Gui Zhi Fu Ling Wan

Cinnamon Twig and Poria Pill

Move Blood • Transform Stasis • Regulate the Uterus • Support Gynecological Health

Gui Zhi Fu Ling Wan is one of the most recognized classical formulas in gynecology for addressing Blood stasis patterns affecting the uterus. Originally recorded in the Shang Han Lun (Treatise on Cold Damage), it was traditionally used when lingering Blood stasis disrupted normal circulation and created abdominal discomfort, abnormal bleeding, or pregnancy-related concerns.

Unlike stronger Blood-moving formulas that aggressively break up stasis, Gui Zhi Fu Ling Wan is valued for its balanced approach—gently warming and moving Blood while supporting healthy circulation without excessively damaging Blood or fluids. This makes it especially important in gynecological practice, where practitioners often need to address stagnation while preserving nourishment.

When patients present with fixed abdominal pain, menstrual clots, irregular bleeding, uterine masses, or signs of constrained circulation, Gui Zhi Fu Ling Wan is frequently considered a foundational formula.

Beyond menstrual disorders, this formula has earned a reputation as a versatile gynecological prescription for patterns involving fibroids, endometriosis presentations, postpartum Blood retention, and chronic pelvic discomfort associated with Blood stasis.

Traditional Indications

• Blood stasis in the uterus
• Abdominal pain with fixed location
• Mild persistent bleeding
• Menstrual clots
• Painful menstruation
• Uterine masses or fibroid patterns
• Postpartum lochia retention
• Pelvic discomfort
• Irregular menstruation
• Restless fetus due to Blood stasis patterns

TCM Pattern

Uterine Blood Stasis with Qi and Blood Obstruction

Gui Zhi Fu Ling Wan moves Blood, transforms stasis, regulates the Chong and Ren vessels, warms circulation, and supports healthy uterine function while maintaining balance between movement and nourishment.

Modern Clinical Applications

Many practitioners reach for Gui Zhi Fu Ling Wan when supporting patients experiencing:

• Painful menstruation with clots
• Uterine fibroid patterns
• Endometriosis presentations
• Chronic pelvic pain associated with stasis
• Irregular uterine bleeding
• Postpartum retained lochia patterns
• Abdominal masses associated with Blood stasis
• Menstrual discomfort with cold and stagnation signs
• Gynecological conditions requiring Blood movement

Its unique ability to move stagnant Blood while maintaining a moderate, balanced action makes it one of the most important formulas in traditional gynecological practice.

Ingredients

Gui Zhi — 25%
Fu Ling — 25%
Bai Shao — 20%
Mu Dan Pi — 15%
Tao Ren — 15%

Based on classical ratios and standard modifications

Crafted using our signature Two-Cured Decoction™ process—combining a traditional hot water decoction with a secondary high-proof alcohol extraction—to capture both water-soluble and alcohol-soluble herbal constituents for a full-spectrum tincture.

Practitioner Favorites

Stronger Blood Stasis with Cold in the Uterus

60% Gui Zhi Fu Ling Wan + 40% Shao Fu Zhu Yu Tang

Excellent when Blood stasis is accompanied by Cold accumulation, stronger menstrual pain, abdominal cold sensations, and deeper stagnation patterns.

Single Herb Pairings

For further customization, consider adding:

E Zhu or San Leng — when stronger Blood-breaking and mass-transforming actions are needed.

Xiang Fu — when Qi stagnation contributes to menstrual discomfort, emotional tension, or cyclical pain.

Urban Herbs Practitioner Advantage

Every 16 oz amber bottle is designed for fast, customized dispensing in clinical practice. Blend Gui Zhi Fu Ling Wan with complementary formulas to create individualized prescriptions in minutes—giving your patients the convenience of a liquid tincture while providing your practice with a flexible, space-saving herbal pharmacy.

Double-extracted. Ready to dispense. Built for practitioners.

Why Practitioners Keep Gui Zhi Fu Ling Wan on the Shelf

Every gynecology practitioner eventually encounters the patient who says,

"My periods are painful, there are clots, and I feel like something is not moving properly."

That patient often reflects the classic Gui Zhi Fu Ling Wan presentation.

Its ability to restore circulation and transform Blood stasis makes it one of the most trusted formulas for gynecological stagnation patterns. Rather than simply masking menstrual discomfort, it addresses the underlying obstruction that prevents Blood from moving smoothly through the uterus and pelvic region.

Practitioners frequently reach for Gui Zhi Fu Ling Wan when treating:

• Painful periods with clots
• Fibroid patterns
• Endometriosis presentations
• Chronic pelvic discomfort
• Irregular bleeding
• Postpartum Blood retention
• Fixed abdominal pain
• Uterine stagnation patterns
• Menstrual issues complicated by Blood stasis

Because Urban Herbs tinctures are designed for blending, Gui Zhi Fu Ling Wan becomes even more versatile when combined with formulas that warm the uterus, regulate Qi, or provide stronger Blood-moving support.

For many practitioners, it is one of the first formulas considered when gynecological complaints point toward obstruction rather than deficiency alone.

One bottle. A timeless solution for moving Blood, transforming stasis, and restoring healthy uterine circulation.

Practitioner Snapshot

Category

Blood-Regulating & Gynecological Formulas

Primary Actions

• Moves Blood
• Transforms Blood Stasis
• Regulates Uterine Circulation
• Harmonizes Qi and Blood
• Supports Menstrual Regulation
• Relieves Stagnation-Related Pain

Best For

• Fibroid patterns
• Endometriosis presentations
• Painful menstruation
• Menstrual clots
• Persistent mild bleeding
• Pelvic discomfort
• Postpartum Blood retention
• Uterine Blood stasis

Pairs Well With

• Shao Fu Zhu Yu Tang
• Wen Jing Tang
• Tao Hong Si Wu Tang
• Xiao Yao San
• Xiang Fu

Clinical Personality

⭐⭐⭐⭐⭐ Blood Stasis Resolving
⭐⭐⭐⭐⭐ Gynecological Support
⭐⭐⭐⭐☆ Menstrual Regulation
⭐⭐⭐⭐☆ Pain Relief
⭐⭐⭐☆☆ Warming & Circulation Promoting

Clinical Pearl

Gui Zhi Fu Ling Wan is one of the classic formulas every gynecologist recognizes as a foundational Blood stasis prescription. Its hallmark indication is a patient whose symptoms suggest obstruction in the uterus—pain, clots, irregular bleeding, or masses—where circulation needs to be restored.

What makes this formula unique is its balanced nature. It moves stagnant Blood while simultaneously supporting harmony and nourishment, making it especially valuable in gynecological presentations where excessive movement could be counterproductive. For centuries, practitioners have relied on Gui Zhi Fu Ling Wan as a versatile tool for restoring flow when Blood has become constrained.