Uterine Endometriosis Formula - Yiwu Tang
Formula Name: Yiwu Tang【Function and Indications】
Function: Activate blood circulation and resolve stasis. Indicated for uterine endometriosis with liver Qi stagnation.
【Prescription Composition】
Spiny Chrysanthemum 9g, Rhizoma Curcuma 9g, Spina Gleditsiae 9g, Prepared Cyperus rotundus 9g, Bupleurum 9g, Angelica root 9g, Pollen of Typha 12g, Five Lingzhi 12g, Yiwu Powder (wrapped) 6g (each 1.2g of earthworm, Tabanus, Tenebrio molitor, centipede, and leech, ground into powder for reserve), decocted and taken orally.
【Differential Diagnosis and Modifications】
For Qi deficiency with blood stasis: remove Bupleurum and Cyperus rotundus, add Codonopsis 12g, Fried Astragalus 12g, Fried Cimicifuga 9g; for cold sensitivity, add Cinnamon twig 6–9g; for vaginal bleeding, add Sichuan pepper 3g; for constipation, increase Rhubarb 3–6g; for heavy menstrual flow, remove Spiny Chrysanthemum and Rhizoma Curcuma before menstruation, add Purple Salvia 12g, Liu Jiniu 12g. Some patients may also receive intravenous infusion of Salvia injection.
【Clinical Efficacy】
Among 156 patients treated, 89 showed marked improvement (57.05%); 39 effective (25%); 28 ineffective (including relapses, 17.95%). Total effective rate was 82.05%.
【Prescription Source】
Shao Gongquan, Department of Obstetrics and Gynecology, Shanghai Medical University.
【Comment】
Dr. Shao believed this condition mainly results from emotional injury or invasion by wind-cold, leading to internal blood stasis and a series of clinical symptoms. Through this formula, local blood stasis was eliminated, normal qi and blood circulation restored, and symptoms and signs improved.<Uterus>