This kind of restoratives can invigorate the liver, nourish the heart and benefit the spleen to promote the production of the blood. They are indicated for various blood deficiency syndromes such as pale or sallow complexion, excessive leucorrhea, pale lips and whitish nails, dizziness, palpitation, delayed and scanty menstruation with pale flow and sometimes amenorrhea. Some of them yet have yin tonifying action, so they are also indicated for yin-deficiency syndrome.
They are unusually rich and tend to obstruct the digestive functions of the stomach and supporting damp-ness, thus they are contraindicated in conditions of deficiency of the spleen and stomach with poor appetite and loose stool, or with superficial pathogenic factors.
Danggui Radix Angelicae Sinensis
The source is from the root of Angelica sinensis (Oliv.) Diels, family Umbelliferae. The medicinal material is mainly produced in the areas of Gansu, Shaanxi, etc., and that produced in Min County of Gansu is the best in quality. The root is dug at the end of autumn, whose fibrous root is removed, dried with mild fire, cut into pieces and used crudely or stir-baked with wine for medication.
Medicinal Properties Sweet and pungent in flavor, warm in nature and attributive to the liver, heart and spleen meridians.
Actions Nourish the blood, promote blood circulation, relieve pain and moisten the intestine.
Application
1. It is indicated for blood deficiency syndromes such as sallow complexion, pale lips, dizziness, palpitation and whitish nails, it is usually used together with Huangqi (Radix Astragali), such as Buxue Tang (Decoction).
2. It is used for irregular menstruation, amenorrhea and dysmenorrhea. For those due to blood deficiency, it is used together with Shudihuang (Radix Rehmanniae Praeparata), Baishaoyao (Radix Paeoniae Alba), and Ejiao ( Colla Corii Asini), etc., such as Siwu Tang (Decoction) and Jiao'ai Tang (Decoction); for those due to blood stasis, used together with Chuanxiong (Rhizoma Ligustici ), Chishaoyao ( Radix Paeoniae Rubra ), Taoren ( Semen Persicae), and Honghua ( Fructus Carthami), etc., such as Tao Hong Siwu Tang (Decoction); for those accompanied by depression of liver-qi resulting in stagnation of qi, combined with Xiangfu (Rhizoma Cyperi ), Chaihu (Radix Bupleuri ), and Yujin ( Radix Curcumae), etc., as well, such as Xuanyu Tongjing Tang (Decoction).
3. It is used for various pains due to blood stasis or Bi-syndrome with pain due to wind-damp. For pains due to blood stasis in limbs, it may be combined with Danshen (Radix Salviae Miltiorrhizae ) , Ruxiang (Olibanum), and Moyao (Myrrha), etc., such as Huoluo Xiaoling Dan (Bolus); for swelling and pains due to trauma, usually combined with Dahuang (Radix et Rhizoma Rhei ), Taoren ( Semen Persicae ), and Honghua ( Ftos Carthami), etc., such as Fuyuan Huoxue Tang (Decoction); for pains in shoulder and arms due to wind-dampness, usually combined with Qianghuo (Rhizoma et Notopterygii ), Fangfeng ( Radix Saposhnikoviae ), and Jianghuang (Rhizoma Curcumae Longae ), etc., such as Juanbi Tang (Decoction). It is also used together with Guizhi ( Ramulus Cinnamorni ) , Baishaoyao ( Radix Paeoniae Alba ) and Shengjiang ( Rhizoma Zingiberis Recens ) in treating abdominal pain due to deficiency and cold of the middle-energizer.
4. It is used for large carbuncle and pyocutaneous disease. For the early stage of those with redness, swelling and pain, it is combined with Jinyinhua (Flos Lonicerae ) , Chishaoyao (Radix Paeoniae Rubra ) , and Tianhuafen (Radix Trichosanthis), etc., such as Xianfang Huoming Yin (Decoction) ; for the middle age of that with pus before rupture, it should be combined with Zaojiaoci ( Spina Gleditsiae ), Huangqi (Radix Astragali ), and Shudihuang (Radix Rehmanniae Praeparata ), etc., such as Tounong San (Powder); for that unhealed after rupture due to deficiency of qi and blood, and with running pus, it is usually combined with Renshen (Radix Ginseng), Huangqi (Radix Astragali ) , and Shudihuang (Radix Rehmanniae Praeparata ), etc., such as Shiquan Dabu Tang (Decoction).
