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Dang Gui Shao Yao San当归芍药散

Tangkuei & Peony Formula

Harmonizing 和解剂

Indications

Nourishes the bloodHarmonizes the LiverStrengthens the SpleenResolves dampness

Liver blood deficiency with Spleen failing to transform fluids: blood fails to nourish and soften the Liver, qi coursing loses its ease, and retained water-damp accumulates in the middle and lower burners. Commonly considered for pattern-conforming presentations in dysmenorrhea, premenstrual syndrome, functional abdominal pain, pregnancy-related edema (under appropriate obstetric care), and chronic gynecological disorders with concurrent blood deficiency and damp accumulation.

Clinical Manifestations

  • Gripping or aching pain in the lower abdomen
  • Irregular menstruation with abdominal pain
  • Abdominal distension or discomfort before menstruation
  • Fatigue, pale complexion, and dizziness
TonguePale body; white, moist or slightly greasy coating
PulseWiry and thin, or soft and slippery

Health Categories

Women's HealthDigestive HealthHeart & Circulation

Modern Applications

Common adjustments

  • Pronounced qi stagnation — add Xiang Fu 香附, Yu Jin 郁金
  • Predominant edema — increase Ze Xie 泽泻 and Fu Ling 茯苓
  • Marked blood-deficiency dizziness — increase Dang Gui 当归; add Shu Di Huang 熟地黄
  • Relatively cold presentation — add Ai Ye 艾叶 or Pao Jiang 炮姜

Contraindications

Not for abdominal pain from excess-heat patterns or blood stasis with heat signs. Use in pregnancy belongs with a qualified practitioner coordinating obstetric care.

For licensed practitioners’ reference only — not a self-treatment guide.

Pregnancy

Practitioner supervision required

References

Source Jin Gui Yao Lue 《金匮要略》 · Eastern Han

「妇人怀妊,腹中㽲痛,当归芍药散主之。」「妇人腹中诸疾痛,当归芍药散主之。」
— 《金匮要略 · 妇人妊娠病脉证并治 / 妇人杂病脉证并治》(classical source, public domain)
  1. Zhang Zhong-jing 张仲景. Jin Gui Yao Lue《金匮要略》(classical source).
    2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
    3. 《方剂学》(规划教材)— pattern analysis cross-checked.

Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.