Clinical Manifestations

• Liver Qi Stagnation : bilateral hypochondriac pain, headache, vertigo, alternating fever and chills.
• Interior Heat : irritability, a shorter temper, red cheeks, and dysuria
• Yin and Blood Deficiencies : dry mouth and dry throat, dry eyes, spontaneous perspiration, night sweats
• Spleen Deficiency : lassitude/ fatigue and loss of appetite
• PMS or menstrual syndrome, and dysuria.
• Tongue Appearances: Red dots in the liver area (one or both sides) OR thicker yellow tongue coating, often times in the middle or the rear of the tongue.
• Pulse Patterns: wiry pulse and deficient pulse

Clinical Applications
Anxiety, stress, neurasthenia, postmenopausal symptoms, affective/emotional disorders, and panic disorders, hepatitis, early stage of liver cirrhosis, hepatomegaly, stomatitis, IBS caused by stress, gingivitis, cystitis, urinary tract infection, PMS, menstrual disturbance, menstrual pain and cramps, female infertility, pelvic infl ammatory disease, and fibrocystic breasts.

Formula Rationale
Femalance (Jia Wei Xiao Yao San or Augmented Rambling Powder) treats Liver qi stagnation accompanied by interior heat and underlying blood and Spleen deficiencies. In cases when the interior qi and blood is deficient, especially Spleen, Liver qi stagnation turns into heat and fire.

Femalance is modified from Xiao Yao San (Rambling Powder) by including Mu Dan Pi and Zhi Zi in the formula to calm the interior heat arising from Spleen and blood deficiencies, as well as from Liver qi stagnation.