Description

Formulation Basis

As recorded in the Synopsis of Prescriptions of the Golden Chamber Chapter 22, “female diseases are due to deficiencies, cold accumulation and qi stagnation, causing menstrual irregularities and even amenorrhea. Over time, the cold blood congregates within the uterus and the cold damages the meridians.” Aggravating factors such as a cold-leaning body constitution, a direct strike of the exogenous cold, overconsumption of raw and cold foods, overexhausation, etc. can cause the accumulation of cold-yin and deficiency of yang-qi. This leads to the qi and blood stagnation in the uterus and its connecting meridians and collaterals, causing an impaired uterine function and resulting in various gynaecological diseases, including dysmenorrhea, delayed menstruation, scant menstruation, amenorrhea and infertility.[1-2]
H&F Menspal Capsule is based on classical formulas of Peony and Licorice Decoction, Evodia Decoction and Decoction of Angelica Sinensis for Warming Cold Limbs with Evodia and Ginger. The formula is targeted at internal blockage by blood stasis and deficiency cold. The emphasis on the use of Radix Angelicae Sinensis and Radix Paeoniae Alba nourish and activate blood; Rhizoma Ligustici Chuanxiong and Cortex Moutan activate blood to regulate menstruation[3-4]; Rhizoma Corydalis activates blood and move qi; Fructus Meliae Toosendan move qi and soothe the liver to relieve pain, and is used together with blood-activating herbs to move qi and activate blood at the same time[5]; Fructus Evodiae and Ramulus Cinnamomi warm meridians to dissipate cold and relieve blood vessels; Colla Corii Asini and Radix Ophiopogonis nourish yin and moisten dryness; Radix Ginseng and Radix Glycyrrhizae boost qi and fortify spleen to supplement the source of blood; Rhizoma Pinelliae and Rhizoma Zingiberis Recens warm the middle and harmonise the stomach[3-4]. The herbal combination has effects of warming meridians to dissipate cold, dispelling stasis and nourishing blood, suitable for syndromes of internal blockage by blood stasis and deficiency cold of the thoroughfare and conception meridians.

Medicinal Actions

Warm meridians to dissipate cold, dispel stasis to nourish blood

Radix Angelicae Sinensis, Radix Paeoniae Alba	Nourish and activate blood[3-4]
Fructus Evodiae, Ramulus Cinnamomi	Warm meridians to dissipate cold, free meridians[3-4]
Rhizoma Ligustici Chuanxiong, Cortex Moutan	Activate blood and regulate meridians[3-4]
Fructus Meliae Toosendan, Rhizoma Corydalis	Move qi and soothe liver, activate blood to relieve pain[5]
Colla Corii Asini, Radix Ophiopogonis	Nourish yin and moisten dryness[3-4]
Radix Ginseng, Radix Glycyrrhizae, Rhizoma Pinelliae, Rhizoma Zingiberis Recens	Boost qi and fortify spleen, warm the middle and harmonise the stomach to aid blood nourishment[3-4]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clinical Indications

Symptoms due to internal blockage by blood stasis and deficiency cold of the thoroughfare and conception meridians such as irregular menstruation, lower abdominal pain, evening hot flushes, vexing heating in the palms, and dry lips and mouth.

Dosage and Precaution

2-4 capsules 2 times daily, or in accordance to physician’s orders. Administration of this medicinal product should be stopped upon discovery of any adverse drug reactions or changes in physical appearance of the capsules.

【1】王蓉 “宫寒”浅议 中国民族民间医药2016，25（1）：136-137 【2】丁丽仙 宫寒理论在不孕症辨证论治中的应用2013，29（2）：105-107 【3】于惠青 温经汤方证探析 山东中医药大学学报2013，37（1）：18-20 【4】徐鸿燕 温经汤综述 辽宁中医药大学学报2012，14（7）：272-274 【5】刘喜平 金铃子散的传统共用于现代研究关联分析 中成药2011，33（9）：1578-1580