Shao Fu Zhu Yu Tang
- Jonno Pittock
- Apr 10
- 3 min read
Shao Fu Zhu Yu Tang, or "Drive Out Blood Stasis in the Lower Abdomen Decoction," is a powerful and time-tested herbal formula in Chinese Medicine. This formula belongs to the category of Formulas that Invigorate the Blood and Dispel Blood Stasis. Specifically, it is part of a subset known for invigorating blood and warming the lower abdomen, making it particularly effective for treating gynecological disorders rooted in cold-induced blood stagnation.
Shao Fu Zhu Yu Tang was created by Wang Qing-Ren, a renowned Qing Dynasty physician known for his groundbreaking work in the field of anatomy and internal medicine. The formula was first documented in his influential medical text, "Yi Lin Gai Cuo", which translates to "Correcting the Errors of Medical Practice", published in the 19th century.
Wang Qing-Ren emphasized the importance of treating blood stasis as a root cause of many chronic conditions, especially those related to gynecology. His approach marked a significant shift in Chinese medicine, incorporating more direct treatment strategies for internal blood stagnation and trauma.
The classical formulation includes the following herbs:
Dang Gui, (Angelicae Sinensis Radix) – Nourishes and invigorates the blood
Chuan Xiong (Chuanxiong Rhizoma) – Moves qi and blood, relieves pain
Chi Shao (Paeoniae Radix Rubra) – Cools and invigorates blood
Yan Hu Suo (Corydalis Rhizoma) – Invigorates blood, strongly alleviates pain
Mo Yao (Myrrha) – Invigorates blood, reduces swelling, alleviates pain
Wu Ling Zhi (Trogopterori Faeces) – Invigorates blood and alleviates pain
Pu Huang (Typhae Pollen) – Stops bleeding and moves blood
Rou Gui (Cinnamomi Cortex) – Warms the channels and dispels cold
Gan Jiang (Zingiberis Rhizoma) – Warms the interior, dispels cold
Xiao Hui Xiang (Foeniculi Fructus) – Warms the lower abdomen, alleviates pain
These ingredients work synergistically to invigorate blood circulation, dispel blood stasis, warm the lower abdominal region, and alleviate pain, particularly in cold-type gynecological disorders.
Shao Fu Zhu Yu Tang is primarily used to treat blood stasis with cold accumulation in the lower abdomen, a common root pathology in many gynecological and reproductive disorders. Here are some of the key conditions it addresses:
1. Dysmenorrhea (Painful Menstruation)
This formula is especially well-known for treating cold-type dysmenorrhea, characterized by severe, cramping pain before or during menstruation, often relieved by warmth and pressure. The warming herbs like Rou Gui and Gan Jiang help disperse cold, while the blood-moving herbs alleviate the stagnation that causes pain.
2. Irregular Menstruation
When the flow of blood is hindered by cold and stasis, periods can become irregular, either delayed or absent. By invigorating blood and warming the womb, Shao Fu Zhu Yu Tang helps restore a regular menstrual cycle.
3. Endometriosis and Uterine Fibroids
Though not labeled as such in classical Chinese medicine, modern practitioners often use this formula as part of treatment for endometriosis or fibroids, where blood stasis manifests as fixed, stabbing pain and palpable masses. Herbs like Yan Hu Suo and Mo Yao are potent for dispersing these accumulations.
4. Infertility due to Cold and Stagnation
When cold stagnation impairs blood flow to the uterus, it may contribute to infertility. Shao Fu Zhu Yu Tang can help warm the uterus and improve circulation, creating a more favorable environment for conception.
5. Postpartum Abdominal Pain
Women experiencing persistent pain after childbirth due to retained blood or cold invasion can benefit greatly from this formula. Its strong blood-moving and warming properties promote uterine recovery.
Shao Fu Zhu Yu Tang stands as a testament to the sophistication of Traditional Chinese Medicine in addressing complex gynecological issues. Rooted in the principles of moving blood, dispelling stasis, and warming the channels, it continues to be a cornerstone formula for practitioners treating lower abdominal pain and menstrual irregularities, particularly those rooted in cold and stagnation. Speak with Jonno or Bridget to see if Shai Fu Zhu Yu Tang is right for you.

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