Ge Xia Zhu Yu Tang, Drive Out Blood Stasis Below the Diaphragm Decoction, is Wu Ling Zhi, Dang Gui, Chuan Xiong, Tao Ren, Mu Dan Pi, Chi Shao, Wu Yao, Yan Hu Suo, Gan Cao, Xiang Fu, Hong Hua and Zhi Ke. The catalogue classes it among the formulas that invigorate the Blood and dispel stasis.

Herb

Amount

9 g

9 g

6 g

9 g

6 g

6 g

6 g

3 g

9 g

4.5 g

9 g

4.5 g

Actions and indications

Invigorates the Blood and dispels Blood stasis

Stagnant Liver Qi, with Blood obstructed beneath the diaphragm
Abdominal masses that can be felt, and are visible when lying down; abdominal tumours
Painful, absent or irregular periods
Vomiting of blood
Tongue purple with purple spots along the sides, coat normal; pulse wiry, choppy and tight

Moves Qi and alleviates pain

Piercing pain and distension under the ribs
Distended breasts and irritability
Indigestion; constipation, or long-standing diarrhea including diarrhea at daybreak

Modern uses

Abdominal masses
Abdominal masses in children
AIDS/HIV-related abdominal masses
Abdominal tumors
Splenomegaly
Cirrhosis of the Liver
Acute hepatitis
Chronic hepatitis
Hepatitis C
Jaundice
Hepatic hemangioma
Liver cancer
Cholecystitis
Cholelithiasis
Chronic pancreatitis
Stomach cancer
Esophageal cancer
Esophageal varices
Peptic ulcer
Chronic gastritis
Gastralgia
Epigastric pain
Regurgitation
Nausea and vomiting
Indigestion
Constipation
Chronic colitis
Hemafecia
Hematemesis
Cancer pain
Amenorrhea
Irregular menstruation
Dysmenorrhea
Breast distention
Uterine fibroids
Endometriosis
Abdominal endometriosis
Chronic pelvic inflammatory disease
Polycystic ovary syndrome
Ectopic pregnancy
Menopause
Prostatic hypertrophy
Pleural adhesion
Thyroid tumors
Hematoporphyria
Scleroderma
Dry skin
AIDS/HIV

Modifications

Qi deficiency: + dang shen, + huang qi

Heat from Yin deficiency: + zhi mu, + sha shen, + sheng di huang

Constipation: + da huang

Blood in the vomit or stools: + bai ji, + huai hua (chao), + dan shen

Insomnia: + ci shi

Allergic purpura: + gan cao, + qin jiao, + ban lan gen

Period pain and cramps, dysmenorrhea or amenorrhea (combined with Wen Jing Tang or Shao Yao Gan Cao Tang)

Emotional and behavioural changes at menopause: + ai ye

Chronic liver cirrhosis and chronic hepatitis (combined with Yin Chen Wu Ling San, Xiao Yao San, Jia Wei Xiao Yao San or Dang Gui Shao Yao San): + san qi, + e zhu, + bie jia

Liver cancer (combined with Xiao Chai Hu Tang): + ban zhi lian, + bai hua she she cao

Liver cancer, alternative (combined with Xiao Chai Hu Tang): + san qi, + e zhu, + bie jia

Thyroid tumours (combined with San Zhong Kui Jian Tang)

