Cysts and Fibroids

INGREDIENTS

Each pill contains the equiv. to dry:

Wolfporia, fruit 86.2mg

Red Peony, root 86.2mg

Cassia, bark 67.5mg

Tree Peony, bark 67.5mg

Prune, seed 67.5mg

Indications: PCOS, ovarian cysts, fibroids, endometriosis.

Actions: dissolve cysts and fibroids, alleviate pain.

Dosage: 12 pills twice per day near food. Take for 3 months.

Take with Nodules & Lumps, Clear the Way or Sharp Stabbing Pain.

Over use, don’t under use. Treat sooner rather than later.

Safe for long-term use.

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Gui Zhi Fu Ling Tang – "Cysts & Fibroids"

A classical Chinese herbal formula traditionally used to support healthy circulation, reduce pelvic congestion and help resolve long-standing Blood Stasis associated with cysts, fibroids and chronic pelvic pain.

What is Gui Zhi Fu Ling Tang?

Many women are told they have fibroids, ovarian cysts, adenomyosis or endometriosis.

These conditions can cause:

• painful periods

• heavy bleeding

• pelvic pressure

• pain during intercourse

• fertility challenges

• chronic pelvic discomfort

While each diagnosis has its own medical definition, Traditional Chinese Medicine has long recognised that many of these conditions share one underlying pattern:

Blood is no longer moving as freely as it should.

Gui Zhi Fu Ling Tang (桂枝茯苓汤) is one of the oldest and most respected formulas in Chinese medicine for improving pelvic circulation and resolving what TCM calls Blood Stasis.

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At Chiron Medical we simply call it "Cysts & Fibroids", because these are among the most common reasons women seek this formula today.

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Importantly, the formula does not dissolve every cyst or fibroid, nor should it replace appropriate gynaecological care. Instead, it is traditionally prescribed to improve the underlying pelvic environment that may contribute to pain, congestion and abnormal tissue growth.

A Formula with Nearly 2,000 Years of History

Gui Zhi Fu Ling Tang was first recorded by Zhang Zhongjing in the Jin Gui Yao Lue (Essential Prescriptions from the Golden Cabinet) around 200–220 CE.

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Originally prescribed for women with abdominal masses during pregnancy, later physicians recognised that the same treatment principles applied to many chronic pelvic disorders characterised by fixed pain, congestion and palpable masses.

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Nearly two millennia later, it remains one of the cornerstone formulas of Chinese gynaecology.

Why We Call It "Cysts & Fibroids"

Although modern medicine distinguishes between:

• uterine fibroids

• ovarian cysts

• adenomyosis

• endometriosis

• pelvic congestion syndrome

Chinese medicine often sees many of these as different expressions of Blood Stasis.

Typical symptoms include:

• painful periods

• heavy bleeding with clots

• pelvic fullness

• fixed pelvic pain

• infertility associated with poor uterine circulation

• chronic inflammation

• tenderness before menstruation

Gui Zhi Fu Ling Tang was designed specifically to restore healthy movement through the pelvis.

What Is It Traditionally Used For?

Women's Health

Traditionally prescribed for:

• uterine fibroids

• ovarian cysts

• endometriosis

• adenomyosis

• painful menstruation

• heavy menstrual bleeding with clots

• irregular menstruation

• chronic pelvic pain

• pelvic congestion

• infertility associated with Blood Stasis

• postpartum abdominal pain

Beyond Gynaecology

The principles behind the formula also make it useful for selected cases involving:

• chronic bruising

• post-surgical adhesions

• traumatic injury

• poor tissue healing

• chronic inflammatory pain

• varicose veins

• vascular congestion

Its true strength lies in improving healthy microcirculation throughout the body.

