dang gui bu xue tang

Tangkuei Decoction to Tonify the Blood

About dang gui bu xue tang

Dang Gui Bu Xue Tang, Tangkuei Decoction to Tonify the Blood, is a formula of two herbs, Huang Qi and Dang Gui, classed among those that tonify Qi and Blood. The record holds it for want of Blood, commonly in the wake of a heavy bleed, where a weak Qi lets a deficiency fever float up.

Ingredients

Herb	Amount
huang qi	30 g
dang gui	6 g

Actions and indications

Tonifies Qi to generate Blood

Blood deficiency, often after heavy blood loss, with Qi deficiency giving rise to a floating fever of the deficiency type
Heart Blood deficiency, or Heart and Liver Blood deficiency
Spleen failing to hold the Blood
Fever and headache from loss of blood, including after childbirth
Feeling of heat in the skin and muscles, with dry, hot skin and a flushed face
Thirst with a wish for warm drinks, or no wish to drink
Irritability, restlessness and distress
Fatigue and weakness with a pale or sallow complexion, and slight sweating
Heavy menstrual bleeding or heavy bleeding after labor; irregular periods after childbirth
Looks like excess Heat, but the exhaustion and the pulse show deficiency
Tongue pale; pulse large and flooding but empty and forceless on firm pressure, or big and weak

Promotes healing of sores

Yin-type ulcers and sores that are slow to heal
Abscesses with pus

Modern uses

Anemia
Leukopenia
Leukemia
Allergic purpura
Thrombocytopenic purpura
Dysfunctional uterine bleeding
Postpartum uterine bleeding
Puerperal fever
Lochioschesis
Postpartum irregular menstruation
Amenorrhea
Perimenstrual fever
Insufficient lactation
Sores and ulcers that do not heal
Purulent abscesses
Support during radiotherapy
Arthritis
Osteoarthritis
Heel pain
Numbness
Paresthesia
Scleroderma
Dry skin
Peyronie's disease
Colitis
Ulcerative colitis
Chronic hepatitis
Tuberculosis
Cor pulmonale
Congestive heart failure
Palpitations
Hypertension
Hypotension
Headache
Dizziness
Vertigo
Red eyes
Fever
Fatigue
Weakness
Anxiety
Insomnia
Forgetfulness
Neurasthenia
Neurosis

Symptoms

Abscess
Anxiety
Dry skin
Fatigue
Feeling of heat
Fever
Flushed face
Headache
Irregular menstruation
Irritability
Menorrhagia
Pallor
Postpartum bleeding
Preference for warm drinks
Red eyes
Restlessness
Slow wound healing
Sweating
Thirst
Thirst with no desire to drink
Weakness

Modifications

Bleeding when the Spleen fails to hold Blood: + xian he cao, + xue yu tan
Ulcerated sores with toxin not fully expelled: + jin yin hua, + gan cao
Allergic purpura: + jiang can, + huai niu xi
Cold or flu with fever and headache during menses or after childbirth: + cong bai, + dan dou chi, + sheng jiang, + da zao
General Blood deficiency: + shu di huang, + he shou wu, + sang ji sheng, + bai shao
Heavy menstrual flow: + di yu, + huang qin, + gan cao
Tachycardia (combined with Sheng Mai San)
Non-healing ulcerated sores: + jin yin hua, + lian qiao, + tian hua fen
Ongoing bleeding: + duan long gu, + shan zhu yu, + e jiao
Fibromyalgia from Blood deficiency (combined with Xue Fu Zhu Yu Tang and Run Chang Wan)
Peyronie's disease from Qi deficiency with Blood stasis: + hong teng, + bai shao, + dan shen, + lu feng fang, + huai niu xi, + tao ren, + hong hua, + chuan shan jia, + zao jiao ci, + wei ling xian, + wu gong
Fibromyalgia from Blood deficiency, second option (combined with Xue Fu Zhu Yu Tang and Run Chang Wan #1)