Show all 117 modifications

Thyroid tumours, alternative (combined with Xiao Chai Hu Tang): + xia ku cao
Chronic cholecystitis (combined with Yin Chen Wu Ling San)
Uterine tumours (combined with Gui Zhi Fu Ling Wan): + bie jia, + e zhu, + san leng
Combined with Huang Lian Jie Du Tang (target unclear): + jin yin hua
Jaundice and acute hepatitis (combined with Jia Wei Xiao Yao San)
Severe period pain, nauseated and vomiting: + wu zhu yu, + zhi ban xia
Lower abdominal cold pain: + xiao hui xiang, + ai ye
Heat and thirst, red tongue, rapid pulse: + zhi zi, + lian qiao, + huang bai
Menstrual cramps from Cold: + xiao hui xiang, + pao jiang, + rou gui, + wu yao, + wu zhu yu
Menstrual cramps from Qi stagnation: + xiang fu, + chuan lian zi, + yan hu suo, + jiang huang, + mu xiang, + zhi ke, + bing lang
Menstrual cramps from Blood stagnation: + chuan xiong, + ru xiang, + mo yao, + xue jie, + san qi, + yan hu suo, + pu huang, + tao ren, + wu ling zhi
Menstrual cramps from Heat: + chi shao, + mu dan pi, + chuan lian zi
Long periods of thick dark blood, with a bitter taste and yellow coat: + zhi zi, + xia ku cao, + yi mu cao
Vulvar or rectal prolapse: + chai hu, + chuan lian zi
Liver overacting on the Spleen, with a tight chest and poor appetite: + chao bai zhu, + fu ling, + chen pi
Damp-Heat of the Liver and Spleen (combined with Liu Jun Zi Tang): + ban zhi lian, − chen pi, − zhi ban xia, − wu ling zhi, − chuan xiong, − chi shao, − wu yao, − zhi ke
Abdominal pain: + chen pi, + sha ren
Abdominal pain, irritable, restless: + chen pi, + sha ren, + chai hu
Severe belly pain or cramps: + chen pi, + sha ren, + bai shao
Abdominal pain with fixed masses that can be felt: + chen pi, + sha ren, + mu li, + e zhu
Abdominal pain, Liver Yin deficient: + chen pi, + sha ren, + bai shao, + sheng di huang
Stomach cancer: + zhi shi, + shan zha, + xia ku cao, + san leng, + e zhu, + qiang lang, − chuan xiong, − mu dan pi, − wu yao, − gan cao, − zhi ke
Stomach cancer, Qi deficient: + zhi shi, + shan zha, + xia ku cao, + san leng, + e zhu, + qiang lang, + dang shen, + huang qi, − chuan xiong, − mu dan pi, − wu yao, − gan cao, − zhi ke
Stomach cancer, fever from Yin deficiency: + zhi shi, + shan zha, + xia ku cao, + san leng, + e zhu, + qiang lang, + sheng di huang, + tian hua fen, + bei sha shen, + zhi mu, − chuan xiong, − mu dan pi, − wu yao, − gan cao, − zhi ke
Stomach cancer, constipated: + zhi shi, + shan zha, + xia ku cao, + san leng, + e zhu, + qiang lang, + da huang, + mang xiao, − chuan xiong, − mu dan pi, − wu yao, − gan cao, − zhi ke
Stomach cancer, yellow bloody stools: + zhi shi, + shan zha, + xia ku cao, + san leng, + e zhu, + qiang lang, + xian he cao, + bai ji, + huai hua mi, − chuan xiong, − mu dan pi, − wu yao, − gan cao, − zhi ke
In Stomach cancer with bloody stools and palpable masses, also add two or three of these herbs to the entries below: + bai hua she she cao, + ban zhi lian, + tu fu ling, + e zhu
Bloody stools and palpable abdominal masses: + san qi
Bloody stools and palpable masses, severe bleeding: + san qi, + bai ji
Bloody stools and palpable masses, severe pain: + san qi, + yan hu suo
Bloody stools and palpable masses, severe Qi stagnation: + san qi, + zhi shi, + qing pi
Bloody stools and palpable masses, severe Qi stagnation, alternative herbs: + san qi, + ru xiang, + mo yao
Bloody stools and palpable masses, with Heat: + san qi, + huang lian, + mu dan pi
Bloody stools and palpable masses, with Cold: + san qi, + gui zhi
Bloody stools and palpable masses, Yin deficient: + san qi, + sheng di huang, + sha shen
Bloody stools and palpable masses, Qi deficient: + san qi, + huang qi, + bai zhu, + huang jing
