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Phoenix Rising
(formerly Upbear Yang & Lift the Menses)
This formula is originally found in the "Gynecology" section
of Li Dong-yuan’s Lan Shi Mi Cang (Orchid Chamber Secret Treasury).
Our version is a 15:1 extract.
Indications: (1) This formula treats menstrual pain, menstrual
movement head pain, and menstrual movement body pain due to qi stagnation
and blood stasis complicated by spleen qi vacuity, kidney yang vacuity,
and blood vacuity; (2) wind cold damp impediment (joint pain) associated
with a liver-spleen disharmony.
Signs and symptoms of qi stagnation include:
lower abdominal distention
irritability
lower abdominal cramping premenstrual
a bowstring pulse
breast distention and pain
Signs and symptoms of blood stasis include:
fixed, sharp, and/or severe lower abdominal pain
a sooty facial complexion
blood clots in the menstruate
a purplish tongue or static spots or macules on the tongue
worsening of symptoms at night
visible engorged varicosities
a possibly choppy and/or deep pulse
small hemagiomas, spider nevi, hemorrhoids
Signs and symptoms of spleen qi vacuity include:
fatigue, especially after eating
most commonly a tendency to loose stools
abdominal bloating after eating
but possibly constipation
cold hands and feet
a swollen tongue with teeth marks on its edges
lack of strength in the four extremities
dizziness when standing up
a fine pulse which is often soggy or soft in the right bar
easy bruising
position
Signs and symptoms of kidney yang vacuity include:
low back pain
nocturia
decreased sexual desire
cold feet
Signs and symptoms of blood vacuity include:
pale or dry brittle nails
pale lips
dry skin
pale tongue
decreased visual acuity at night
a fine pulse
pale undersides of the eyelids
Disease Mechanisms
The qi moves the blood. If the qi moves, the blood moves. If the qi stops,
the blood stops. If there is enduring liver depression, then there is
blood stasis. If there is enduring blood stasis, stasis will enter the
network vessels. Liver depression is inversely proportional to a sufficiency
of blood, spleen qi, and kidney yang. If any of these are vacuous and
insufficient, then liver depression will be worse. In addition, blood
stasis prevents the creation of new blood and blood is the mother of the
qi. Hence blood stasis is often complicated by or accompanies qi and/or
blood vacuity.
The NeiJing (Inner Classic) says that by 35, women become
spleen vacuous, while Western women are even more prone to spleen vacuity
due to faulty diet, over-taxation, under-exercise, too much thinking,
and unfilled desires which damage the liver. The liver becomes depressed
and replete and then invades the spleen which becomes vacuous and weak.
The spleen and kidneys are mutually rooted. Spleen qi vacuity eventually
leads to kidney yang vacuity. Many, if not most, Western women exhibit
symptoms of some kidney yang vacuity by the early to mid 40s.
This formula takes into account all the above interrelated theories and
disease mechanisms. Because endometriosis worsens during the mid 30s and
on into the 40s (probably due to an autoimmune ovaritis), this formula
is a good one for treating endometriosis and secondary infertility due
to endometriosis in Western women who are 35 years or older and who exhibit
a combination of vacuity and repletion patterns.
Combinations
This formula's range of applications can be extended by combining it with
other already available ready-made pills. For instance, if there is yin
vacuity and not just blood vacuity, it can be combined with Liu Wei
Di Huang Wan (Six Flavors Rehmannia Pills). If there is concomitant
dampness and phlegm, it can be combined with Er Chen Wan (Two Aged
[Ingredients] Pills). For greater pain relief, one may combine this formula
with Yan Hu Suo Wan (Corydalis Pills). For even more pronounced
blood vacuity and blood stasis, one can combine this formula with Tao
Hong Si Wu Tang Wan (Persica & Carthamus Four Materials Decoction
Pills), etc.
Formula explanation
Within this formula, Codonopsis, Astragalus, Atractylodes Macrocephala,
and mix-fried Licorice all fortify the spleen and supplement or boost
the qi. Peony, Dang Gui, and cooked Rehmannia all nourish the blood and
enrich essence as well as emolliate and harmonize the liver. Cinnamon
and Aconite both invigorate and warm yang. Angelica Dahurica, Angelica
Pubescens, Notopterygium, Ledebouriella, and Ligusticum Sinensis dispel
and eliminate wind, cold, and dampness, free the flow of impediment, and
stop pain. Persica, Carthamus, Dang Gui, and Ligusticum Wallichium quicken
the blood and transform stasis. Bupleurum and Cimicifuga upbear yang and
disinhibit the qi mechanism. To some extent, all the wind, cold, damp
medicinals also help upbear clear yang. Angelica Dahurica and Ligusticum
Sinensis are a very strong pain-relieving combination. Licorice also acts
to harmonize all the medicinals in this formula.
Dosage
Three capsules two times per day equal not less than 45g of raw medicinals.
However, because our extraction process is so much more efficient than
stove-top decoction, we believe that this amount of our extract is actually
more like the equivalent of 60-90g of bulk-dispensed herbs.