[Naming]

The ten medicinal ingredients in this formula are all burned to ash, retaining their properties, and ground into a fine powder for use.

 [Source]

“Shi Yao Shen Shu”

 [Composition]

Herba seu radix Notopterygii, Herba seu radix Notopterygii, Folium Nelumbinis, Folium Platycladi, Rhizoma Imperatae, Radix Rubiae, Fructus Gardeniae, Radix et Rhizoma Rhei, Cortex Moutan, Cortex Trachycarpi
(10)

 [Classification]

<Clearing Heat and Cooling Blood>: Cortex Moutan

<Purgative>: Radix et Rhizoma Rhei

<Astringent>: Folium Nelumbinis

<Clearing Heat and Purging Fire>: Fructus Gardeniae

<Stopping Bleeding>: Cortex Trachycarpi, Herba seu radix Notopterygii, Folium Platycladi, Herba seu radix Notopterygii, Rhizoma Imperatae, Radix Rubiae

[Formula Meaning]

The ingredients are all for cooling blood and stopping bleeding. Herba seu radix Notopterygii, Herba seu radix Notopterygii, Folium Nelumbinis, Radix Rubiae, Folium Platycladi, and Rhizoma Imperatae function to cool blood and stop bleeding; Cortex Trachycarpi is astringent and stops bleeding; Fructus Gardeniae can clear liver fire, cool blood, and stop bleeding; Radix et Rhizoma Rhei can guide heat downward to aid in stopping bleeding; Cortex Moutan combined with Radix et Rhizoma Rhei cools blood and disperses stasis. Toasting all ingredients to charcoal can enhance their astringent and hemostatic properties. “Fang Ji Xue Tang”: Herba seu radix Notopterygii, Herba seu radix Notopterygii, Folium Nelumbinis, Radix Rubiae, Folium Platycladi, Rhizoma Imperatae, etc., are the main herbs for cooling blood and stopping bleeding, aiming to suppress the heat and prevent blood from flowing erratically, thus stopping bleeding. Because excessive heat and upward surging of Qi fire cause bleeding, Fructus Gardeniae is used to clear heat and purge fire, and Radix et Rhizoma Rhei guides heat downward, to counteract the upward surging and relieve bleeding from the upper part of the body, allowing Qi to descend and bleeding to stop. These are secondary herbs in the formula, used to clear liver fire. Cortex Moutan cools blood and stops bleeding without leaving stasis, and Cortex Trachycarpi is astringent and stops bleeding. These are auxiliary herbs.

 [Functions]

Clearing heat and purging fire, cooling blood and stopping bleeding.

 [Efficacy]

Vomiting blood, spitting blood, coughing blood, epistaxis, menorrhagia, and other types of bleeding due to blood heat flowing erratically.

 [Indications]

Coughing blood due to tuberculosis, coughing blood due to bronchiectasis, bleeding from gastrointestinal ulcers, excessive menstruation, functional uterine bleeding, epistaxis, hematuria, and other bleeding of unknown cause.

 [Mnemonics]

[Clearing Heat]: Zhi Dan, [Stopping Bleeding]: Ji Xi Ce Zong Mao, […]: Da Ye → Single fish’s west side has large leaves of palm and reed.

 [Modifications]

If there is upward surging of Qi and fire, and the blood heat is more severe, this formula can be modified into a decoction, with Radix et Rhizoma Rhei and Fructus Gardeniae as the main herbs. Achyranthes bidentata and Haematitum can also be added to guide the blood heat downward.

 [Pharmacology]

Has hemostatic effect.