Si Wu Tang SiWuTang Four Substances Pills 四物汤丸 Si Wu Wan, Four Substances for Women, Tangkuei Four Combination si wu tang four substances pills

Si Wu Tang Wan - Four Substances Pills

四物汤丸

Also known as: Si Wu Wan, Four Substances for Women, Tangkuei Four Combination

Clinical Usage

  • The primary base formula for tonifying the blood and regulating menstruation in Chinese Medicine terms - irregular cycles, amenorrhea or long cycles.
  • Postpartum issues such as uterine bleeding when arising from blood deficiency.
  • General blood deficiency symptoms - dry skin, dry eyes, dry hair, anemia, calf cramping.  Certain version of dermatitis, psoriasis and other skin conditions - diabetic ulcers, etc.
  • With the right underlying factors threatened miscarriage, ectopic pregnancy.
  • Fertility issues, endometriosis.

Functional Categories

Formula Combinations

Cautions & Precautions

  • Avoid during the early phases of a cold or flu.
Relationships
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Formulas Related by Clinical Functions

Si Wu Tang Wan is in the "Tonify the Blood" group within the "Tonify" category.

Other Formulas in "Tonify the Blood" (2)

Other Formulas in "Tonify" (36)

Common Formula Ingredients

Si Wu Tang Wan is generally comprised of the following 4 ingredients:

Bai Shao
Bai Shao
White Peony Root
  • Nourishes the blood and regulates menstrual problems due to blood deficiency (pale, lusterless complexion and nails) - menstrual dysfunction, vaginal discharge, uterine bleeding - very common herb for gynecological disorders (Si Wu Tang).
  • Calms liver yang, alleviates pain from constrained liver qi or disharmony between the liver and the spleen due to liver yang rising - cramping and spasms (limbs and abdomen), abdominal pain from dysentery, headache and dizziness.
  • Preserves yin, adjusts ying and wei levels - vaginal discharge and spermatorrhea, exterior wind-cold from deficiency with continuous sweating, spontaneous sweating, night sweats.
Bai Shao is also included in 38 formulas
Chuan Xiong
Chuan Xiong
Szechuan Lovage Root
  • Invigorate blood, promote movement of Qi - any blood stasis pattern, important for gynecological issues (amenorrhea, dysmenorrhea, difficult labor, lochioschesis).
  • Expels wind and alleviates pain - headache (temporal, vertex), dizziness, painful obstructions, skin issues.
  • Headache - moves qi upward and alleviates pain; headaches due to wind, heat, cold, blood deficiency.
Chuan Xiong is also included in 43 formulas
Dang Gui
Dang Gui
Chinese Angelica Root
  • Tonifies the blood, regulates menses - pallid, ashen complexion, tinnitus, blurred vision, palpitations, irregular menses, amenorrhea, dysmenorrhea.
  • Invigorates/harmonizes the blood, disperses cold - important herb to stop pain due to blood stasis - abdominal pain, trauma, carbuncles due to blood stasis, chronic bi.
  • Moistens dry intestines due to blood deficiency.
  • Reduces swellings, expels pus, generates flesh - sores.
Dang Gui is also included in 66 formulas
Shu Di Huang
Rehmannia, Chinese Foxglove Root
  • This is the root of Sheng Di Huang (steamed and dried, or soaked in red wine and dried).
  • Tonify blood for blood deficiency with dizziness, pallid complexion, palpitations, insomnia, irregular menses, uterine bleeding, post partum bleeding.
  • Nourish yin - kidney yin deficiency with nightsweats, xiao ke, steaming bone disorder, nocturnal emissions.
Shu Di Huang is also included in 22 formulas