Severe nausea and vomiting: + zhi ban xia, + zhu ru
Epigastric pain: + ru xiang, + mo yao
Vomiting blood, bloody stools or melena: + jiang xiang, + san qi
Epigastric masses that are easy to feel: + mu li, + san leng, + e zhu
Pleural adhesion, Wind-Cold: + gui zhi, + jing jie, + fang feng
Pleural adhesion, Wind-Heat: + jin yin hua, + lian qiao, + bo he
Pleural adhesion, Lung Heat cough: + huang qin, + gua lou, + sang bai pi
Pleural adhesion, Lung Cold cough: + gan jiang, + xi xin, + wu wei zi
Pleural adhesion, Qi deficient: + huang qi, + dang shen
Hepatic hemangioma: + meng chong, + san leng
Hepatic hemangioma, chronic hepatitis: + meng chong, + san leng, + huang qi, + shan yao, + dan shen
Hepatic hemangioma, chronic cholecystitis: + meng chong, + san leng, + chai hu, + huang qin, + yu jin
Hepatic hemangioma, liver cirrhosis: + meng chong, + san leng, + bie jia, + mu li
Hepatic hemangioma, epigastric pain: + meng chong, + san leng, + jiang xiang, + mu xiang, + shan zha
Pelvic inflammatory disease: + dan shen, + da zao, − wu ling zhi, − zhi ke, − wu yao
Pelvic inflammatory disease, Qi deficient: + dan shen, + da zao, + huang qi, + dang shen, − wu ling zhi, − zhi ke, − wu yao
Pelvic inflammatory disease, Blood deficient: + dan shen, + da zao, + shu di huang, + he shou wu, − wu ling zhi, − zhi ke, − wu yao
Pelvic inflammatory disease, Yin deficient: + dan shen, + da zao, + sha shen, + mai men dong, − wu ling zhi, − zhi ke, − wu yao
Pelvic inflammatory disease, Yang deficient: + dan shen, + da zao, + zhi fu zi, + pao jiang, − wu ling zhi, − zhi ke, − wu yao
Pelvic inflammatory disease, Damp-Heat: + dan shen, + da zao, + huang qin, + ze xie, − wu ling zhi, − zhi ke, − wu yao
Pelvic inflammatory disease, Toxic Heat: + dan shen, + da zao, + jin yin hua, + lian qiao, − wu ling zhi, − zhi ke, − wu yao
Ectopic pregnancy: + huai niu xi, + ru xiang, − wu ling zhi, − zhi ke, − wu yao, − chuan xiong
Prostatic hypertrophy: + hua shi, − wu ling zhi, − yan hu suo
Prostatic hypertrophy, Kidney Yin deficient: + hua shi, + nu zhen zi, + shan zhu yu, + wu wei zi, − wu ling zhi, − yan hu suo
Prostatic hypertrophy, Kidney Qi deficient: + hua shi, + gui zhi, + mu hu die, − wu ling zhi, − yan hu suo
Prostatic hypertrophy, Qi deficient: + hua shi, + huang qi, + dang shen, − wu ling zhi, − yan hu suo
Chronic colitis: − tao ren, − mu dan pi, − gan cao, − yan hu suo
Chronic colitis in long illness: + dang shen, + yi yi ren, − tao ren, − mu dan pi, − gan cao, − yan hu suo
Chronic colitis, difficult defecation: + da huang, + huo ma ren, − tao ren, − mu dan pi, − gan cao, − yan hu suo
Chronic colitis, deficiency Heat: + bai jiang cao, − tao ren, − mu dan pi, − gan cao, − yan hu suo
Chronic colitis, deficiency Cold: + zhi fu zi, − tao ren, − mu dan pi, − gan cao, − yan hu suo
Chronic ulcerative colitis: + da huang, + bai tou weng, + ma chi xian, − tao ren, − mu dan pi, − gan cao, − yan hu suo
Peptic ulcer: − chi shao
Jaundice: + yin chen hao, − gan cao, − zhi ke
Severe jaundice (combined with Bie Jia Jian Wan): + yin chen hao, − gan cao, − zhi ke
Severe jaundice, alternative (combined with Da Huang Zhe Chong Wan): + yin chen hao, − gan cao, − zhi ke
Cholecystitis and gallstones (combined with Si Jun Zi Tang): + ban zhi lian, + chai hu, + yin chen hao, − wu ling zhi, − chuan xiong, − chi shao, − wu yao, − zhi ke
Cholecystitis and gallstones with loose stools or diarrhea (combined with Si Jun Zi Tang): + ban zhi lian, + chai hu, + yin chen hao, + cang zhu, + huang qi, − wu ling zhi, − chuan xiong, − chi shao, − wu yao, − zhi ke, − mu dan pi
