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Source: Fù Qīng Zhǔ Nǚ Kē 傅青主女科

Ingredients:

• Shú dì huáng (熟地黄 Rehmanniae Radix Praeparata, cooked rehmannia [root]) 20g
• Dāng guī (当归 Angelicae Sinensis Radix, Chinese angelica) 15g
• Bái sháo (白芍 Paeoniae Radix Alba, white peony [root]) 15g
• Fú líng (茯苓 Poria , poria) 10g
• Shā shēn (沙参 Adenophorae seu Glehniae Radix, adenophora/glehnia [root]) 10g
• Dān pí (丹皮 Moutan Cortex, moutan [bark]) 10g
• Jīng jiè (荆芥 Schizonepetae Herba, schizonepeta) (char-fried) 3g

Action: Nourishes the lung and kidney; clears heat and cools the blood.

Indication: Counterflow menstruation due to lung-kidney yīn vacuity with vacuity fire flaming upward, characterized by vomiting of blood (blood ejection) or nosebleed (nǜ xuè) during or two or three days either side of menstruation. The menstrual discharge is dark red. Other signs include dizziness, tinnitus, tidal reddening of the face, and dry mouth with desire for fluids. Tongue: Red or crimson without fur. Pulse: Fine and rapid.

Category:

Method: Use nanshashen, the southern variety of shashen. Decoct with water.

Rationale: Shú dì huáng, Dāng guī, and Shā shēn enrich the lung and kidney, thereby counteracting the fire. Fú líng fortifies the spleen and stomach and prevents the Shú dì huáng from clogging. Bái sháo helps the Shā shēn to enrich the lung and kidney. With Mǔ dān pí it also cools and quickens the blood, preventing stasis. The charred Jīng jiè suì stanches bleeding, thus addressing the tip. Dāng guī, Bái sháo, and Shú dì huáng all nourish the blood and regulate menstruation.

Notes: 顺 shùn, normalize, means correct counterflow, 逆 nì. The formula treats counterflow menstruation, i.e., vomiting of blood or spontaneous external bleeding instead of menstruation.

Similar: Qīng jīng tāng (sǎn) (清经汤（散） Channel-Clearing (Menses-Clearing) Decoction (Powder))

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