Formula Name: Nei Yi Fang [Function and Indications]
Function: Nagpapahina ng Qi, nagbubura ng Stagnant Blood, nagpapababa ng Hard Masses, nagpapawi ng Symptoms. Indicated for uterine endometriosis.
【Prescription Composition】
Stir-fried Dang Gui 9 grams, Dan Shen 12 grams, Chi Shao 9 grams, Prepared Xiang Fu 9 grams, Xue Jie 3 grams, Chuan Niu Xi 9 grams, Gui Zhi 3 grams, Charred Jia Pian 9 grams, Zao Jiao Ci 12 grams, Gan Qi 4.5 grams, Fu Ling 12 grams, Hai Zao 9 grams, decocted in water for oral use.
【Symptom-based Adjustments】
For severe dysmenorrhea, remove Charred Jia Pian, Zao Jiao Ci, E Zhu, Hai Zao, Gan Qi; add Yan Hu Suo 9 grams, Mo Yao 4.5 grams, Shixiao San (wrapped) 15 grams; for excessive menstruation, remove the above-mentioned herbs, also remove Gui Zhi, change Chuan Niu Xi to Huai Niu Xi, reduce Dan Shen to 6 grams, add Bai Shao 9 grams, Hua Rui Shi 15 grams, Shu Jun Tan 9 grams, Zhen Ling Dan (wrapped) 12 grams. Both adjusted formulas should be taken 2–3 days before menstruation starts, continue for 7 doses, then resume basic formula after menstruation ends. For liver Qi stagnation: add Chai Hu 4.5 grams, Chuan Lian Zi 9 grams, Dan Pi 9 grams, Wu Yao 9 grams; for rectal prolapse pain: add Bing Lang 9 grams, Zhi Qiao 6 grams; for Qi deficiency: add Dang Shen 12 grams, Huang Qi 12 grams; for Yin deficiency: add Sheng Di 12 grams, Mai Dong 9 grams, Nü Zhen Zi 9 grams, remove Gui Zhi; for Kidney deficiency: add Du Zhong 9 grams, Gou Ji 9 grams, Sang Ji Sheng 9 grams; for cold stagnation: add Wu Zhu Yu 3 grams, Pao Jiang 4.5 grams; for damp-heat: add Bai Jiang Cao 30 grams, Ya Zhi 30 grams.
【Clinical Efficacy】
Applied to 43 cases: 13 showed marked improvement (including 4 cured infertility), accounting for 30.2%; 25 effective, 58.2%; 5 ineffective (including recurrence), 11.6%. Total effective rate: 88.4%.
【Prescription Source】
Cai Xiaosun, First People's Hospital of Shanghai.
【Comment】
This formula was compiled and published by Cai Zhuang. Cai believed that the main pathogenesis of endometriosis is chronic blood stasis, thus treatment must focus on resolving stasis. For endometrial lesions, this formula uses the method of resolving stasis and eliminating masses; for dysmenorrhea, it uses the method of resolving stasis and relieving pain. Notably, for heavy menstruation or menorrhagia due to endometriosis, simply stopping bleeding proves ineffective—treatment must still prioritize activating blood circulation and resolving stasis, with auxiliary consolidation. Administering the medicine 3 days before menstruation allows thorough removal of stagnant blood, thereby achieving effective hemostasis and pain relief.
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