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Herbs That Make the Formula

Cinnamon Twig (Gui Zhi)

Traditional role

Cinnamon Twig is the herb that gives Cysts & Fibroids (Gui Zhi Fu Ling Tang) its ability to restore healthy movement within the circulation. It gently warms the channels, promotes the movement of Qi and Blood and helps disperse areas of congestion that have developed over time. Unlike stronger Blood-moving herbs, Gui Zhi achieves this by improving the dynamic movement of circulation rather than forcing it.

Within this formula, Gui Zhi acts as the catalyst that encourages healthy blood flow into tissues that have become poorly perfused through chronic congestion.

Biomedical role

Modern research suggests Cinnamon possesses vasodilatory, antioxidant and anti-inflammatory properties while improving endothelial function and peripheral circulation. Experimental studies have also demonstrated beneficial effects on vascular health and microcirculatory function. These findings support its traditional role in improving blood flow and restoring healthy tissue perfusion without excessive stimulation.

Poria (Fu Ling)

Traditional role

Poria strengthens the Spleen while regulating the movement of body fluids and reducing the accumulation of Dampness. Chinese medicine recognises that chronic pelvic disorders often involve both impaired circulation and disturbed fluid metabolism, allowing swelling and tissue congestion to persist. Poria addresses this aspect of the disease process while supporting digestive function and constitutional strength.

Within the formula it provides balance, ensuring that improved circulation is accompanied by healthy regulation of tissue fluids.

Biomedical role

Modern pharmacological research has demonstrated immunomodulatory, anti-inflammatory and antioxidant activity together with beneficial effects on fluid regulation and gastrointestinal health. Studies also suggest Poria supports healthy immune function and may influence the gut microbiome, contributing to reduced systemic inflammation and improved tissue homeostasis.

Moutan Bark (Mu Dan Pi)

Traditional role

Moutan Bark invigorates the Blood while clearing Heat that develops within stagnant tissues. It is particularly valuable when long-standing circulatory obstruction has produced local inflammation, discomfort or excessive menstrual bleeding. Rather than simply increasing circulation, Mu Dan Pi helps resolve the inflammatory consequences of chronic Blood Stasis.

Within this formula it softens hardened tissues while reducing the inflammatory environment that allows cysts and fibroids to persist.

Biomedical role

Modern studies have demonstrated significant antioxidant, anti-inflammatory and vascular protective effects together with emerging evidence of anti-fibrotic activity. Experimental research suggests Moutan Bark may influence inflammatory signalling pathways involved in abnormal tissue remodelling and fibrosis, providing a modern explanation for its traditional role in resolving chronic pelvic masses.

Peach Kernel (Tao Ren)

Traditional role

Peach Kernel is one of Chinese medicine's most important herbs for invigorating Blood and breaking down chronic Blood Stasis. It promotes healthy circulation through areas of longstanding congestion while helping disperse fixed accumulations associated with pelvic pain, fibroids and endometriosis.

Within Cysts & Fibroids, Tao Ren works alongside Gui Zhi and Mu Dan Pi to restore healthy tissue perfusion and reduce chronic pelvic congestion.

Biomedical role

Modern research demonstrates anti-inflammatory, antioxidant and microcirculatory effects together with inhibition of platelet aggregation. Experimental studies suggest Peach Kernel improves blood flow through the microvasculature while reducing inflammatory activity within damaged tissues. These findings support its traditional use in conditions characterised by chronic circulatory obstruction.

White Peony Root (Bai Shao)

Traditional role

White Peony nourishes the Blood while softening the Liver and relaxing smooth muscle. It balances the more dispersing herbs within the formula by protecting healthy tissues and reducing pelvic pain associated with muscular tension and uterine spasm. This reflects the classical principle that restoring circulation should occur without damaging the body's underlying reserves.

Within the formula, Bai Shao provides nourishment and protection while helping relieve the pain associated with chronic pelvic disease.

Biomedical role

White Peony contains paeoniflorin, a bioactive compound that has demonstrated anti-inflammatory, immunomodulatory and analgesic properties in numerous experimental studies. Research also suggests smooth muscle relaxing effects together with modulation of inflammatory pathways involved in chronic pelvic pain. These findings complement its traditional role in relieving pain while preserving healthy tissue function.

