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Sanguisorba Pill

地榆丸 〔地榆丸〕 dì yú wán

Source: Zhèng Zhì Zhǔn Shéng 证治准绳

Ingredients

Actions: Cools the blood and resolves toxin; stanches bleeding and checks diarrhea.

Indications: Persistent blood dysentery (or diarrhea with bloody, watery stool) with damage to yīn blood, manifesting as diarrhea with purplish blood and pus in the stool, frequent defecation, tenesmus, continuous abdominal pain, and lack of strength. Tongue: Red with scant fur. Pulse: Sunken, fine, and rapid.

Method: Grind to a fine powder, blend with honey, and form into 300 mg. Pills.

Dosage: 10 pills on an empty stomach.

Rationale: Dì yú cools the blood and stanches bleeding, as well as resolving toxin and checking dysentery. Huáng lián clears heat and resolves toxin. These two agents therefore treat blood dysentery due to exuberant blood-aspect heat with concurrent dampness. ē jiāo enriches yīn and supplements the blood, it promotes contraction and stanches bleeding, and combined with Huáng lián, it can strengthen yīn and check dysentery. These three are therefore the sovereign agents of the formula. Dāng guī harmonizes provisioning and moves the blood, treating pus and blood in the stool. Mù xiāng moves qì and abducts stagnation, eliminating tenesmus. Wū méi and Hē zǐ astringe the intestines and check diarrhea, helping to prevent further damage to yīn.

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