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Jia Wei Xiao Yao San加味逍遥散

Augmented Rambling Powder (Bupleurum & Peony Formula)

Harmonizing 和解剂Harmonize Liver and Spleen 调和肝脾

Ingredients8 herbs

Indications

Courses the Liver and resolves constraintClears heat, cools the bloodNourishes blood, fortifies the Spleen

Liver constraint transforming into heat with blood deficiency and Spleen weakness: the Xiao Yao San pattern plus heat — red tongue edges, irritability, a wiry rapid pulse, menses arriving early.

Clinical Manifestations

  • Irritability, flushed cheeks, dry mouth of constraint-heat
  • Early or heavy menstruation
  • Distending breast and flank pain with heat signs
  • Perimenopausal heat and mood swings
TongueRed, especially the edges; thin yellow coating
PulseWiry and rapid

Health Categories

Women's HealthSkin HealthStress & Emotional Balance

Modern Applications

PMS with irritabilityPerimenopausal syndromeMenorrhagiaAcne (stress-related)

Common adjustments

  • Pronounced heat in the blood — increase Mu Dan Pi 牡丹皮; add Sheng Di Huang 生地黄
  • Marked breast distension — add Xiang Fu 香附, Chuan Lian Zi 川楝子

Contraindications

Cooler than its parent: not for the plain cold-tending Xiao Yao San pattern without heat signs, nor for yin-deficiency fire without modification.

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

Pregnancy

Practitioner supervision required

Related Formulas

References

Source Nei Ke Zhai Yao 《内科摘要》 · Ming dynasty

「加味逍遥散，治肝脾血虚发热，或潮热晡热……」
— 《内科摘要》(classical source, public domain)
  1. Classical source (public domain), cited in the source-quote section.
    2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
    3. 《方剂学》（全国中医药行业高等教育规划教材）— 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.