【Source】

《Treatise on the Spleen and Stomach》 (Pi Wei Lun), Volume Middle.

 【Ingredients】

Fresh Rehmannia root, Angelica tail, Coptis rhizome, Phellodendron bark, Anemarrhena rhizome, Ligusticum root, Sichuan lovage rhizome, Black cohosh rhizome, Safflower, Bupleurum root, Siler root, Sichuan Notopterygium root, Scutellaria root, Asarum herb, Schizonepeta spike, Vitex fruit, Licorice root
(17)

 【Categories】

<Nourishing Blood>: Angelica tail

<Clearing Heat and Cooling Blood>: Fresh Rehmannia root

<Tonifying Spleen and replenishing Middle Jiao>: Licorice root

<Releasing Exterior with Cool, Pungent Herbs>: Bupleurum root, Black cohosh rhizome, Vitex fruit

<Clearing Heat and Drying Dampness>: Scutellaria root, Coptis rhizome, Phellodendron bark

<Releasing Exterior with Warm, Pungent Herbs>: Siler root, Ligusticum root, Sichuan Notopterygium root, Schizonepeta spike

<Warming Interior>: Asarum herb

<Invigorating Blood and dispelling Stasis>: Sichuan lovage rhizome, Safflower

<Clearing Heat and purging Fire>: Anemarrhena rhizome

【Formula Explanation】

From 《Annotations on the Treatise on the Spleen and Stomach》: Phellodendron bark and Anemarrhena rhizome primarily dry dampness and clear heat; Processed Rehmannia root and Angelica root assist by nourishing and harmonizing blood; Tangerine peel assists by regulating Qi; Sophora fruit guides the action to the intestines and cools blood.

 【Functions】

Clears heat and dries dampness, nourishes blood and cools blood.

 【Indications】

For women with Kidney deficiency, unable to control Minister Fire, leading to menorrhagia (profuse uterine bleeding). Occurring in late summer, when damp-heat is abundant, damp-heat flows downward, where external pathogenic Qi is strong and the body’s vital Qi is weak, causing severe dysentery with bloody stools.

 【Mnemonic】

Qing Kong Gao + (Phellodendron, Anemarrhena, Angelica, Rehmannia, Vitex, Ligusticum, Black Cohosh, Schizonepeta, Safflower, Asarum).

 【Modifications】

For difficult and painful urination, fullness below the navel, or tenesmus with bowel movements, mix 5 fen (approx. 0.5g) each of fine Costus root and Betel nut powder, and take warm on an empty stomach or before meals.