Si Wu Tang

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四物汤 (Four Substances Decoction)

Source: Tai Ping Hui Min He Ji Ju Fang (Song, 1107)

Last updated July 22, 2026

Blood deficiencyMenstrual irregularityPale complexionDizziness and blurred visionAmenorrheaDysmenorrheaPost-menstrual fatigue

Description

Si Wu Tang (Four Substances Decoction) is the foundational formula for nourishing and invigorating Blood. Shu Di Huang and Dang Gui nourish Blood while Chuan Xiong moves Qi and Blood to prevent stagnation. Bai Shao softens the Liver and relieves pain. This formula underlies most gynecological Blood-nourishing formulas in TCM.

Composition

Herb Amount % Role Function
Shu Di Huang 12g 33.33% Jun (Chief) Nourishes Blood and enriches Essence as primary tonic.
Dang Gui 9g 25% Chen (Deputy) Tonifies Blood, invigorates Blood, regulates menstruation.
Bai Shao 9g 25% Chen (Deputy) Nourishes Blood, softens Liver, alleviates pain.
Chuan Xiong 6g 16.67% Zuo (Assistant) Invigorates Blood, promotes Qi movement, prevents stagnation.

Total weight: 36g

Preparation

Decoct in water for 30 minutes. Take warm in 2 doses/day, ideally before meals.

Dosage

Decoction: 1 dose/day. Pills: 6–9g twice daily.

Conditions Addressed

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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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