top of page

Guizhi Fuling Wan: a traditional Chinese Medicine promoting blood circulation and removing blood stasis, and relieving lumps

Writer's picture: Hongji MedicalHongji Medical

Guizhi Fuling Wan, also known as Cinnamon Twig and Poria Pill, originated from the "Golden Guide" written by Zhang Zhongjing in the Han Dynasty. It is a classic blood-regulating prescription in traditional Chinese medicine. Its main function is to "activate blood circulation and remove blood stasis, relieve symptoms and lumps". It is mainly used to treat women with old lumps, continuous menstrual bleeding during pregnancy, or restless fetal movement, dark purple blood color, abdominal pain and refusal to press, etc.


Traditional Chinese Medicine Guizhi Fuling Wan Indications and pathogenesis


Guizhi Fuling Wan is mainly used to treat symptoms of blood stasis in the uterus. In this case, women usually have a mass in the uterus and may experience fetal restlessness or persistent vaginal bleeding during pregnancy, with dark blood and abdominal pain that refuses to be compressed.


Other symptoms include amenorrhea, abdominal pain, or postpartum lochia and abdominal pain that refuses to be pressed. The patient's tongue is usually purple or petechial, and the pulse is heavy. Most of these symptoms are caused by blood stasis and swelling in the uterus, which leads to imbalance of qi and blood and unstable fetal origin. Blood stasis blocks the uterus, blood circulation is not smooth, and pain occurs when blood is not smooth, so the abdomen is painful and refuses to be pressed.


Guizhi Fuling Pills
桂枝茯苓丸

In modern medicine, Guizhi Fuling Wan is often used to treat some gynecological diseases, such as uterine fibroids, endometriosis, ovarian cysts, adnexitis and chronic pelvic inflammatory disease. These diseases are caused by blood stasis in the uterus.


In addition, Guizhi Fuling Wan is also used to treat other diseases, such as prostate hypertrophy, chronic epididymitis, thyroid enlargement, and liver and spleen enlargement. In traditional Chinese medicine, these diseases are all caused by poor blood circulation and accumulation of dampness.


Traditional Chinese Medicine Guizhi Fuling Wan Prescription composition and efficacy


Guizhi Fuling Wan is composed of five herbs: cinnamon twig, tuckahoe, moutan bark, peach kernel, and peony root, each in equal parts (9g). Its specific effects are as follows:

  1. Cinnamon twig : It tastes spicy, sweet and warm in nature. It can dredge blood vessels, make menstrual blood flow smoothly, guide the three burners, and go down to the bladder to facilitate urination.

  2. Poria : sweet, mild and neutral in nature, it is good at benefiting the spleen and removing dampness, connecting to the bladder to promote diuresis, and can also benefit the blood circulation between the waist and the abdomen, nourish the spleen and replenish qi, and stabilize the fetus.

  3. Cortex Moutan : It tastes bitter and slightly cold in nature. It is good at resolving blood clots and breaking up old symptoms, and can also produce blood and cool blood.

  4. Peach kernel : It is bitter, sweet and neutral in nature, can break up blood stasis and resolve tumors, and is an important medicine for removing blood stasis and eliminating symptoms.

  5. Peony : It tastes sour, bitter and cold in nature. It can eliminate blood stasis, promote urination, stabilize pregnancy and relieve pain.


The formula of Guizhi Fuling Wan is composed of a variety of Chinese medicinal materials, each of which has its own unique efficacy, working together to achieve the effects of promoting blood circulation and removing blood stasis, eliminating symptoms and dispersing nodules, and promoting diuresis and moisture permeation.


Cinnamon twig has the effects of warming the meridians and dredging blood vessels, assisting yang and transforming qi, and can promote blood circulation and eliminate blood stasis; Poria has the effects of promoting water permeation, strengthening the spleen and harmonizing the middle, and can eliminate excess water and moisture in the body; Cortex Moutan clears away heat and cools blood, promotes blood circulation and removes blood stasis, can remove heat toxins in the body, cool blood and stop bleeding; Peach kernel promotes blood circulation and removes blood stasis, moistens the intestines and promotes bowel movements, promotes blood circulation and eliminates blood stasis; Peony nourishes blood and softens the liver, relieves pain, harmonizes qi and blood, and improves the circulation of qi and blood in the body.


