Qi Li San七厘散
Seven-Thousandths of a Tael Powder
Ingredients8 herbs
Indications
Traumatic blood stasis. A blow drives blood out of the vessels; it pools locally, swells and hurts, and the pain is sharp, fixed and worse to touch.
Clinical Manifestations
- Bruising, swelling and pain after a fall or blow
- Sprains, contusions and closed soft-tissue injury
- Pain from fracture or torn sinew, alongside orthopaedic care
- Cuts and lacerations, applied as a powder to check bleeding
- Unnamed toxic swellings and burns, externally
Health Categories
Modern Applications
Common adjustments
- Injury with marked swelling — combine with an external poultice; internally add Su Mu 苏木
- Older injury with lingering ache — switch to a milder decoction such as Huo Luo Xiao Ling Dan rather than continuing the powder
- Marked qi stagnation with chest oppression after a blow to the ribs — add Yu Jin 郁金 and Zhi Ke 枳壳 in decoction form
Contraindications
Contains Zhu Sha cinnabar, a mercury mineral, so the course must be short and it must never be taken repeatedly or by anyone with liver or kidney impairment. Not for open fractures, head injury or suspected internal bleeding, which are surgical problems. Not for patients on anticoagulants without medical supervision. Because of the cinnabar and musk, paediatric use is heavily restricted and best avoided.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Absolutely contraindicated in pregnancy. She Xiang musk is the classic abortifacient of the materia medica and Zhu Sha is a mercury compound that crosses to the fetus; Xue Jie, Ru Xiang, Mo Yao and Hong Hua all move blood as well. It must not be taken while breastfeeding either. Because the whole formula moves blood, it adds to the bleeding risk of anticoagulant and antiplatelet drugs — relevant in injured patients who are already on them.
Related Formulas
References
Source 《同寿录》 · Qing
- Classical source (public domain) — 《良方集腋》, Qing dynasty.
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）— 理血剂 · 活血祛瘀, pattern and 配伍 analysis cross-checked.
4. Pharmacopoeial monograph on 朱砂 cinnabar — mercury content and course-length limits; CITES Appendix I listing for musk deer.
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.