Cinnamon Twig and Poria Pill

金匱要略

-- A woman has a chronic abdominal mass; before three months have passed after cessation of menstruation, she develops incessant spotting. If fetal movement is above the umbilicus, it is harm from a chronic abdominal mass. If movement occurs at six months of pregnancy, and in the first three months menstruation was normal, it is a fetus. If there is bleeding, and afterward it stops for three months, it is stale blood. The reason the blood does not stop is that the mass is not removed; the mass should be purged downward. Guizhi Fuling Wan governs it. (Jin Gui Yao Lue (Essential Prescriptions of the Golden Cabinet))

Guizhi, Fuling, Mudan, Shaoyao, and Taoren, each in equal parts. The above five ingredients: grind into powder, mix with refined honey to form pills as large as rabbit droppings; take one pill before meals each day. If there is no effect, increase to three pills. (Shanghan Zabing Lun)

The above three ingredients: grind into powder, mix with refined honey to form pills as large as rabbit droppings; take one pill (3 g) before meals each day. If there is no effect, increase to three pills. (Modern usage: grind together into powder, mix with refined honey to form pills, take 3-5 g per day; it can also be changed into a Decoction and decocted in water for oral administration; the dosage is determined according to the proportions of the original formula.)

湯劑

Activate blood and resolve stasis, gently eliminate masses.

Blood stasis retained and bound in the uterus, pregnancy with restless fetal movement, incessant spotting, dark purple and dull blood color, abdominal pain that refuses pressure; or postpartum lochia not ending, irregular menstruation in women, dark purple tongue or with stasis spots and purple dots, and a choppy pulse.

Blood stasis masses: add vinegar-processed Sanleng (Sparganium rhizome):6, vinegar-processed Ezhu (Curcuma rhizome):6. -- Skin diseases, itchy skin, edema: add Yiyiren (Coix seed):30. -- Infertility caused by failure to ovulate: add Honghua (Safflower):10. -- Severe blood deficiency, dizziness when changing body posture, pale lips, pale and tender tongue; or uterine fibroids, ovarian cysts: combine with Danggui Shaoyao San. -- Diabetic foot, diabetic nephropathy, lower-limb venous thrombosis, etc., causing weakness and soreness of the lower back and lower-limb pain, etc.: add Baishao (White peony root):15, Huainiuxi (Achyranthes root):30, Danshen (Salvia root):30, Shihu (Dendrobium stem):20.

For women who are pregnant and have blood stasis masses, one can only gradually resolve and slowly disperse them, and must not use drastic, fierce attack to break them. The original formula's provisions for its dosage and usage are very strict, and clinical use must be carefully noted.