U P P E R . P A L A C E . T A B L E T S

General Activities
regulate circulation of qi in the chest, vitalise blood, relieve pain

Sample Indications for Use
blood stasis above the diaphragm, including injuries, headaches, post heart attack and post stroke syndromes, mind/brain disorders due to blood stasis.

To Personalise, Add
Bupleurum 12 for aching in the ribs
San chi 17 for injury
Cnidium 9 for migraines
Vitality Tablets for coronary heart disease
Eupolyphaga Tablets or Lotus Leaf Tablets for liver cirrhosis
Blue Citrus Tablets for breast abscess
Pueraria 10 for upper back, shoulder, or neck pain

Treatment time should be 2-3 weeks to note significant effects. Continue as needed.

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

Explanatory Notes
This formula is similar to Xuefu Zhuyu Tang (Decoction for Getting Rid of Blood Stasis in the Upper Palace) by Wang Qingren, well-known for his development of blood vitalising formulas (see Persica & Achyranthes Combination (Ancient/Modern Formulas). Two changes have been made: bakeri has been added to help direct the action of the formula to the upper body, and the proportions of herbs have been shifted to emphasis its qi regulating action. Bakeri, related to garlic, regulates qi and alleviates fullness and pain in the chest; it joins platycodon and bupleurum in focusing the action of the formula to the upper body. Xuefu Zhuyu Tang has a high dose of persica and carthamus to rapidly breakdown static blood; in this formula, these herbs are present in their more usual moderate dosage, while the proportions of the qi regulators bupleurum and chih ko have been increased. Most of the therapeutic applications are expected to be cases where blood stasis is accompanied by underlying qi stagnation (if not, a second formula with strong blood vitalising action, such as San Chi 17 or Myrrh Tablets, can be taken along with this one). Patients with severe blood stasis are often treated by Western medicine, including the use of anticoagulants and surgical procedures, to rectify the immediate problem. However, when a syndrome of qi stagnation remains untreated, the blood stasis syndrome is not easily resolved, so symptoms can remain. Xuefu Zhuyu Tang is used in China for persistent headaches, unremitting insomnia, and for concussions, as well as treating a variety of cardiac disorders, including coronary heart disease, angina, myocardial infarction, and cor pulmonale.

Ingredients
English
Bupleurum, Platycodon, Chih ko, Licorice, Bakeri, Cyathula, Tang kuei, Red peony, Cnidium, Rehmannia, Persica, Carthamus
Pin Yin
chaihu, jiegeng, zhiqiao, zhigancao, xiebai,chuanniuxi, danggui, chishao, chuanxiong, shengdi, taoren, honghua