Why These Herbs Work Together

Cysts & Fibroids (Gui Zhi Fu Ling Tang) is designed to restore healthy pelvic circulation while protecting the tissues that depend upon it. Rather than simply increasing blood flow, the formula addresses the complex interaction between circulatory stagnation, chronic inflammation, disturbed fluid regulation and progressive tissue remodelling that underlies many benign pelvic disorders.

Gui Zhi initiates healthy movement through the circulation, while Tao Ren disperses long-standing Blood Stasis and improves microvascular perfusion. Mu Dan Pi reduces the inflammatory environment created by chronic congestion and helps soften abnormal tissue accumulation. Poria regulates tissue fluids and supports the body's ability to resolve swelling and congestion, while Bai Shao nourishes the Blood, relaxes smooth muscle and protects healthy pelvic tissues throughout the healing process.

Together these herbs restore circulation, reduce inflammation, regulate tissue fluids and support healthy repair of the reproductive organs. Rather than targeting cysts or fibroids directly, Cysts & Fibroids (Gui Zhi Fu Ling Tang) improves the physiological environment in which these conditions develop, helping restore normal pelvic function and healthy reproductive circulation. It reflects one of the central principles of the Chiron Formula Network: chronic pelvic disease is rarely the result of a single abnormality, but develops through years of impaired circulation, inflammation and tissue remodelling. By addressing each of these processes simultaneously, the body is given the opportunity to restore healthier structure and function naturally.

What Does Modern Research Say?

Gui Zhi Fu Ling Tang has become one of the most extensively studied traditional formulas in women's health.

Research has explored its role in:

• endometriosis

• uterine fibroids

• adenomyosis

• dysmenorrhoea

• chronic pelvic pain

• infertility associated with impaired uterine blood flow

• menopausal vascular symptoms

Experimental studies suggest actions including:

• improved uterine microcirculation

• reduced inflammatory cytokines

• inhibition of fibrosis

• regulation of angiogenesis

• antioxidant activity

• modulation of prostaglandins

While encouraging, larger high-quality clinical trials are still needed, and the formula should be viewed as complementary to conventional medical care.

For Traditional Chinese Medicine Practitioners

Classical Pattern

Blood Stasis in the Lower Jiao

Typical presentation:

• dysmenorrhoea

• clots

• fixed pelvic pain

• palpable masses

• dark menstrual blood

• purple tongue

• choppy pulse

Formula Strategy

Gui Zhi Fu Ling Tang:

• Invigorates Blood.

• Resolves Blood Stasis.

• Softens masses.

• Reduces pelvic congestion.

• Relieves pain.

• Preserves healthy Blood.

Frequently modified for:

• infertility

• recurrent miscarriage associated with Blood Stasis

• pelvic adhesions

• ovarian cysts

• fibroids

• adenomyosis

• endometriosis

For Medical Doctors

Proposed Biomedical Actions

Current pharmacological research suggests multiple interacting mechanisms including:

• anti-inflammatory effects

• improved endothelial function

• modulation of prostaglandins

• inhibition of platelet aggregation

• anti-fibrotic activity

• antioxidant protection

• regulation of angiogenesis

• improved microvascular circulation

Bioactive constituents include:

• paeoniflorin

• paeonol

• cinnamaldehyde

• amygdalin

• triterpenoids

• polysaccharides

These compounds have demonstrated activity across pathways including:

• NF-κB

• COX-2

• VEGF

• TGF-β

• oxidative stress signalling

Potential Herb–Drug Considerations

Use with clinical caution alongside:

• anticoagulants

• antiplatelet medications

• direct oral anticoagulants

• NSAIDs

• fertility medications

• hormonal therapies

Because the formula may influence platelet function and circulation, careful monitoring is appropriate where bleeding risk exists. It is also traditionally contraindicated during pregnancy except under experienced specialist supervision.

Supporting Women's Health Through Better Circulation

Healthy reproductive tissues depend on healthy circulation.

When blood moves freely, tissues receive oxygen, nutrients and immune support. When circulation becomes impaired, congestion, inflammation and fibrosis may follow.

Gui Zhi Fu Ling Tang has been used for nearly two thousand years because it addresses this fundamental principle.

That is why we call it "Cysts & Fibroids."

Not because it claims to cure every pelvic condition, but because it is one of Chinese medicine's most respected formulas for supporting the circulatory environment in which healthy tissues can repair, inflammation can settle and pelvic function can improve.

Key Takeaways

• Gui Zhi Fu Ling Tang was first recorded by Zhang Zhongjing nearly 2,000 years ago.

• At Chiron Medical it is called "Cysts & Fibroids" because it is traditionally prescribed for women experiencing pelvic masses, painful menstruation and Blood Stasis patterns.

• Modern research suggests anti-inflammatory, anti-fibrotic, antioxidant and microcirculatory benefits that align with its traditional use in conditions such as endometriosis, adenomyosis, ovarian cysts and uterine fibroids.

• While its primary application is in women's reproductive health, its therapeutic principles extend to other chronic conditions involving impaired circulation and tissue congestion.

• It should be prescribed by a qualified practitioner and used as part of an integrated care plan alongside appropriate medical assessment and monitoring.

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Clinical Insights

Uterine Fibroids and Adenomyosis

Cysts & Fibroids is designed for conditions where Blood Stasis has formed a physical obstruction within the pelvis.

It is particularly valuable when symptoms include:

• uterine fibroids

• adenomyosis

• ovarian cysts

• chronic pelvic pain

• heavy menstrual bleeding

• painful periods

• pressure symptoms

• clotting during menstruation

The primary goal is to improve pelvic circulation, reduce Blood Stasis and support the body's normal tissue remodelling processes.

Endometriosis

Endometriosis is one of the most common conditions treated alongside Cysts & Fibroids.

Because endometriosis rarely involves Blood Stasis alone, practitioners frequently combine:

• Jia Wei Xiao Yao San (Cool, Calm & Collected) — where emotional stress, hormonal irritability and inflammatory Heat aggravate symptoms.

• Huo Luo Xiao Ling Dan (Sharp Stabbing Pain) — when severe pelvic pain is the dominant complaint.

• Xue Fu Zhu Yu Tang (Clear the Way) — where long-standing Blood Stasis contributes to chronic pelvic congestion and impaired circulation.

These combinations recognise that successful treatment often requires addressing both the inflammatory process and the underlying circulatory obstruction.

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Inflamed Cysts or Active Pelvic Inflammation

When cysts become acutely inflamed, painful or are associated with signs of infection, practitioners may combine:

• Wu Wei Xiao Du Yin (Inflammation)

• Si Miao Yong An Tang (Bleeding)

These formulas help reduce inflammatory Heat and support the body's response to acute inflammatory processes while Cysts & Fibroids continues addressing the underlying Blood Stasis.

Chronic Pelvic Masses and Persistent Lumps

When pelvic masses become longstanding, firm or slow to resolve, practitioners may combine:

• Nei Xiao Luo Li Wan (Lumps & Nodules)

This formula has traditionally been used for chronic nodules, glandular swellings and persistent masses, complementing the circulation-enhancing actions of Cysts & Fibroids.

Chronic Blood Stasis

Some women present with widespread signs of impaired pelvic circulation rather than isolated fibroids.

Typical features include:

• dark menstrual blood

• clots

• fixed pelvic pain

• chronic pelvic congestion

• pain before menstruation

• history of pelvic surgery

In these situations practitioners often combine:

• Clear the Way (Xue Fu Zhu Yu Tang)

to improve systemic Blood circulation while Cysts & Fibroids focuses specifically on the uterus and pelvis.

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