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This is a traditional Chinese medicine (TCM) combination formula consisting of Da Chai Hu Tang (Major Bupleurum Decoction) and Gui Zhi Fu Ling Wan (Cinnamon Twig and Poria Pill). Da Chai Hu Tang is an ancient herbal blend designed to harmonize Shaoyang energy, clear internal heat, and support the liver, gallbladder, and digestive system. It is used for conditions such as alternating chills and fever, abdominal fullness, constipation, gallbladder disorders (e.g., cholecystitis), digestive issues (e.g., gastritis), inflammatory diseases (e.g., hepatitis), metabolic disorders like obesity and diabetes. Gui Zhi Fu Ling Wan is traditionally used to invigorate blood circulation in the lower abdomen to resolve blood stasis—commonly prescribed for gynecological conditions such as dysmenorrhea or fibroids. The combination formula has become more common in recent years for patients presenting with overlapping symptoms addressed by both formulas. Its mechanism involves harmonizing liver/gallbladder function, clearing heat/toxins from the body, promoting digestion/bowel movement, reducing inflammation, resolving blood stasis in the pelvic region, and improving microcirculation[1][3][6].
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