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Source: Shí Yào Shén Shū 十药神书

Ingredients:

• Dà jì (大蓟 Cirsii Japonici Herba seu Radix, Japanese thistle) 10g
• Xiǎo jì (小蓟 Cirsii Herba, field thistle) 10g
• Hé yè (荷叶 Nelumbinis Folium, lotus leaf) 10g
• Cè bǎi yè (侧柏叶 Platycladi Cacumen, arborvitae leaf) 10g
• Máo gēn (茅根 Imperatae Rhizoma, imperata [rhizome]) 10g
• Qiàn cǎo gēn (茜草根 Rubiae Radix, madder [root]) 10g
• Dà huáng (大黄 Rhei Radix et Rhizoma, rhubarb) 10g
• Shān zhī (山栀 Gardeniae Fructus, gardenia [fruit]) 10g
• Zōng lǘ pí (棕榈皮 Trachycarpi Petiolus, trachycarpus [petiole]) 10g
• Mǔ dān pí (牡丹皮 Moutan Cortex, moutan [bark]) 10g

Action: Cools the blood; promotes contraction and stanches bleeding.

Indication: Vomiting of blood, retching of blood, expectoration of blood, nosebleed or bleeding gums.

Category: Blood-rectifying formulas / Blood-stanching formulas

Method: All ingredients are subjected to nature-preservative burning and ground to a powder. This formula can also be prepared as a decoction.

Dosage: 3–9g 2–3 times a day.

Rationale: Xiǎo jì, 大蓟, Hé yè, Cè bǎi yè, Bái máo gēn, and Qiàn cǎo all cool the blood and stanch bleeding. Zhī zǐ clears heat and drains fire. Zonglupi is astringent and stanches bleeding. Mǔ dān pí cools the blood and dispels stasis. Dà huáng abducts heat downward, and also helps to transform stasis. Thus, the formula as a whole stanches bleeding without allowing stasis. All the agents are subjected to nature-preservative burning, which is said to enhance blood stanching.

Variations:

• Fulminant expectoration of copious bright red blood with red facial complexion and constipation: Increase the Dà huáng (大黄 Rhei Radix et Rhizoma, rhubarb) and Zhī zǐ (栀子 Gardeniae Fructus, gardenia [fruit]), and add Shēng dì huáng (生地黄 Rehmanniae Radix Exsiccata seu Recens, dried/fresh rehmannia [root]).
• Cough with phlegm flecked with blood in vacuity heat: Omit Dà huáng (大黄 Rhei Radix et Rhizoma, rhubarb) and Zhī zǐ (栀子 Gardeniae Fructus, gardenia [fruit]), and add Mài dōng (麦冬 Ophiopogonis Radix, ophiopogon [root]), ē jiāo (阿胶 Asini Corii Colla, ass hide glue), and Bǎi bù (百部 Stemonae Radix, stemona [root]).
• Counterflow ascent of exuberant qì: Add Zhě shí (赭石 Haematitum , hematite), Lóng gǔ (龙骨 Mastodi Ossis Fossilia, dragon bone), and Mǔ lì (牡蛎 Ostreae Concha, oyster shell).
• Severe bleeding: Add Bái jí (白及 Bletillae Rhizoma, bletilla [root]), Sān qī (三七 Notoginseng Radix, notoginseng [root]), and Xiān hè cǎo (仙鹤草 Agrimoniae Herba, agrimony).

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