Engendering and Transforming Decoction

Engendering and Transforming Decoction

Angelicae Sinensis Radix (Dang Gui) 8 qian (24g), Chuanxiong Rhizoma (Chuan Xiong) 3 qian (9g), Persicae Semen (Tao Ren) 14 pcs (6g), Zingiberis Rhizoma Praeparatum (Pao Jiang Jiang) 5 fen (2g), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 5 fen (2g)

Decoct the medicinals in equal amounts of yellow wine and infant’s urine. (Modern use: prepare Sheng Hua Tang as a decoction, or decoct with a moderate amount of yellow wine.)

Nourishes the blood and dissolves blood stasis, warms the channels and relieves pain.

Patterns of blood deficiency, congealed cold, and blood stasis marked by inhibited lochia after childbirth and cold pain in the lower abdomen.

The pathogenesis of this formula is blood deficiency, congealed cold, and blood stasis. Following delivery women are deficient in qi and blood and are vulnerable to external cold contraction, leading to congealed cold and blood stasis. In this case lochia becomes retained and blood stasis blocks the uterus, causing cold pain in the lower abdomen; for where there is obstruction, there is pain. The therapeutic method is to nourish the blood, dissolve blood stasis, warm the channels, and relieve pain.

1. Essential pattern differentiation Sheng Hua Tang is commonly used after childbirth. In some areas, it is a necessary formula to take after childbirth. Although this formula has its benefits, it is most suitable for those who have actual pattern of blood deficiency and obstruction from congealed cold. This clinical pattern is marked by retained lochia after childbirth, cold pain in the lower abdomen, loose stool, slightly yellow, greasy tongue coating, weak pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of blood deficiency and congealing cold, blood stasis stagnation: poor involution of uterus, postpartum painful uterine contraction, and retained placenta. 3. Cautions and contraindications This formula should be used with caution in patterns associating with blood heat. It is contraindicated for profuse lochia, continuous bleeding, sweating, and shortness of breath.