Folio Bound VIEWS - Chinese Medicine

from the Kidney-Yang deficiency.

Treatment principle This patient was being treated with acupuncture by another practitioner
who referred her to me for herbal treatment. The treatment principle
adopted was to scatter Cold and warm the uterus and tonify and warm
Spleen- and Kidney-Yang.

Herbal treatment One could have chosen the formula indicated above, i.e. You Gui Wan
Restoring the Right [Kidney] Pill to tonify and warm Kidney-Yang.
However, the condition is characterized by both Deficiency (of Spleen-
and Kidney-Yang) and Excess (Cold in the uterus), I decided to place
the emphasis on expelling Cold first. I often find in practice that it is
preferable to eliminate the Excess before tonifying the Deficiency. I
therefore selected a variation of Ai Fu Nuan Gong Wan Artemisia
Cyperus Warming the Uterus Pill (see Chapter 31):

Ai Ye Folium Artemisiae 6 g

Wu Zhu Yu Fructus Evodiae rutaecarpae 4.5 g

Rou Gui Cortex Cinnamomi cassiae 3 g

Xiang Fu Rhizoma Cyperi rotundi 6 g

Dang Gui Radix Angelicae sinensis 9 g

Chuan Xiong Radix Ligustici wallichii 6 g

Bai Shao Radix Paeoniae albae 9 g

Huang Qi Radix Astragali membranacei 9 g

Sheng Di Huang Radix Rehmanniae glutinosae 9 g

Xu Duan Radix Dipsaci 6 g

Xian He Cao Herba Agrimoniae pilosae 6 g

Shu Di Huang Radix Rehmanniae glutinosae praeparata 9 g

Shan Zhu Yu Fructus Corni officinalis 4 g

Chai Hu Radix Bupleuri 3 g

Sheng Ma Rhizoma Cimicifugae 3 g

Explanation The first ten herbs constitute the root formula which scatters Cold from
the uterus, nourishes Blood and tonifies Kidney-Yang.

Xian He Cao was added to stop bleeding.

Shu Di Huang was added to strengthen the Kidneys.

Shan Zhu Yu was added to nourish the Liver and Kidneys and also as

an astringent to help to stop bleeding.

Chai Hu and Sheng Ma were added to raise sinking Spleen-Qi.

As the main problem was the heavy menstrual bleeding, the formula

was modified to stop bleeding according to the four aims of treatment