Cholecystitis and gallstones with lumps below the flanks (combined with Si Jun Zi Tang): + ban zhi lian, + chai hu, + yin chen hao, + bie jia, + dan shen, − wu ling zhi, − chuan xiong, − chi shao, − wu yao, − zhi ke
Hepatitis C: + dan shen, − wu yao
Hepatitis C with lumps under the ribs: + dan shen, + bie jia, + san leng, + e zhu, − wu yao
Hepatitis C with stagnant Heat: + dan shen, + zhi zi, + huang qin, − wu yao
Hepatitis C, Qi deficient: + dan shen, + huang qi, + dang shen, + fu ling, − wu yao
Hepatitis C, marked Qi stagnation: + dan shen, + chen pi
Hepatitis C, marked chest fullness and oppression: + dan shen, + yu jin, + xuan fu hua, − wu yao
Hepatitis C, Phlegm stagnation: + dan shen, + zhe bei mu, + gua lou ren, + tian hua fen, + jie geng, + fu ling, + chen pi, − wu yao
Severe pain: + yu jin, + chuan lian zi, + mo yao, + ru xiang, + xie bai
Palpable masses under the ribs or nodular enlargement of the liver: + san leng, + e zhu, + tu bie chong
Severe palpable masses under the ribs or nodular liver enlargement (combined with Da Huang Zhe Chong Wan): + san leng, + e zhu, + tu bie chong
Severe masses under the ribs, alternative (combined with Bie Jia Wan): + san leng, + e zhu, + tu bie chong
Chronic pancreatitis, poor appetite, undigested food in stools: + bai zhu, + shan zha, + shen qu, + mai ya
Chronic pancreatitis with lumps under the ribs: + hong teng, + san leng, + e zhu
Chronic pancreatitis, marked Liver Qi stagnation: + bai shao, + chai hu
Chronic pancreatitis, severe pain: + chuan lian zi, + mu xiang
Chronic pancreatitis, Spleen-Stomach excess Heat: marked abdominal distension, constipation with dry stools, dry mouth: + da huang, + bai shao, + chai hu, + huang qin, − mu xiang, − hong hua
Yin-type jaundice from stagnant Qi and Blood: + bai shao, + yin chen hao, − gan cao
Yin-type jaundice from stagnant Qi and Blood, with large lumps under the ribs such as enlarged liver and spleen: + bai shao, + yin chen hao, + qing pi, + san leng, + e zhu, − gan cao, − wu yao, − xiang fu, − mu dan pi
Yin-type jaundice from stagnant Qi and Blood, with Blood deficiency: + bai shao, + yin chen hao, + shu di huang, − gan cao, − wu yao, − xiang fu, − sheng di huang
Low back pain with periods, mainly from Blood stasis, joints aching during menstruation that are worse from cold and at night and better with warmth: + xu duan, + du zhong, − wu ling zhi, − mu dan pi, − wu yao, − gan cao
The same menstrual back and joint pain with Liver Qi stagnation: + xu duan, + du zhong, + xiang fu, + chai hu, − wu ling zhi, − mu dan pi, − wu yao, − gan cao
Cancer pain: + chen pi, + sha ren
Cancer pain, irritable, restless: + chen pi, + sha ren, + chai hu, + dan shen
Severe cramping cancer pain: + chen pi, + sha ren, + bai shao
Cancer pain with fixed masses that can be felt: + chen pi, + sha ren, + xuan shen, + mu li, + shan zha, + ji nei jin, + san leng, + e zhu
Cancer pain, Liver Yin deficient and Liver Qi stagnant: + chen pi, + sha ren, + bai shao, + sheng di huang, + chuan lian zi
AIDS: + zhi shi, − mu dan pi, − chi shao, − wu yao, − zhi ke
AIDS with marked Blood stagnation, tumours and masses: + zhi shi, + san leng, + e zhu, + tu bie chong, − mu dan pi, − chi shao, − wu yao, − zhi ke
Dysmenorrhea: + chuan lian zi, − mu dan pi, − gan cao
AIDS/HIV abdominal masses from stagnant Qi and Blood: + mu xiang, + fu ling, + san leng, + e zhu, − wu ling zhi, − mu dan pi, − chi shao, − zhi ke

Pinyin

ge xia zhu yu tang

English Name

Drive out Blood Stasis Below the Diaphram Decoction

ge xia zhu yu tang

About ge xia zhu yu tang

Ingredients

Actions and indications

Invigorates the Blood and dispels Blood stasis

Moves Qi and alleviates pain

Modern uses

Symptoms

Modifications

Cautions

Names

Classification

Support