CLINICAL APPLICATIONS
Severe blood stasis and stagnant blood circulation in upper, middle and lower jiaos (San Jiao):
Severe blood stasis in the upper jiao: headache, angina pectoris, rheumatic heart disease, thrombosis, embolism, cardiac ischemia, bradyarrhythmia, stroke, concussion, post-concussion syndrome, cerebral atherosclerosis, hyperlipidemia, and physical injury to the chest
Severe blood stasis in the middle jiao: pleural adhesion, acute and chronic hepatitis, liver cirrhosis, hepatic hemangioma, cholecystitis, jaundice, and splenomegalia
Severe blood stasis in the lower jiao: female infertility, male infertility, amenorrhea, dysmenorrhea, irregular menstruation, uterine bleeding, ectopic pregnancy, hysteromyoma, endometriosis, oophoritic cyst, ovarian cyst, pelvic inflammatory disease, hyperplastic tuberculosis of intestine, ulcerative colitis, and urinary stones
Chronic traumatic injury that was not treated properly back in the acute phase and now re-exacerbates off and on
Cardiovascular, circulatory or clotting disorders
Chronic musculoskeletal injuries, joint injuries (such as knee, ankle, wrist, elbow, shoulder, and back)
Post-surgical pain and adhesions
Severe, chronic or unusual conditions that do not respond to standard herbal treatment 
 
WESTERN THERAPEUTIC ACTIONS
Treats cardiovascular and circulatory disorders throughout the entire body
Antiplatelet and anticoagulant effects to reduce the risk of blood clots and decrease blood viscosity
Vasodilating action to lower blood pressure and increase blood perfusion
 Positive cardiotonic function to strengthen cardiac contraction and improve blood circulation
 
CHINESE THERAPEUTIC ACTIONS
Invigorates blood and qi circulation in the upper, middle, and lower jiaos
Dispels blood stasis and qi stagnation
Unblocks meridians and relieves pain
 
DOSAGE
Take 3 to 4 capsules three times daily. 
 
INGREDIENTS
 
Bai Shao (Radix Paeoniae Alba)
Chai Hu (Radix Bupleuri)
Chi Shao (Radix Paeoniae Rubra)
Chuan Niu Xi (Radix Cyathulae)
Chuan Xiong (Rhizoma Chuanxiong)
Dang Gui (Radix Angelicae Sinensis)
Di Huang (Radix Rehmanniae)
Gan Cao (Radix et Rhizoma Glycyrrhizae)
Hong Hua (Flos Carthami)
Jie Geng (Radix Platycodonis)
Mo Yao (Myrrha)
Mu Dan Pi (Cortex Moutan)
Pu Huang (Pollen Typhae)
Rou Gui (Cortex Cinnamomi)
Shui Zhi (Hirudo)
Tao Ren (Semen Persicae)
Wu Yao (Radix Linderae)
Xiang Fu (Rhizoma Cyperi)
Yan Hu Suo (Rhizoma Corydalis)
Zhi Qiao (Fructus Aurantii)
 
 
CAUTIONS & CONTRAINDICATIONS
This herbal formula contains herbs that invigorate blood circulation. Therefore, patients who are on anticoagulant or antiplatelet therapies, such as Coumadin (warfarin), should use this formula with caution, or not at all, as there may be a higher risk of bleeding and bruising
Patients on anticoagulant drugs, such as Coumadin (warfarin), should not fluctuate their daily consumption of vitamin K, which is found in alfalfa, cauliflower, liver, and in all dark green vegetables including broccoli and spinach.
This formula is contraindicated during pregnancy and nursing. It should be used with caution during menstruation as it may cause excessive bleeding. In such cases, discontinue use immediately and resume after menstruation is over.
This formula is contraindicated in patients with bleeding disorders, such as hypermenorrhea, uterine bleeding, hemophilia, and others.
This formula should be discontinued one to two weeks before surgery.
During the course of treatment with this formula, some patients with chronic “dead blood” might notice pain in places of past injuries. 
*This is a positive sign as it is clearing away the residual stagnation and bringing in fresh blood supply to the chronically injured place. 
This formula should be taken for no more than one month continuously
Contraindicated in weak and elderly patients.