Circulation (SJ)
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 splenomegaly
    • 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 appropriately treated 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 [use Circulation (SJ) as an adjunct formula to boost the overall therapeutic effect]
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
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)
FORMULA EXPLANATION
Circulation (SJ) is an herbal formula specifically formulated with herbs that invigorate blood circulation, dispel blood stasis, unblock meridians, and relieve pain. It promotes average blood circulation in the upper, middle, and lower jiaos. Its formulation follows the principles of three classic formulas: Xue Fu Zhu Yu Tang (Drive Out Stasis in the Mansion of Blood Decoction) to treat blood stasis in the upper jiao, Ge Xia Zhu Yu Tang (Drive Out Blood Stasis Below the Diaphragm Decoction) to treat blood stasis in the middle jiao, and Shao Fu Zhu Yu Tang (Drive Out Blood Stasis in the Lower Abdomen Decoction) to treat blood stasis in the lower jiao.

Tao Ren (Semen Persicae) and Hong Hua (Flos Carthami) are used to activating blood circulation. These two herbs have excellent synergistic effects and are often used together. Shui Zhi (Hirudo) is one of the most potent blood stasis-removing herbs and is added to enhance the overall development of breaking down blood stasis. Dang Gui (Radix Angelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong), and Di Huang (Radix Rehmanniae) nourish the blood, activate blood circulation and eliminate blood stasis. Mu Dan Pi (Cortex Moutan) and Chi Shao (Radix Paeoniae Rubra) clear heat, cool blood, and dispel blood stasis. Since blood stasis and qi stagnation often co-occur, Zhi Qiao (Fructus Aurantii), Wu Yao (Radix Linderae), and Xiang Fu (Rhizoma Cyperi) are used to activate and regulate qi circulation. To effectively treat qi and blood stasis in all three jiaos, Jie Geng (Radix Platycodonis), Chai Hu (Radix Bupleuri), and Chuan Niu Xi (Radix Cyathulae) are used to guide the formula to the upper, middle and lower jiaos, respectively. In addition, because pain is often associated with qi and blood stasis, Yan Hu Suo (Rhizoma Corydalis), Mo Yao (Myrrha), Pu Huang (Pollen Typhae), and Rou Gui (Cortex Cinnamomi) are used to unblock the channels and collaterals to relieve pain. Furthermore, the combination of Bai Shao (Radix Paeoniae Alba) and Gan Cao (Radix et Rhizoma Glycyrrhizae) also greatly relieves spasms and cramps. Lastly, Gan Cao (Radix et Rhizoma Glycyrrhizae) tonifies qi and harmonizes all the herbs in this formula.

In summary, Circulation (SJ) is an excellent formula to treat various disorders characterized by blood stasis anywhere in the body’s upper, middle, and lower jiaos.
BACKGROUND
Cardiovascular and circulatory disorders are common and complex illnesses affecting various body parts. Cardiovascular and circulatory disorders include hypertension, arteriosclerosis, coronary artery disease, and embolism. Furthermore, cardiovascular and circulatory disorders are often complicated by other conditions, such as diabetes mellitus, obesity, dyslipidemia, etc. As the number one cause of death in the United States, prevention and treatment of cardiovascular disease cannot be underestimated.