Stop Bleeding

Shi Hui San Ten Partially-Charred Substances Powder A

J

I

F

D B

H G

C

E

Chief

Deputy

(a) Da Ji (b) Xiao Ji (c) He Ye (d) Ce Bai Ye (e) Bai Mao Gen (f) Qian Cao Gen (g) Zong Lu Pi (h) Zhi Zi

(i) Da Huang Assistant

(j) Mu Dan Pi

Cools the xue and stops bleeding.

Stopping the bleeding. Clears heat (Liver) and drains fire (through the urine). Conducts the Liver and Stomach heat downward and drains it through the stool. (with Da Huang) Cools the xue and eliminates xue yu.

Actions: Cools the xue and stops bleeding. Indications: Vomiting, spitting, or coughing up xue. These symptoms usually occur as acute bleeding disorders with sudden onset.

Si Sheng Wan Four-Fresh Pill

A

C

B D

Chief Deputy

Assistant/ Envoy

(a) Ce Bai Ye

Cools the xue and stops bleeding.

(b) Sheng Di Huang Clears heat and cools the xue, and enhances the chief herb’s ability to stop bleeding. Also, nourishes the yin and generates fluids. (c) He Ye (d) Ai Ye

Stops bleeding and harmonizes the blood by warming and moving the flow of xue in the channels to prevent yu.

Actions: Cools the xue and stops bleeding. Indications: Couching, spitting, or vomiting of xue or nosebleeds, particularly of brightred xue. Accompanying signs and symptoms include a dry mouth and throat, a red or deep-red tongue, and a wiry, rapid or forceful, wiry, and rapid pulse.

Ke Xue Fang Coughing of Xue Formula

B

C

E

D

A

Chief

(a) Qing Dai

(b) Zhi Zi

Disperses the fire from constraint and prevents Liver fire from influencing the Heart and Lungs. Conducts the qi downward, clearing heat from the Heart and relieving the irritability. Together = Clears the Liver, drains the fire, and cools the xue.

Deputy Assistant/ Envoy

(c) Gua Lou Ren (d) Fu Hai Shi (e) He Zi

Cools the transforms hot phlegm and reduces the fire. Cools, restrains, and help the Lungs direct the qi downward, relieving coughing, and transforming the phlegm.

Actions: Clears fire, transforms phlegm, preserves the Lungs, and stops coughing and bleeding. Indications: Coughing of xue-streaked sputum, thick sputum that is difficult to expectorate, a bitter taste in the mouth, irritability and easily-provoked anger, constipation, red cheeks, a red tongue with a yellow coating, and a wiry, rapid pulse.

Huai Hua San Sophora Japonica Flower Powder B

A

D

C

Chief

(a) Huai Hua

Clears dap-heat from the Intestines, relieves toxicity, cools the xue, and stops bleeding.

Deputy

(b) Ce Bai Ye

Assists the Chief herb in cooling the xue and stopping the bleeding.

(c) Jing Jie Sui

Disperses wind and enters the xue level to stop the bleeding.

(d) Zhi Ke

Promotes the movement of qi and thereby relaxes the Intestines.

Assistant

Actions: Cools the Intestines, stops bleeding, disperses wind, and promotes the movement of qi. Indications: Bright-red bleeding from the rectum during defecation which typically precedes (but may also follow) the passage of stool, xue in the stools, hemorrhoids with either bright-red or dark-red bleeding, a red tongue body, and a wiry, rapid or soggy rapid pulse.

Xiao Ji Yin Zi Cephalanoplos Decoction B

A

F

Assistant

Envoy

D

E

G

I

Chief Deputy

C

J

(a) Xiao Ji (b) Ou Jie (c) Pu Huang (d) Sheng Di Huang

H

Cool the xue and stop bleeding. Assist the chief herb, reduce yu, enabling the formula to stop bleeding without causing yu. Nourish the yin and clear heat. Assist in cooling the xue and stop bleeding.

(e) Hua Shi

Clears heat, promotes urination, and unblocks painful urinary dysfunction.

(f) Mu Tong (g) Dan Zhu Ye (h) Zhi Zi

Clear & drain fire & heat from the Ht, Lungs, and S.J., eliminating the heat by conducting it downward.

(i) Dang Gui (j) Zhi Gan Cao

Nourish and harmonize xue, leading it back into the channels and preventing the formation of xue yu. Relieves spasmodic pain and harmonizes the middle jiao, and reconciles the disparate actions of the other herbs.

