Mix condensed vinegar, stew into paste, decoct with a cup of water and boil them down until 70% remains, and take the warm decoction before meals. (Modern use: grind them into fine powder, 6g in one dosage, take the powder with yellow wine or vinegar; or wrap 8-12g powder in gauze and decoct.)
Action
Invigorates blood and dissolves stasis, dissipates masses and relieves pain.
Indication
Shi Xiao San is indicated for pain due to blood stasis such as stabbing pain in the chest and abdomen, inhibited lochia, irregular menstruation, and acute pain in the lower abdomen.
Pathogenesis
The varieties of pains that are addressed by this formula are all caused by blood stasis obstructing the blood vessels. Stabbing pain of the chest and abdomen, and acute pain in the lower abdomen are due to poor blood circulation from obstructed blood vessels. Irregular menstruation and inhibited lochia are caused by stasis blocking the uterus. The treatment method is to invigorate blood, dissolve stasis, dissipate masses, and relieve pain.
Application
1. Essential pattern differentiation Shi Xiao San is a basic formula for treating pain patterns caused by blood stasis. It is most suitable for blood stasis of the liver channel. This clinical pattern is marked by stabbing pain of the chest and abdomen, menstrual irregularities, acute pain of lower abdomen. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of blood stasis accumulation: dysmenorrhea, coronary heart disease, elevated blood lipid levels, ectopic pregnancy, and chronic gastritis.
Additonal formulae
1. Huo Luo Xiao Ling Dan (Effective Channel-Activating Elixir 活絡效靈丹)
Source
《Formulas from the Imperial Pharmacy》Tai Ping Hui Min He Ji Ju Fang《太平惠民和劑局方》
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