XIAO YAO SAN

Modified Xiao Yao San was used to treat 33 patients with positive result of HbsAg. Basic fomula: hu zhang 20~30g, sang ji sheng 15~20g, xiang fu 10~15g, bai shao 15~20g, dang gui 10~15g, bai zhu 10~15g, chai hu 10~15g, fu ling 15~20g. With severe pain in hypochondriac region, add Jin Ling Zi San, with yin deficiency, add gou qi zi, mai dong, sheng di, shi hu, sha shen; with thirst, remove bai zhu and add shen qu, shan zha, mai ya; with depressed Heat, add bai hua she she cao, tie sao zhou, dan pi. Results: 25 cases were cured, 8 were ineffective.

Modified Xiao Yao San was used to treat acute attack of chronic cholecystitis, 27 cases of them were simple cholecystitis, 3 were complicated with cholangitis, 2 were complicated with cholelithiasis. In acute stage, transfusion and anti-inflammatory treatment were applied; after the acute stage, all cases were treated with Xiao Yao San only. Results: 30 cases were effective, 2 ineffective. Long-term effective rate was 93.75%.

51 cases of cyclomastopathy were treated with Xiao Yao San combining Er Chen Tang. Basic Formula: chen pi 6g, ban xia 10g, fu ling 10g, bai zhu 10g, dang gui 10g, chai hu 10g, bai shao 10g, xiao ku cao 20g, zhe bei mu 15g, sheng mu li 15g, gua lou 15g, si gua luo 10g, chuan lian zi 10g, gan cao 6g. With severe breast pain, add yan hu suo 10g; with Blood deficiency, add ji xue teng 20g; with constipation, add gua lou 30g. Take the medicine 10 days before the menstrual period, stop administration during the period, 3 months as a course of treatment. Results: 22 cases were cured, 27 were improved, 2 ineffective.

43 cases of impotence were treated with Xiao Yan San combining San Zi Wan. Basic formula: dang gui 15g, bai shao 15g, chai hu 7.5g, fu ling 15g, wu gong 1~2 strips, gan cao 10g, tu si zi 15g, she chuang zi 15g, wu wei zi 15g. With yang deficiency, add ba ji tian, xi ling pi, rou cong rong; with deficiency of the Heart and the Spleen, add ye jiao teng, chao zao ren; with Kidney deficiency due to fright, add sheng ma, chao zao ren; with downward flowing of Dampness-Heat, add che qian zi, ze xie. 15 days as a course of treatment. Results: 31 cases were treated, 9 effective, 3 ineffective.

Modified Xiao Yao San was used to treat 158 cases of menopausal syndrome. Basic formula: xian mao 15g; xian ling pi, dang gui, ba ji tian, chai hu, fu ling, bai shao, bai zhu, gui 10, 10g each; zhi mu, huang bo, bo he, shneg jiang, 3g each; gan cao 6g; da zao 2 pieces. Results: 103 cases were cured, 51 improved, 4 ineffective, the total effective rate was 97.5%.

Modified Xiao Yao San was used to treat 48 cases of dysmenorrhea. The patients’ age ranged from 15 to 45 years old; 34 cases were unmarried, 14 married. Basic formula: chai hu, yue ji hua, 10g each; fu ling, yi mu cao, liu ji nu, 20g each; sheng di huang, bai shao 25g each; guan zhong 60g; sheng gan cao 5g. Variations: with vertigo and insomnia, add suan zao ren, gou teng, xia ku cao, long gu; with muscle aches all over the body due to externally contracted Wind-Cold, add su geng, sheng jiang, jing jie, gui zhi, fang feng; with externally contracted Wind-Heat, add ju hua, lian qiao, da qing ye, niu bang zi, fen ge; with distension and pain in the hypochondriac region, belching and acid regurgitation, add zhi ke, xiang fu, chuan lian zi and yu jin; with deficiency of qi and Blood, add dang shen, huang jin, huang qi, e jiao; with Kidney-yang deficiency, add du zhong, lu jiao jiao, du huo, xian ling pi; with Kidney-yin deficiency, add gou qi, shan zhu yu, tu xi zi, shan yao, remove sheng di and add shu di. 1 dose every day, take in three times after being decocted in water. Take the medicine during the menstrual period for more than 3 periods in succession. Results: 30 cases were markedly effective (no abdominal pain, improved accompanied symptoms after 3 periods’ administration), 12 effective (improved abdominal pain and relieved accompanied symptoms after 5 periods’ administration), 6 ineffective, the total effective rate was 87.5%.

Modified Xiao Yao San was used to treat 46 cases of chronic adnexitis and enclosed mass. Basic formula: chai hu 10g; chao bai shao, fu long, ju he, li zhi he, 15g each, dang gui, bai zhu, xiang fu, yan hu suo 12g each; dan shen 30g, fan cao 3g. Variations: with severe pain, add zhi ru xiang and zhi mo yao, 6g each; with severe lumbago, add sang ji sheng 30g, chuan duan 12g, tu si zi 15g; with enclosed mass, add san leng, e zhu, tao ren, chuan shan jia, 10g each; hong hua 6g; kun bu, hai zao, 12g each; with yellow leukorrhea, add bi xie 12g; ji guan hua, duan hai piao xiao 15g each; with Heat, add zhi zi, dan pi, 10g each. Results: 32 cases were cured, 13 improved, 1 ineffective, the total effective rate was 97.8%.

Modified Xiao Yao San was used to treat 50 cases of infantile anorexia. The patients’ age ranged from 3~14 years old, all cases had long-term anorexia to different extent, and clinical inspection excluded the chronic diseases of the liver, kidney, TB, etc.. Basic formula: chai hu, bo he, dang gui, bai shao, gan cao, jiu jun, 3~9g each; fu ling, ji nei jin, chao mai ya, 3~15g each. Variations: with cough, add chuan bei, xing ren, with food stagnation and depressed Heat, add lian qiao, pu gong ying; with yin deficiency, add wu mei, sha shen, yu zhu; with dry stool, remove jiu jun, add sheng da huang; with vomiting, add su geng, ban xia, zhu ru; with susceptibility to cold, add sheng huang qi, fang feng; with parasitic infestation, increase the dosage of da bai to double, add chuan jiao and huang bo. 1 dose every day, take the medicine frequently without fixed time, and no other medicine was applied during the treatment. Results: 30 cases were cured, 20 improved. The course ranged from 6 days to 2 months, averagely 20.5 days.

Modified Xiao Yan San was used to treat 10 cases of orbital optic neuritis. Basic formula: original formula add dan pi, zhi zi, chi shao, dan shen, 6g each; wu wei zi, sheng ma 3g each, remove chai hu, add yin chai hu. Variations: with vertigo, tinnitus and soreness of the waist, add sheng di, shu di, shan yao, gou qi zi, jiao shen qu, ci shi, 10g each. Results: 17 eyes of 10 cases, 7 eyes were cured, 7 improved, 3 ineffective. The average course of treatment was 87 days.

Modified Xiao Yao San was used to treat 120 cases of central serous retinopathy. Among the 120 cases, 100 male and 20 female, 132 eyes totally. Xiao Yao San was used as the basic formula. With Liver depression as the main syndrome, add xiang fu, yu jin; with Spleen deficiency as the main syndrome, add jiao san xian, ji nei jin; with Fire transformed from Liver depression, add dan pi, zhi zi; with yin deficiency of the Liver and the Kidney, add Qi Ju Di Huang Tang. Results: 74 cases (82 eyes) were markedly effective; 38 cases (42 eyes) effective, 8 cases (8 eyes) ineffective, the total effective rate was 93.94%.