Sheng Hua Tang, Generation and Transformation Decoction, is Dang Gui, Chuan Xiong, Tao Ren, Pao Jiang and Zhi Gan Cao. The catalogue classes it among the formulas that warm the menses and dispel Blood stasis.

Herb

Amount

24 g

9 g

6 g

1.5 g

1.5 g

Actions and indications

Invigorates the Blood and dispels stasis

Postpartum Blood deficiency with Cold and stasis congealed in the uterus
Retained lochia in the days after delivery: scanty, blocked or absent, dark purple and clotted
Hard, cold, painful lower abdomen, worse for pressure, possibly with masses
Helps the uterus return to its normal size after delivery
Tongue pale-purple, or pale with purple spots; pulse deep, thin and choppy

Warms the menses and the channels and alleviates pain

Cramping or cold pain of the lower abdomen, often eased by warmth
Cold feeling in the lower abdomen

Modern uses

Retention of the placenta
Prolonged lochia
Lochiorrhea
Postpartum pain
Postpartum lower abdominal pain
Postpartum uterine bleeding
Postpartum infection
Puerperal fever
Uterine subinvolution
Uterine contraction
Post-abortion bleeding
Post-miscarriage bleeding
Ectopic pregnancy
Habitual miscarriage
Vaginal bleeding during pregnancy
Fetal restlessness
Unpleasant symptoms during pregnancy
Endometriosis
Hysteromyoma
Leiomyoma
Metrypertrophia
Dysmenorrhea
Infertility
Trichomonas vaginitis, reddish discharge
Abdominal pain
Raynaud's disease

Modifications

After childbirth when lochia already flows and abdominal pain is slight: − tao ren

Worse retention of Blood with stronger pain: + pu huang, + wu ling zhi, + yan hu suo

Uterus not returning to normal size after childbirth: + yi mu cao

Postpartum abdominal pain from Blood stagnation: + hong hua, + bai shao

Postpartum abdominal pain from Blood stagnation, other option: + pu huang, + yan hu suo, + yi mu cao

More severe Cold with lower abdominal pain: + rou gui

Postpartum fever: + chai hu, + huang qin

More severe Cold with lower abdominal pain, other option: + rou gui, + xiao hui xiang

Feverishness with Blood stasis: + mu dan pi, + chi shao

More severe Cold with lower abdominal pain, third option: + zhi fu zi, + rou gui

Feverishness with Blood stasis, other option: + mu dan pi, + chi shao, − pao jiang

Heavy sweating from blood loss with marked postpartum Qi deficiency: + ren shen, + huang qi

Show all 30 modifications

Postpartum constipation: + rou cong rong, + zhi ke
Feverishness with Blood stasis, third option: + mu dan pi, + chi shao, − zhi gan cao
Bloody mucous discharge from Blood stasis with invading Cold: + ze lan, − zhi gan cao
Retained lochia that is worse, with more abdominal pain (combined with Shi Xiao San)
Uterus not returning to normal size: + yi mu cao
Lochiorrhea with a weak constitution and cold limbs: + rou gui
Lochiorrhea with marked Heat: + zhi zi, + mu dan pi, + huang qin, − pao jiang
Lochiorrhea with abdominal pain: + wu yao, + chuan lian zi, + yan hu suo
Lochiorrhea with heavy bleeding: + ren shen, + huang qi, + zong lu pi
Habitual miscarriage (combined with Shi Xiao San): + huai niu xi, + bai shao, + yi mu cao, + san qi
Retained lochia: + zhi ke
Uterine fibroids or enlarged uterus: + jing jie, + yi mu cao
Uterine fibroids or enlarged uterus with hard nodules: + jing jie, + yi mu cao, + san leng, + e zhu, + rou gui
Ectopic pregnancy: + gui zhi, + fu ling, + chi shao, + mu dan pi, − gan cao, − pao jiang
Uterine bleeding (combined with Shi Xiao San)
Uterine bleeding after abortion, miscarriage or labour: + yi mu cao, + pu huang, + xue yu tan
Uterine bleeding after abortion, miscarriage or labour, other option: + pu gong ying, + yi mu cao, + e jiao
Bleeding together with stasis: + san qi

Cautions

contraindication Blood stasis from Heat in the Blood, or postpartum bleeding from warm Blood

contraindication Lochia due to Heat or infection, shown by discharge that smells foul or looks yellow, or by fever and other signs of infection after delivery; these need medical assessment

contraindication Bleeding disorders or active haemorrhage; heavy or prolonged postpartum bleeding needs medical care, which these herbs do not replace

pregnancy Do not use during pregnancy

caution If lochia already flows normally and abdominal pain is slight, modify the formula

caution Meant for the first weeks after delivery; stop once the lochia has cleared and the uterus has returned to size

Pinyin

sheng hua tang

English Name

Generation and Transformation Decoction

sheng hua tang

About sheng hua tang

Ingredients

Actions and indications

Invigorates the Blood and dispels stasis

Warms the menses and the channels and alleviates pain

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification