【Source】
《Chong He Yan Shi Ji Sheng Fang (1267)》, 《Yu Ji Wei Yi (1396)》, volume 28, quoted from 《Ji Sheng》.
【Ingredients】
Raw Rehmannia, Little Thistle Root, Talc, Tetrapanax Papyriferus, (Stir-fried) Pollen Typhae, Lophatherum Gramineum, Nelumbinis Nodus Rhizomatis, (Wine-soaked) Angelica Sinensis, Gardenia Seed Kernel, (Honey-fried) Licorice (10)
【Category】
<Blood Tonifying>：Angelica Sinensis
<Heat Clearing and Blood Cooling>：Raw Rehmannia
<Spleen and Middle Qi Tonifying>：Licorice
<Heat Clearing and Fire Purging>：Gardenia, Lophatherum Gramineum
<Promoting Diuresis and Draining Dampness>：Talc, Tetrapanax Papyriferus
<Hemostasis>：Nelumbinis Nodus Rhizomatis, Pollen Typhae, Little Thistle Root
【Formula Explanation】
《Medical Formula》: This is a medicine for Hand and Foot Taiyang. (1) Little Thistle, Nelumbinis Nodus Rhizomatis: Clear heat and dispel blood stasis. (2) Raw Rehmannia: Cools the blood. (3) Pollen Typhae: Stops bleeding. (4) Akebiae Caulis: Descends fire from the heart and lungs to the small intestine. (5) Gardenia: Disperses stagnant fire in the San Jiao, exiting through urination. (6) Bamboo Leaves: Cools the heart and clears the lungs. (7) Talc: Drains heat and lubricates the orifices. (8) Angelica Sinensis: Nourishes Yin, and guides the other herbs to the affected meridian. (9) Licorice: Benefits Yang, and harmonizes the middle Jiao and regulates Qi. 《Cheng Fang Bian Du》: Gardenia, Akebiae Caulis, and Bamboo Leaves clear heart fire and drive it downward to the small intestine, which is to “clear the source”; Talc unblocks the orifices, separating and draining damp-heat from the bladder, which is to “dredge the flow”; however, the stagnant blood can never return to its origin, and the disease cannot be cured unless the blood stasis is removed, so Little Thistle and Nelumbinis Nodus Rhizomatis clear heat and dispel blood stasis; however, fearing that removing the blood stasis will further damage new blood, stir-fried black Pollen Typhae is used to stop the bleeding and Raw Rehmannia is used to nourish the blood; Angelica Sinensis can remove stagnant blood and generate new blood, guiding all the blood back to their respective meridians; Licorice is used to moderate the urgency of the formula and purge the fire.
【Function】
Cools the blood and stops bleeding, promotes diuresis and relieves strangury.
【Indications】
Lower Jiao accumulating heat, blood strangury or hematuria, frequent urination, red, astringent, hot, and painful urination, bloody urine, red tongue, forceful and rapid pulse. 《Medical Formula》: Lower Jiao accumulating heat leading to blood strangury.
【Applicable to】
Acute glomerulonephritis, proteinuria, and acute urinary system infections, etc. Blood in the urine is accompanied by occasional pain in the urethra.
【Mnemonic】
Miss Yingzi—-Dang Ziye, grass is slippery, Miss fell down with a “Putong” sound. (當梔葉,草地滑,小節蒲通)# (Dang Zhi Ye, Cao Di Hua, Xiao Jie Pu Tong)
【Modifications】
(1) If there is stabbing pain in the urethra, add Amber, <a href='https://whatsintcm.com/dt_articles/海金砂/’>Lygodii Spora to unblock the urethra and stop bleeding. (2) If there is severe stagnant heat, and the urination is red, astringent, hot, and painful, add Dandelion, Phellodendri Cortex, Pyrrosia Leaf to clear heat and promote diuresis. (3) If blood strangury or hematuria has persisted for a long time, and Qi and Yin are both injured, the dosage of Akebiae Caulis and Talc should be reduced, because they are cold, slippery, and draining; add Codonopsis, Astragalus, Ass-hide Glue to replenish Qi and nourish Yin. (4) Change the honey-fried Licorice in the formula to raw Licorice or Licorice tip to clear heat and purge fire.
【Pharmacology】
The single herbs in this formula mainly have the effects of constricting blood vessels, shortening blood clotting time, and antibacterial properties.