Guizhi Fuling Pills
桂枝茯苓丸

The combined effect of these ingredients makes Guizhi Fuling Wan have multiple therapeutic effects. It can not only invigorate blood circulation and remove blood stasis, but also relieve symptoms, soften and dissipate lumps and nodules in the body, especially gynecological tumors such as uterine fibroids and ovarian cysts.


In addition, it can promote water permeation and remove excess water and moisture in the body, and is particularly suitable for gynecological diseases caused by heavy moisture. Guizhi Fuling Wan can also harmonize qi and blood, improve the circulation of qi and blood in the body, and relieve symptoms such as irregular menstruation, dysmenorrhea, and amenorrhea caused by disharmony of qi and blood.



Finally, it can also promote uterine health, improve the endometrial environment, regulate the menstrual cycle, and assist in the treatment of infertility and habitual abortion. These effects make Guizhi Fuling Wan play an important role in the treatment of a variety of gynecological and internal medicine diseases.


In summary, the main effects of Guizhi Fuling Pills are:


  • Activating blood circulation and removing blood stasis: promoting blood circulation, eliminating blood stasis, and relieving symptoms such as irregular menstruation, dysmenorrhea, and amenorrhea caused by blood stasis.

  • Eliminate symptoms and dissipate nodules: soften and dissipate lumps and nodules in the body, especially gynecological tumors such as uterine fibroids and ovarian cysts.

  • Diuresis and moisture removal: removes excess water and moisture from the body, especially suitable for gynecological diseases caused by heavy moisture.

  • Harmonize Qi and blood: Improve the circulation of Qi and blood in the body, and relieve symptoms such as irregular menstruation, dysmenorrhea, and amenorrhea caused by disharmony of Qi and blood.

  • Promote uterine health: Improve endometrial environment, regulate menstrual cycle, and assist in the treatment of infertility and habitual abortion.


Diet therapy combined with adjunctive therapy


When using Guizhi Fuling Wan, taking appropriate diet therapy can enhance the efficacy. Here are some suggestions:


  1. Red dates and longan tea : Red dates and longans have the effect of nourishing blood and qi, and are suitable for patients with blood deficiency and weak body.

  2. Black fungus and red dates soup : Black fungus has the effect of promoting blood circulation and removing blood stasis. Boiling it with red dates can help improve the symptoms of blood stasis.

  3. Angelica, ginger and mutton soup : Angelica and ginger have the effects of warming the middle, replenishing blood, promoting blood circulation and removing blood stasis. It is suitable for patients with cold body and blood stasis.

  4. Job's tears porridge : Job's tears has the effect of removing dampness and promoting diuresis, and is suitable for patients with dampness and blood stasis.


These dietary prescriptions can be used as auxiliary treatments to help improve blood stasis and dampness in the body, thereby enhancing the therapeutic effect of Guizhi Fuling Pills.


Guizhi Fuling Pills
桂枝茯苓丸

Modern research and application


Modern research shows that Guizhi Fuling Wan has significant effects in treating menstrual pain and uterine fibroids. Its main ingredients, such as cinnamon twig, peony root, and peony bark, can inhibit the production of prostaglandins, relieve pain, inhibit the proliferation of uterine leiomyoma cells, and induce cell apoptosis.


In addition, Guizhi Fuling Pills are also widely used in internal medicine diseases such as cardiovascular diseases, anorectal diseases, ophthalmic diseases, and men's diseases, showing its multiple therapeutic effects in promoting blood circulation and removing blood stasis.


Precautions and side effects


Guizhi Fuling Wan is a prescription for promoting blood circulation, removing blood stasis and eliminating symptoms. It must be used with extreme caution by pregnant women and those who have just given birth. It is only used for those with blood stasis. If a woman has a pre-existing disease and is pregnant, this prescription is a good and beneficial method, but the dosage should be started with a small amount and gradually increased so that the symptoms are eliminated without harming the fetus. Although it is unnecessary to use this prescription in clinical practice, it is still necessary to stop taking it when the disease is cured and not to take it too much. If there is excessive vaginal bleeding and severe back pain and abdominal pain, this prescription is not suitable and should be identified and treated accordingly.


Conclusion


Guizhi Fuling Wan is a classic prescription in traditional Chinese medicine for regulating blood circulation. It has the effects of promoting blood circulation, removing blood stasis, and relieving lumps. It is suitable for a variety of gynecological diseases, such as uterine fibroids, endometriosis, etc., and is widely used in a variety of internal medicine diseases in modern medicine. With appropriate diet therapy, it can enhance its therapeutic effect and help patients recover better.

0 views
bottom of page