Ān Chōng Tāng is a traditional Chinese herbal formula most commonly used to help stabilize pregnancy and stop uterine bleeding, especially when due to Deficiency + Heat patterns.
✅ Primary Functions
- Calms the fetus
- Stops abnormal uterine bleeding
- Tonifies Qi and Blood
- Clears Heat and stabilizes the Chong (Penetrating Vessel)
🔎 Clinical Indications
Traditionally used when there is:
- Threatened miscarriage
- Vaginal bleeding during pregnancy
- Blood deficiency with heat stirring the blood
- Weak constitution
Typical presentation may include:
- Restlessness
- Weakness + fatigue
- Pale or sallow complexion
- Warm sensation
- Vaginal bleeding
🌿 Common Ingredients
(Exact herbal combinations vary by lineage)
A typical composition includes:
- Huang Qin (Scutellaria)
- Bai Zhu (Atractylodes)
- Dang Gui (Angelica)
- Shu Di Huang (Rehmannia)
- E Jiao (Gelatin)
- Xu Duan (Dipsacus)
- Sha Ren (Amomum)
- Gan Cao (Licorice)
…and other herbs to nourish Blood, calm the fetus, and clear heat.
⚠️ Notes / Cautions
- Should be prescribed by a trained TCM practitioner
- Not suitable for all presentations of bleeding in pregnancy
(e.g., not used for Bleeding due to Cold) - Contraindicated without pattern differentiation
Ān Chōng Tāng — Formula Overview
安冲汤 · “Stabilize the Penetrating Decoction”
Primary focus: Calm fetus • Stop bleeding • Nourish Qi + Blood • Clear Heat • Stabilize the Chong
Indicated when Chong + Ren deficiency → Heat → uterine bleeding / threatened miscarriage.
✅ Ingredients List
| Herb | Pinyin | Function |
|---|---|---|
| Rehmannia Root (prepared) | Shú Dì Huáng | Nourishes Blood + Yin |
| Angelica Sinensis | Dāng Guī | Tonifies and invigorates Blood |
| Gelatin (donkey-hide) | Ē Jiāo | Stops bleeding, nourishes Yin/Blood |
| Scutellaria Root | Huáng Qín | Clears Heat, calms fetus |
| Atractylodes (White) | Bái Zhú | Strengthens Spleen, calms fetus |
| Dipsacus Root | Xù Duàn | Tonifies Liver & Kidneys, calms fetus |
| Ginseng / Codonopsis | Rén Shēn / Dǎng Shēn | Tonifies Qi |
| Amomum | Shā Rén | Calms fetus, regulates Qi |
| Licorice Root | Gān Cǎo | Harmonizes the formula |
| Peony Root (white) | Bái Sháo | Nourish Blood, calm Liver |
| Maltose sugar | Yí Táng | Tonifies Qi, nourishes |
| Ligusticum Root | Chuān Xiōng | Moves blood, harmonizes |
| Charred Ai Ye | Ài Yè Tàn | Stops uterine bleeding |
Some versions omit or substitute herbs; this represents a commonly accepted modern composite.
✅ Traditional Dosage Range (decoction)
Typical modern clinic ranges — adjust per case
Shu Di Huang — 12–18 g
Dang Gui — 9–12 g
E Jiao — 6–9 g (melt in)
Huang Qin — 6–9 g
Bai Zhu — 9–12 g
Ren Shen / Dang Shen — 6–9 g
Xu Duan — 9–15 g
Bai Shao — 9–12 g
Sha Ren — 3–6 g (add last)
Ai Ye Tan — 6–10 g
Chuan Xiong — 6–9 g
Yi Tang — 15–30 g (melt in)
✅ Functions
- Stabilizes and cools the Chong vessel
- Nourishes Qi and Blood
- Stops uterine bleeding
- Clears heat
- Calms fetus
✅ Clinical Presentation (Common Use)
Used for threatened miscarriage or vaginal bleeding during pregnancy due to:
- Qi + Blood deficiency
- Leading to unstable Chong + Ren
- With heat
Key symptoms:
- Vaginal bleeding (bright or slight dark red)
- Weakness / fatigue
- Dry mouth
- Warm sensation
- Pale or dull complexion
- Pale tongue w/ scanty coat
- Thin or rapid pulse
✅ Formula Logic
- Tonify Blood → Shu Di, Dang Gui, Bai Shao, E Jiao
- Tonify Qi to contain blood → Ren Shen/Dang Shen, Bai Zhu, Yi Tang
- Calm fetus + stabilize Chong/Ren → Xu Duan, Sha Ren
- Clear heat → Huang Qin
- Stop bleeding → Ai Ye Tan, E Jiao
- Move + regulate blood to prevent stasis → Chuan Xiong
- Harmonize → Gan Cao
✅ Modifications
➕ For more heat signs
- Add Di Gu Pi
- Add Mu Dan Pi
- Increase Huang Qin
➕ For more Blood deficiency
- Increase Shu Di
- Increase E Jiao
➕ For Qi deficiency predominance
- Increase Ren Shen / Dang Shen
- Add Huang Qi
➕ For cold abdomen / cold womb
- Add Wu Zhu Yu
- Add Rou Gui (very low dose)
➕ For pronounced bleeding
- Add Xian He Cao
- Add Pu Huang
- Add Ce Bai Ye
➕ For back soreness / Kidney deficiency
- Add Tu Si Zi
- Add Du Zhong
✅ Contraindications
🚫 Not appropriate for bleeding from:
- Cold + deficiency without heat
- Blood stasis without deficiency
- Trauma
- Excess Heat without deficiency
Use only under qualified clinical supervision, especially during pregnancy.
✅ Related / Alternative Formulas
| Formula | When used |
|---|---|
| Shou Tai Wan (Fetus Longevity Pill) | Threatened miscarriage from Kidney deficiency; no heat |
| Tai Yuan Yin | Chronic miscarriage from Lung/Kidney deficiency |
| Dang Gui San | Mild threatened miscarriage; Blood deficiency |
| Jiao Ai Tang | Uterine bleeding from deficiency + cold |
| Bao Yin Jian | Heat injuring Chong & Ren with bleeding |
| Wen Jing Tang | Irregular menstruation from Cold → Heat + stagnation |
| Gu Chong Tang | Unstable Chong causing uterine bleeding (not specifically pregnancy) |
Quick comparison:
| Formula | Heat? | Deficiency? | Cold? | Key use |
|---|---|---|---|---|
| Ān Chōng Tāng | Yes | Yes | No | Threatened miscarriage w/ heat |
| Shou Tai Wan | No | Yes (KD) | No | Pregnancy instability |
| Jiao Ai Tang | No | Yes | Yes | Bleeding during pregnancy |
| Bao Yin Jian | Yes | Mild | No | Uterine bleeding from heat |