Actions: cools the xue, stops bleeding, promotes urination, and unblocks painful urinary dysfunction. Indications: Bloody, painful urinary dysfunction (with blood in the urine and urinary frequency, urgency, burning, and pain) or simple xue in the urine, accompanied by thirst, irritability, a red tongue with a thin, yellow coating, and a rapid, forceful pulse.

Qing Re Zhi Beng Tang Clear Heat and Stop Excessive Uterine Bleeding Decoction G

J

H D

A

E

I

F

B

Chief

Deputy

Assistant Envoy

C

(a) Zhi Zi (b) Chao Huang Qin (c) Huang Bai (d) Sheng Di Huang (e) Mu Dan Pi (f) Di Yu (g) Ce Bai Ye Tan (h) Chun Gen Bai Pi Chao Huang Qin (j) Duan Gui Ban (k) Bai Shao

(all address the root) Clear heat from the Liver

Cool the Liver xue. Addresses the manifestation, i.e. the bleeding itself. Assists in stopping the bleeding in the context of heat patterns. Nourish the yin and xue, calm the Liver, and stabilize the penetrating vessel. (relatively strong ability to stop bleeding)

Actions: Clears heat and stops bleeding Indications: Abnormal uterine bleeding characterized by a large quantity of bright-red xue, a dry mouth, parched lips, a yellow tongue coating, and a rapid pulse.

Bai Ye Tang Biota Twig Decoction

A

B

C

Chief

(a) Ce Bai Ye

Cooling and descending nature, this conducts the xue downward and reverses its reckless, upward movement.

Deputy

(b) Gan Jiang

Warms the channels, reinforces the yang, and stops the bleeding.

Assistant

(c) Ai Ye

Warms and protects the yang of the middle burner, enabling the Spleen qi to govern the xue.

Actions: Warms the yang and stops bleeding. Indications: Unremitting vomiting or spitting up of xue or nosebleeds accompanied by a wan complexion, a pale tongue with a thin coating, and a xu, rapid, and forceless pulse.

Huang Tu Tang Yellow Earth Decoction A

G

B

Chief

Deputy

Assistant

Envoy

D

(a) Zao Xin Tu (Can use Chi Shi Zhi as a substitution) (b) Bai Zhu (c) Fu Zi

E

F

C

Warms the middle, harmonizes the Stomach, restrains the Intestines, and stops the bleeding by stabilizing the lower burner. Warm the yang and strengthen the Spleen, thereby restoring the ability of the Spleen and Stomach qi to govern the xue.

(d) Sheng Di Huang Nourish the yin and xue and stop bleeding. (e) E Jiao Prevents the risk of heat from developing from the (f) Huang Qin use of warm, acrid herbs. (g) Gan Cao

Harmonizes the middle burner and the actions of the other herbs in the formula.

Actions: Warms the yang, strengthens the Spleen, nourishes the xue, and stops bleeding. Indications: Xue in the stool, vomiting or spitting up xue, nosebleeds, or abnormal uterine bleeding of pale-red xue accompanied by cold extremities, a wan complexion, a pale tongue with a white coating, and a submerged, thin, and forceless pulse.

Jiao Ai Tang Ass-Hide Gelatin and Mugwort Decoction F

A

E

G

B

D

Chief

(a) E Jiao

C

Tonifies the xue and stops bleeding.

(b) Ai Ye

Deputy

Assistant

Envoy

Warms the womb, calms the restless fetus, and stops bleeding. (c) Sheng Di Huang Tonify the xue and regulate the menses, while also (d) Dang Gui invigorating the xue. (e) Chuan Xiong (f) Bai Shao (g) Gan Cao Harmonizes the actions of the other ingredients, and potentates the hemostatic action of E Jiao. Rice Wine

To reinforce the moving actions of the other ingredients and there by prevent the yu of xue.

Actions: Nourishes the xue, stops bleeding, regulates menstruation, and calms the fetus. Indications: Abdominal pain with uterine bleeding, excessive menstruation, menstruation with constant spotting, post partum bleeding, or bleeding during pregnancy. The xue is pale and thin without clots, and is accompanied by weakness and soreness of the lower back, a dull complexion, a pale tongue with a thin, white coating, and a thin, frail pulse.