Author: Zhang Zhong-Jing, 張仲景
Year: c. 220
Source: Essentials from the Golden Cabinet (Jin Gui Yao Lue, 金匱要略)
Category: Formulas that Regulate Blood
Pattern: Failure of the Spleen to control Blood due to Deficiency Cold in the Middle Jiao
Key Symptoms: Unremitting vomiting or spitting up of blood or nosebleeds accompanied by a wan complexion
Tongue: Pale with thin coating
Pulse: Deficient, rapid and forceless
Ingredients
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Ce Bai Ye
| 9g | |
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Pinyin: Ce Bai Ye
Chinese: 侧柏叶
Pharmaceutical: Cacumen Platycladi
English: Oriental Arborvitae Tip / Biota Leaves |
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Tastes: Bitter, astringent cold
Meridians Entered: Lung, Liver and Spleen |
Actions & Indications:
- Cools the Blood and stops bleeding
Blood Heat bleeding with hematemesis, bleeding gums, hemafecia, hematuria, bloody dysenteric disorders and uterine bleeding
This herb may be combined with appropriate herbs to treat bleeding associated with Cold patterns
- Stops cough and asthma and expels Phlegm
Lung Heat with cough
Phlegm Heat, especially important for viscous, difficult-to-expectorate, blood-streaked sputum
- Promotes the healing of burns and generates flesh (topical)
Burns (topically in powdered form in the early stages over a moderate area)
- Promotes hair growth
Hair loss
- Clears Damp-Heat
Vaginal discharge due to Damp-Heat
- Dispels Wind-Dampness
Wind-Damp Bi
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Standard Dosage: 10-15g in decoction.
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Gan Jiang
| 9g | |
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Pinyin: Gan Jiang
Chinese: 干姜
Pharmaceutical: Rhizoma Zingiberis
Taxonomy: Zingiber officinale
English: Dried Ginger |
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Tastes: Pungent, hot
Meridians Entered: Spleen, Stomach, Kidney, Heart and Lung |
Actions & Indications:
- Warms the Middle and expels Cold
External Cold affecting the Spleen and Stomach Spleen and Stomach Yang Deficiencies
- Dispels Wind-Dampness seeping into the Lower Jiao
Lower Jiao Wind-Cold-Damp Bi
- Rescues Devastated Yang and expels Interior Cold
Devastated Yang with a very weak pulse and cold limbs
- Warms the Lungs and transforms thin mucus
Lung Cold with expectoration of thin, watery or white sputum
- Warms the channels (unblocks the pulse) and stops bleeding
Haemorrhage due to Deficiency Cold, especially uterine bleeding (only if the bleeding is chronic and pale in colour with cold limbs, ashen white face and a soggy thin pulse)
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of herbs which can, with protracted taking, remove foul smell and enable one to communicate withe Spirit Light (Shen Ming 神明). This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for yin deficiency with internal heat and haemorrhage due to blood heat. |
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Ai Ye
| 9-12g | | |
Pinyin: Ai Ye
Chinese: 艾叶
Pharmaceutical: Folium Artemisiae argyi
Taxonomy: Artemisia argyi (may also refer to vulgaris and indica species)
English: Mugwort Leaf |
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Tastes: Pungent, bitter, warm, slightly toxic
Meridians Entered: Liver, Spleen and Kidney |
Actions & Indications:
- Warms the channels, warms the womb, stops bleeding and calms the fetus
Excess and/or prolonged menstrual bleeding due to Deficiency Cold
Restless fetus, lower abdominal pain and vaginal bleeding (threatened miscarriage)
Infertility due to Cold womb
- Disperses Cold and alleviates pain
Cold abdominal pain
Cold menstrual pain
- Eliminates Dampness and stops itching
Decocted and applied externally as a wash for skin problems marked by Dampness and itching
- Resolves Phlegm and stops cough and asthma
As an extracted oil for wheezing, and coughing with profuse sputum
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light, sharpen the eyes and ears and prevent forgetfulness. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 3-10g in decoction.
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Subsitutions:
The original formula advises using strained horse faeces which is no longer used.
Preparation: Decoction.
Actions: Warms the Yang and stops Bleeding
Contraindications: Yin deficency
Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.