T A N G . K U E I . 18

General Activities
nourish blood and yin, regulate qi, vitalise blood

Sample Indications for Use
anaemia, becoming fatigued easily, spontaneous bleeding, premenstrual tension, menstrual irregularity, dysmenorrhea, menopausal symptoms, chronic skin diseases (eg eczema, psoriasis)

To Personalise, Add
Ganoderma 18 for chronic fatigue, reduced immune functions
Angelica 14 for menstrual headaches
Restorative Tablets or Haliotis 10 for menopausal symptoms
Bupleurum 12 for aching and tension in the muscles
Dictamnus 13 for chronic eczema with dry skin
Rhubarb 17 for chronic constipation

This formula is intended for long-term use and may be continued for as long as deemed suitable for the conditions being treated.

Manufacturing Specifications
Crude herbs are powdered and formed into 700 mg tablets. Bottling of 100, 250 and 420 tablets.

Explanatory Notes
Tang Kuei 18 is the most widely prescribed of all the Seven Forests formulas. It is a fundamental blood nourishing prescription adjusted to deal with accompanying conditions such as qi deficiency and stagnation, and blood heat and stagnation. The blood nourishing component is comprised of tang kuei, peony, cnidium, and rehmannia (the ingredients of Siwu Tang), with lycium fruit, ho shou wu, cornus, and ligustrum. To promote circulation of qi and blood, bupleurum, cyperus, curcuma, and achyranthes have been added. To tonify qi and enhance production of blood, astragalus, ginseng, and atractylodes are included. Finally, a small amount of moutan and gardenia are added to help remove blood heat that accompanies deficiency syndromes; these are the same herbs added to Xiaoyao San (see Pine Mountain) to yield Bupleurum and Peony Formula (see Nuphar 14 and Ancient and Modern Formulas). The resulting formula can be used for pallor, general weakness, menopausal symptoms, spontaneous uterine bleeding, leukorrhea, chronic hepatitis, eczema, and pallor. In cases where blood deficiency is associated with a cold syndrome (often including a cold kidney disorder with bone marrow insufficiency), one can use, instead, Tang Kuei Tablets. Although many of the indications for formulas based on tang kuei are specific to women (eg menstruation-related disorders), the formulas are also suitable for men, particularly in cases of chronic inflammatory disorders, such as eczema and hepatitis.

Tang kuei, Peony, Lycium fruit, Salvia, Bupleurum, Rehmannia, Cnidium, Curcuma, Gardenia, Cornus, Ligustrum, Astragalus, Achyranthes, Ho shou wu, Atractylodes, Ginseng, Cyperus, Moutan
Pin Yin
danggui, baishao, gouqizi, danshen, chaihu, dihuang, chuanxiong, yujin, zhizi, shanzhuyu, nuzhenzi, huangqi, niuxi, heshouwu, baizhu, renshen, xiangfuzi, mudanpi