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| Textual investigation into the original meaning of “Xiali” in Wenjing Decoction and expansion of its clinical applications |
| Hits 86 Download times 51 Received:March 28, 2026 |
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| DOI
10.11656/j.issn.1673-9043.2026.06.03 |
| Key Words
Jin Gui Yao Lüe;xiali;Wenjing Decoction;investigation of original meaning;expansion of clinical applications |
| Author Name | Affiliation | E-mail | | LI Wen | Department of Cardiology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine, Tianjin 300381, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | ZHAO Zijian | Department of Cardiology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine, Tianjin 300381, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | LIN Shanshan | Department of Cardiology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine, Tianjin 300381, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | BI Yingfei | Department of Cardiology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine, Tianjin 300381, China | yingfei1981@163.com | | ZHONG Xianggen | College of Basic Medicine, Beijing University of Chinese Medicine, Beijing 100029, China | | | ZHANG Jing | Department of Cardiology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine, Tianjin 300381, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | ZHANG Yongbo | Department of Cardiology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine, Tianjin 300381, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | TIAN Yanan | Department of Cardiology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine, Tianjin 300381, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | |
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| Abstract
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| Wenjing decoction，recorded in Jin Gui Yao Lüe，is a commonly used formula for regulating menstruation in gynecology and is known for its effects of warming the meridians，dispelling cold，nourishing blood，and removing blood stasis. ZHANG Zhongjing described its indication as “xiali persisting for dozens of days”. However，the meaning of “xiali” has been interpreted differently by later physicians and can generally be categorized into three types：“bleeding from the anterior yin”，“diarrhea from the posterior yin” and “a general term for pathological discharges from the lower orifices.” By examining the historical evolution of the term “xiali”， together with later physicians’ discussions on its pathogenesis，formula indications，as well as modern clinical applications and mechanistic studies of Wenjing decoction，this article aims to clarify the original meaning of the term in the source text and further expand the application of this formula in perimenopausal syndrome and internal miscellaneous diseases，thereby providing a reference for the clinical practice of traditional Chinese medicine. |
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