Shen Tong Zhu Yu Tang

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身痛逐瘀汤 (Drive Out Blood Stasis from a Painful Body Decoction)

Source: Yi Lin Gai Cuo (1830)

Last updated October 1, 2026

Not yet clinically reviewed

chronic pain of all jointsgeneral body painBi syndrome with blood stasis

Description

Shen Tong Zhu Yu Tang (Drive Out Blood Stasis from a Painful Body Decoction), from the Yi Lin Gai Cuo, is used to drive out blood stasis in meridians and collaterals of the limbs.

Presentation: chronic pain of all joints; general body pain; Bi syndrome with blood stasis.

Syndrome: Syndrome of blood stagnation.

Composition strategy:

  • collateral-reaching substances (Di Long, Chuan Xiong) added
  • wind-cold-damp expellers (Qin Jiao, Qiang Huo) address Bi
  • Qi stimulators (Chuan Xiong, Mo Yao, Xiang Fu) strengthen removal of stasis and pathogens

Source: Yang Y. Chinese Herbal Formulas: Treatment Principles and Composition Strategies. Churchill Livingstone Elsevier, 2010, p. 283.

Composition

Herb Amount % Role Function
Qin Jiao
as printed: Qin Jiao (Gentianae macrophyllae radix)
3g 4% expel wind-cold-damp (Bi)
Chuan Xiong
as printed: Chuan Xiong (Chuanxiong rhizoma)
6g 8% reach collaterals, stimulate Qi
Tao Ren
as printed: Tao Ren (Persicae semen)
9g 12% move blood
Hong Hua
as printed: Hong Hua (Carthami flos)
9g 12% move blood
Gan Cao
as printed: Gan Cao (Glycyrrhizae radix)
6g 8% —
Qiang Huo
as printed: Qiang Huo (Notopterygii rhizoma)
3g 4% expel wind-cold-damp
Mo Yao
as printed: Mo Yao (Myrrhae)
6g 8% stimulate Qi and remove congealed blood
Dang Gui
as printed: Dang Gui (Angelicae sinensis radix)
9g 12% move blood
Wu Ling Zhi
as printed: Wu Ling Zhi (Trogopterori faeces)
6g 8% move blood
Xiang Fu
as printed: Xiang Fu (Cyperi rhizoma)
3g 4% stimulate Qi
Chuan Niu Xi
as printed: Chuan Niu Xi (Cyathulae radix)
9g 12% move blood
Di Long
as printed: Di Long (Pheretima)
6g 8% reach and open the collaterals

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net slightly warm (+0.28)

From 100% of the weighed grams.

cold neutral warm

Grams by band: cold 8%, neutral 48%, warm 44%.

Small but decisive: Di Long 6g (cold, 8% of the grams). Dose weighting nearly cancels a herb this small, but it may be what the formula is for.

Taste

pungent sweet bitter salty
  • pungent 35%
  • sweet 30%
  • bitter 24%
  • salty 11%

From 100% of the weighed grams.

Channels reached

  • Liver 88%
  • Heart 52%
  • Spleen 48%
  • Lung 40%
  • Kidney 16%
  • Large intestine 12%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

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Formula family

Contains Sheng Hua Tang without Pao Jiang + Chuan Niu Xi, Di Long, Hong Hua and 5 more
Full herb lists
  • This formula = Sheng Hua Tang without Pao Jiang + Chuan Niu Xi, Di Long, Hong Hua, Mo Yao, Qiang Huo, Qin Jiao, Wu Ling Zhi and Xiang Fu

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

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Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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