Show all 45 modifications

Fibromyalgia from Blood deficiency, third option (combined with Xue Fu Zhu Yu Tang and Run Chang Wan #2)
Thrombocytopenic purpura: + xue yu tan, + gan cao, + xian he cao
Amenorrhea: + san leng, + e zhu, + dan shen
Leukopenia: + dang gui, + huang qi, + gan cao
Ulcerative colitis: + jiao gu lan, + dan shen, + chuan xiong, + xiang fu
Ulcerative colitis, Damp-Heat: + jiao gu lan, + dan shen, + chuan xiong, + xiang fu, + bai tou weng
Ulcerative colitis, bloody stools: + jiao gu lan, + dan shen, + chuan xiong, + xiang fu, + san qi
Ulcerative colitis, Spleen deficiency: + jiao gu lan, + dan shen, + chuan xiong, + xiang fu, + gan jiang
Scant breast milk: + ren shen
Scant breast milk in summer: + ren shen, + shi gao
Scant breast milk in winter: + ren shen, + gui zhi
Heel pain: + du zhong, + xu duan, + gou ji
Painful obstruction (Bi) arthritis (with Liver and Kidney tonics as needed): + gui zhi, + hai feng teng, + qin jiao, + zhi chuan wu
Wandering Bi: + gui zhi, + hai feng teng, + qin jiao, + zhi chuan wu, + fang feng, + qiang huo
Fixed Bi: + gui zhi, + hai feng teng, + qin jiao, + zhi chuan wu, + han fang ji, + yi yi ren
Heat Bi: + gui zhi, + hai feng teng, + qin jiao, + zhi chuan wu, + zhi mu, + shi gao, + ren dong teng
Very painful Bi: + gui zhi, + hai feng teng, + qin jiao, + zhi chuan wu, + xi xin
Dizziness, vertigo or memory loss after blood loss: + huang qi, + dang gui
Osteoarthritis (combined with Liu Jun Zi Tang): + sang ji sheng, + shu di huang, + qiang huo, + du huo, + gui zhi, − zhi gan cao, − chen pi, − zhi ban xia
Osteoarthritis, palpitations (combined with Liu Jun Zi Tang): + sang ji sheng, + shu di huang, + qiang huo, + du huo, + gui zhi, + yuan zhi, + long yan rou, − zhi gan cao, − chen pi, − zhi ban xia
Osteoarthritis, severe joint pain (combined with Liu Jun Zi Tang): + sang ji sheng, + shu di huang, + qiang huo, + du huo, + gui zhi, + ru xiang, + mo yao, − zhi gan cao, − chen pi, − zhi ban xia
Osteoarthritis, cold joints (combined with Liu Jun Zi Tang): + sang ji sheng, + shu di huang, + qiang huo, + du huo, + gui zhi, + zhi fu zi, − zhi gan cao, − chen pi, − zhi ban xia
Osteoarthritis, upper limb joint pain (combined with Liu Jun Zi Tang): + sang ji sheng, + shu di huang, + qiang huo, + du huo, + gui zhi, + jiang huang, − zhi gan cao, − chen pi, − zhi ban xia
Osteoarthritis, lower limb joint pain (combined with Liu Jun Zi Tang): + sang ji sheng, + shu di huang, + qiang huo, + du huo, + gui zhi, + chuan niu xi, − zhi gan cao, − chen pi, − zhi ban xia
Osteoarthritis, Yin deficiency (combined with Liu Jun Zi Tang): + sang ji sheng, + shu di huang, + qiang huo, + du huo, + gui zhi, + sheng di huang, − zhi gan cao, − chen pi, − zhi ban xia
Osteoarthritis, swollen joints (combined with Liu Jun Zi Tang): + sang ji sheng, + shu di huang, + qiang huo, + du huo, + gui zhi, + yi yi ren, + cang zhu, − zhi gan cao, − chen pi, − zhi ban xia
Scant breast milk with fatigue: + cong bai
Scleroderma: + zhi chuan wu, + xi xin, + qiang huo, + du huo, + chi shao
Scleroderma, Kidney Yang deficiency: + ba ji tian, + rou cong rong
Scleroderma, Blood stasis: + hong hua, + wang bu liu xing, + tao ren, + chi shao
Scleroderma, mainly upper limbs: + sang zhi, + ji xue teng
Scleroderma, mainly lower limbs: + huai niu xi, + qīng fēng téng
Scleroderma, hot skin: + jin yin hua, + lian qiao, + mu dan pi

Cautions

contraindication Not for tidal fever from Yin deficiency
contraindication Not for excess patterns, including true excess or exterior Heat and fever from an active external pathogen; the warming Qi tonic would make them worse
caution Tell this deficiency fever apart from a true Yang Ming excess-Heat picture by the force of the pulse and the patient's overall vitality, not by the fever and thirst alone
caution While an external pathogen is still present, tonifying may trap it inside
caution The large amount of Huang Qi can feel cloying in people prone to Damp, Food stagnation or stuck Qi, bringing bloating or fullness
caution Significant or lasting fever needs medical assessment to exclude other causes before it is put down to Qi and Blood deficiency

Preparation

Decoction of the two herbs, keeping their fixed proportion (Huang Qi well above Dang Gui) and taken warm; Huang Qi is often honey-fried, and Dang Gui used raw or wine-treated

Names

Pinyin	dang gui bu xue tang
English Name	Tangkuei Decoction to Tonify the Blood

Classification

Category: Tonify the Qi and Blood