伤科杜仲汤

3. Tongue and pulse

• Tongue: Dark-red tongue body, possibly with petechiae; thin white or white greasy coating.
• Pulse: Deep and fine, or deep and choppy.

4. Granule conversion and dose

The raw herb ratios in this formula are clearly defined, making it well suited to being prepared in proportion as ProCare Herbs granules.

Recommended dose and method of administration:

o The total daily dose is 20 g of granules.

o Taken in two doses: 10 g per dose, twice daily.

• It is recommended to take after meals. May be taken with warm yellow rice wine (huangjiu) or warm water to help the medicine's action disperse.

5. Cautions and clinical notes

• [Contraindications]:
  1. This formula has a strong action of invigorating blood and resolving stasis, and is therefore absolutely contraindicated in pregnancy.
  2. Use with caution during menstruation.
  3. Not suitable for patterns of yin deficiency with effulgent fire or of excess heat.
• [Safety warning]: Liu Ji Nu (artemisia anomala herb) and Yan Hu Suo (corydalis rhizome) in this formula are blood-invigorating substances; when preparing ProCare Herbs granules, their dosage must be accurately controlled. Persons with a bleeding tendency should use this formula under a practitioner's guidance.
• Modern applications: This formula is widely used for chronic lumbar muscle strain, lumbar disc herniation, osteoarthritis, osteoporosis, and the later recovery stage after fracture, in patterns identified as Liver-Kidney insufficiency with blood stasis obstructing the collaterals.
• Duration of use: Recovery from chronic sinew-bone injury takes time, and the formula must be taken consistently for a certain duration before effects become apparent; follow a practitioner's guidance. During treatment, avoid overexertion and exposure to cold-damp.