5. It is used in patients with constipation due to blood deficiency and dryness of the intestine, especially for those with weakness due to prolonged illness, the aged and women with postpartum blood deficiency and constipation due to insufficiency of the body fluids, it is usually combined with Shengheshouwu (Radix Polygoni Multiflori, unprepared), Huomaren ( Fructus Cannabis ), Roucongrong (Herba Cistanchis), etc..
In addition, 5% of Danggui Injection is injected in the acupoints such as Feishu (BL 13) and Tanzhong (CV 17) to treat chronic bronchitis.
Usage and Dosage 5 -15 g is used in decoction for oral use. The crude one is generally used, but the one stir-baked with wine is used to promote blood circulation and dredge meridians.
Notes Contraindicated in the cases with domination of dampness and fullness in the middle energizer and diarrhea.
Shudihuang Radix Rehmanniae Praeparata
The source is from the root of Rehmannia glutinosa Libosch., family Scrophulariaceae. The medicinal material is mainly produced in the areas of Henan, Hebei, and Inner Mongolia, etc.. Mter dried, it is prepared by steaming with wine, Sharen ( Fructus Amomi) and Jupi (Pericarpium Citri Tangerinae), and drying itself repeatedly until it becomes black internally and externally, has the quality of softness and stickiness. It is cut into slices for medication.
Medicinal Properties Sweet in flavor, slightly warm in nature and attributive to the liver and kidney meridians.
Actions Enrich the blood and nourish yin, and supplement the essence.
Application
1. It is indicated for blood deficiency manifested as sallow complexion, dizziness, palpitation, irregular menstruation and metrorrhagia and metrostaxis, it is usually combined with Danggui ( Radix Angelicae Sinensis ), Baishaoyao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong), etc., such as Siwu Tang (Decoction).
2. For deficiency of liver-yin and kidney-yin manifested as hectic fever, night sweat, emission and diabetes, it is usually used together with Shanyao (Rhizoma Dioscoreae), Shanzhuyu (Fructus Corni), etc., such as Liuwei Dihuang Wan (Bolus). For insufficiency of kidney-yin resulting in preponderant deficiency-fire with low fever and obvious night sweat, used together with Zhimu ( Rhizoma Anemarrhenae ), Huangbai ( Cortex Phellodendri), Guiban (Plastrum Testudinis) and others that can nourish yin to clear fire, such as Da Buyin Wan Bolus).
3. For insufficiency of the essence and blood resulting m soreness of loins and knees, dizziness, tinnitus, deafness, poor vision, premature whitening of hair, etc., it is usually used with Heshouwu (Radix Polygoni Multiflori), Nfizhenzi ( Fructus Ligustri Lucidi ), Hanliancao (Herba Ecliptae ), and Shanzhuyu ( Fructus Corni ), etc..
Usage and Dosage 10 -15 g is used in decoction for oral use.
Notes It is sticky and rich in property and tends to obstruct digestion, therefore, it is not suitable for cases with excessive sputum, fullness in the epigastric region, poor appetite and loose stool.
Explanation Shengdihuang (Radix Rehmanniae ) and Shudihuang ( Radix Rehmanniae Praeparata ) are different in processing, so their actions are also different. Shengdihuang (Radix Rehmanniae) is effective in clearing away heat and cooling the blood, promoting the production of the body fluids, and mostly used in treating seasonal febrile disease resulting in heat invading yingfen and xuefen, general fever and eruption, bleeding due to bloodheat, thirst and constipation due to consumption of the body fluids caused by yin-deficiency. Whereas the nature of Shudihuang (Radix Rehmanniae Praeparata ) is warm that is changed from the cold nature of Shengdihuang (Radix Rehmanniae) so that Shudihuang (Radix Rehmanniae Praeparata ) is effective in enriching the blood and nourishing yin, it is usually used in treating syndromes of deficiency of yin and the blood, and insufficiency of essence.
