Chapter 12理血剂 Formulas that regulate blood
活血祛瘀 Formulas that improve circulation, remove stagnation
血府逐瘀汤Xue Fu Zhu Yu Tang (From Yi Lin Gai Cuo)
Ingredients:
Chief---Tao Ren (semen persicae) 12g
Deputy---Hong Hua (flos carthami tinctorii) 9g
Deputy---Dang Gui (radix angelicae sinensis) 9g
Deputy---Chuan Xiong (radix ligustici chuanxiong) 5g
Deputy---Chi Shao (radix paeoniae rubrae) 6g
Assistant---Niu Xi (radix niuxi) 9g
Assistant---Chai Hu (radix bupleuri) 3g
Assistant---Jie Geng (radix platycodi grandiflori) 5g
Assistant---Zhi Ke (fructus citri seu ponciri) 6g
Assistant--Sheng Di Huang (radix rehmanniae glutinosae) 9g
Envoy---Gan Cao (radix glycyrrhizae uralensis) 3g
This formula is based on Tao Hong Si Wu Tang (Tao Ren, Hong Hua, Shu Di Huang, Dang Gui, Bai Shao, and Chuan Xiong) and Si Ni Shan (Chai Hu, Zhi Shi, Bai Shao, Zhi Gan Cao) pulsing Jie Gen and Niu Xi.
Actions: Move blood & remove Blood Stasis, move Qi and stop pain
Indications: Chest pain which are stabbing, chronic and fixed, or headache, chronic hiccups, heat feeling in the chest with depression, palpitations, insomnia, restless sleep, irritablity, evening tidal fever, mania, dark red tongue with dark spots on the sides, dark or purple lips, complexion or sclera, choppy or wiry tight pulse.
身痛逐瘀汤 Shen Tong Zhu Yu Tang
Ingredients:
Tao Ren (Semen Persicae) 9g
Hong Hua (Flos Carthami) 9g
Dang Gui (Radix Angelicae Sinensis) 9g
Wu Ling Zhi (Faeces Trogopterori) 6g
Xiang Fu (Rhizoma Cyperi) 3g
Chuan Niu Xi (Radix Cyathulae) 9g
Chuan Xiong (Rhizoma Chuanxiong) 6g
Qin Jiao (Radix Gentianae Macrophyllae) 3g
Qiang Huo (Radix Et Rhizoma Notopterygii) 3g
Di Long (Pheretima) 6g
Mo Yao (Myrrha) 6g
Gan Cao (Radix Glycyrrhizae) 6g
Actions: Move Qi and blood, unblock the channels, treat Bi syndrome and relieves pain
Indications: Pain due to qi and blood stagnation blocking the channels and collateral, pain in the shoulder, elbow, waist and/or leg; and generalized pain throughout the hole body that does not heal for long time.
补阳还五汤Bu Yang Huan Wu Tang
(Form Yi Lin Gai Cuo, means tonify Yang decoction for recuperation)
Ingredients:
Chief---Huang Qi (radix astragali membranacei) 120g
Deputy---Dang Gui (radix angelicae sinensis) 6g
Assistant---Chuan Xiong (radix ligustici chuanxiong) 3g
Assistant---Chi Shao (radix paeoniae rubrae) 5g
Assistant---Tao Ren (semen persicae) 3g
Assistant---Hong Hua (flos carthami tinctorii) 3g
Assistant---Di Long (lumbricus) 3g
Action: Tonify Qi, move blood, and unblock channels
Indications: Wind stroke caused by Qi deficiency and blood stasis manifested as hemiplegia, facial paralysis, slurred speech, drooling, frequent urination or incontinence, purple tongue with white coating, moderate pulse.
桂枝茯苓丸Gui Zhi Fu Ling Wan
From Jin gui yao lue
Ingredients:
Gui Zhi (ramulus cinnamomi cassiae) 6g
Fu Ling (sclerotium poriae cocos) 6g
Shao Yao (radix paeoniae) 6g
Mu Dan Pi (cortex moutan radixis) 6g
Tao Ren (semen persicae) 6g
Actions: invigorate blood, remove Blood Stasis, reduce fixed abdominal masses,
Indications: for painful blood stasis in the uterus from chronic spleen deficiency manifested manifested as mild persistent uterine bleeding that is purple or dark during pregnancy with abdominal pain that increases with pressure, immobile masses in the low Jiao with pain and tenderness, abdominal spasms and tension, amenorrhea with abdominal distension and pain, dysmenorrhea, retention of lochia, choppy pulse.
失笑散Shi Xiao San
From Tai ping jui min he ji ju fang
Ingredients:
Wu Ling Zhi (excrementum trogopteri seu pteromi) 6g
Pu Huang (pollen typhae) 6g
Actions: invigorate blood, move Blood Stasis, disperse accumulation, relieve pain
Indications: Pain due to blood stasis: dysmenorrhea, retention of lochia, post partum abdominal pain, acute pain in the low abdomen, severe pain in the middle abdomen, epigastric pain. Dark red tongue with dark spots on the sides, choppy or wiry tight pulse.
复元活血汤 Fu Yuan Huo Xue Tang
FromYi xue fa ming
Ingredients:
Dang Gui (radix angelicae sinensis)…9g
Tao Ren (semen persicae)…9g
Hong Hua (flos carthami tinctorii)…6g
Chuan Shan Jia (squama manitis pentadactylae)…6g
Jiu Zhi Da Huang (wine treated radix and rhizoma rhei)…30g
Tian Hua Fen (radix trichosanthis kirilowii)…9g
Chai Hu (radix bupeuri)…15g
Gan Cao (radix glycyrrhizae uralensis)…6g
Actions: invigorate blood, moves Blood Stasis, soothe Liver Qi, unblock channels
Indications: for upper body unbearable pain due to traumatic injury, especially in the chest and hypochondria.
