Decoction to Expel Blood Stasis from the Lower Abdomen

醫林改錯

Xiaohuixiang 7 pieces (fried), Ganjiang 2 fen (fried), Yanhusuo 1 qian, Moyao 2 qian (fried), Danggui 3 qian, Chuanxiong 2 qian, Guangui 1 qian, Chishao 2 qian, Puhuang 3 qian, Wulingzhi 2 qian (fried). Decoct in water and take. (Yilin Gaicuo)

Boil six bowls of water down to two bowls; take one warm bowl each time before meals.

湯劑

Activate blood and resolve stasis, warm the channels and stop pain.

Pain or absence of pain from blood stasis masses in the lower abdomen, or pain without masses, or lower abdominal distention and fullness; or during menstruation, soreness of the waist and lower abdominal distention; or menstruation occurring three to five times a month continuously, stopping and then returning, with purple or black menstrual color or blood clots; or flooding and spotting together with lower abdominal pain, etc.

Dysmenorrhea with cold-damp: add Cangzhu 10, Fuling 10, Yiyiren 15. -- Dysmenorrhea with yang deficiency and cold congelation: add salt-processed Bajitian 10, Xianmao 10. -- During menstruation, breast distention and pain: add Yujin 10, Chuanlianzi 10. -- During menstruation, soreness of the lower back and weakness of the knees: add Xuduan 10, Huainiuxi 10, Duzhong 10, Sangjisheng 10. -- Qi deficiency: add Huangqi 15, Dangshen 10, Baizhu 10. -- Abdominal masses with Qi stagnation: add vinegar-processed Xiangfu 10, Wuyao 10. -- Abdominal masses with Qi stagnation and predominant Blood stasis: add vinegar-processed Xiangfu 10, Wuyao 10, vinegar-processed Sanleng 10, vinegar-processed Ezhu 10, Chuanniuxi 10. -- Infertility caused by cold and stasis obstructing the uterine vessels: add Wuyao 10, Tusizi 10, vinegar-processed Xiangfu 10, Sangjisheng 10.

During menstruation, one should not overexert, because exertion consumes Qi and stirs Blood, which can cause prolonged menstruation or excessive menstrual flow. During menstruation, one should not become angry, because anger causes the Liver to fail to govern free coursing, and Liver Qi becomes stagnant, which can often lead to menstrual disorders or amenorrhea, forming patterns such as Blood stasis abdominal pain. During menstruation, one should not eat too much raw and cold food or sit or lie in cold places, because cold is congealing and stagnating; if exposed to cold during menstruation, it can cause Blood to congeal due to cold and become stagnant and obstructed, all of which can cause menstrual diseases.