SaltySweet

Meridian affinity: HeartKidneyLiver

Category: Tonic herbs for Yin Deficiency

In general Gui Ban's main actions are as follows: "Nourishes the Yin and holds down the Yang. Strengthens the Kidneys and strengthens the bones. Cools the Blood, stops uterine bleeding. Nourishes the Heart. Promotes Healing."

In the context of Zhu Yu Zhi Xue Tang, it is used because it enters the Directing and Penetrating Vessels as well as the Uterus to stop uterine bleeding.

Learn more about Tortoise Plastrons (Gui Ban)

Zhu Yu Zhi Xue Tang is used to treat Blood 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 Zhu Yu Zhi Xue Tang is mostly used to treat the pattern "Blood Stagnation" which we describe below.

But before we delve into Blood Stagnation it is worth mentioning that it is often associated with the condition "intermenstrual bleeding". Again it wouldn't be correct to say "Zhu Yu Zhi Xue Tang treats intermenstrual bleeding". Rather, Zhu Yu Zhi Xue Tang is used to treat Blood Stagnation, which is sometimes the root cause behind intermenstrual bleeding.

Now let's look at Blood Stagnation, a pattern that TCM practitioners commonly treat with Zhu Yu Zhi Xue Tang.

Blood (Xue) is one of Chinese Medicine's vital subtances. Learn more about Blood in Chinese Medicine

Blood Stagnation

Zhu Yu Zhi Xue Tang is sometimes prescribed by TCM practitioners to treat Blood Stagnation. This pattern leads to symptoms such as stabbing pain, abdominal masses, purple nails and painful period. Patients with Blood Stagnation typically exhibit choppy (Se), wiry (Xian) or firm (Lao) pulses as well as a reddish-purple tongue.

Blood Stagnation - also often referred to as "Blood Stasis" - is where the Blood flow is heavily restricted in all or parts of the body. It is one of the most important diagnostic conditions in Chinese Medicine because it is frequently the cause of intractable pain syndromes anywhere in the... read more about Blood Stagnation

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