温经汤Wen Jing Tang
Ingredients:
Wu Zhu Yu (Fructus Evodiae)
Gui Zhi (Ramulus Cinnamomi)
Dang Gui (Radix Angelicae Sinensis)
Chuan Xiong (radix ligustici chuanxiong)
Bai Shao (Radix Alba Paeoniae)
Mu Dan Pi (Cortex Moudan)
E Jiao (Gelatinum Corii Asini)
Mai Men Dong (Tuber Ophiopgonis)
Dang Shen (Radix Codonopsis)
Ban Xia (Rhizoma Pinelliae)
Gan Cao (Radix Glycyrrhizae)
Sheng Jiang (uncooked Rhizoma Zingiberis)
Actions: Warms the womb, dispels cold, nourishes the blood, and dispels blood stasis
Indications: For irregular menstruation due to deficiency and coldness in the Chong (Vital) and Ren (Conception) channels; manifestations are early or late menses, persistent but mild uterine bleeding; continuous or extended menstrual flow; bleeding or spotting between cycles; distension, pain, and cold in the lower abdomen; low grade fever in the evenings; dry mouth and lips, warm feeling in the palms and soles; incapability to conceive.
生化汤Sheng Hua Tang
Fu qing zhu nu ke
Ingredients:
Dang Gui (radix angelicae sinensis)…24g
Chuan Xiong (radix ligustici chuanxiong)…9g
Tao Ren (semen persicae)…6g
Pao Jiang (quick fried rhizoma zingiberis officinalis)…2g
Zhi Gan Cao (honey fried radix glycyrrhizae uralensis)…2g
Actions: invigorates blood, moves Blood Stasis, warms womb, relieves pain
Indications: retention of lochia with cold and pain in the low abdomen, pale purple tongue or pale tongue with purple spots, thin deep and choppy pulse.
第二节 止血 Stop bleeding
小蓟饮子Xiao Ji Yin Zi
From Ji sheng fang
Ingredients:
Xiao Ji (herba cephalenoplos)…15g
Ou Jie (nodus nelumbinis nuciferae rhizomatis)…9g
Chao Pu Huang (dry fried pollen typhae)…9g
Sheng Di Huang (radix rehmanniae glutinosae)…30g
Hua Shi (talcum)…15g
Mu Tong (caulis mutong)…6g
Dan Zhu Ye (herba lophatheri gracilis)…9g
Zhi Zi (fructus gardeniae jasminoidis)…9g
Dang Gui (radix angelicae sinensis)…6g
Zhi Gan Cao (honeu fried radix glycyrrhizae uralensis)…6g
Actions: cools blood, stops bleeding, promotes urination, treats Lin syndrome
Indications: bloody urine, urinary frequency urgency burning pain (Xue Lin), or simple blood in urine, thirst, irritable, red tongue with thin yellow coat, rapid forceful pulse.
十灰散Shi Hui San
From Shi yao shen shu《十药神书》
Ingredients:
Da Ji (herba seu radix cirsii japonici)…9g
Xiao Ji (herba cephalanoplos)…15g
He Ye (folium nelumbinis nuciferae)…9g
Ce Bai Ye (cacumen biotae orientalis)…9g
Bai Mao Gen (rhizoma imperatae cylindricae)…30g
Qian Cao Gen (radix rubiae cordifoliae)…12g
Zhi Zi (fructus gardeniae jasminoidis)…12g
Da Huang (radix and rhizoma rhei)…9g
Mu Dan Pi (cortex moutan radicis)…9g
Zong Lu Pi (fibra stipulae trachycarpi)…6g
Actions: cools blood, stops bleeding
Indications: bleeding including vomiting, spitting or coughing up blood. Red tongue and rapid pulse.
咳血方Ke Xue Fang
From Dan xi xin fa《丹溪心法》
Ingredients:
Qing Dai (indigo pulverata levis)…6-9g
Zhi Zi (fructus gardeniae jasminoidis)…9g
Gua Lou Ren (fructus trichosanthis)…9g
Fu Hai Shi (pumice)…9g
He Zi (fructus terminaliae chebulae)…6-9g
Actions: clears Fire, transforms Phlegm, preserves Lungs, stops coughing & bleeding
Indications: coughing up blood streaked sputum which is difficult to expectorate, bitter taste in mouth, irritability, easily angered, constipation, red cheeks, red tongue with yellow coat, wiry rapid pulse.
黄土汤Huang Tu Tang
From Jin gui yao lue《金匮要略》
Ingredients:
Zao Xin Tu (terra flava usta)…30g
Sheng Di Huang (radix rehmanniae glutinosae)…9g
E Jiao (gelatinum corii asini)…9g
Bai Zhu (rhizoma atractylodis macrocephalae)…9g
Gan Cao (radix glycyrhizae uralensis)…9g
Fu Zi (radix lateralis aconiti carmichaeli praeparata)…9g
Huang Qin (radix scutellariae baicalensis)…9g
Actions: warms Yang, strengthens Spleen, nourishes blood, stops bleeding
Indications: blood in stool, vomit, nose, or abnormal uterine bleeding that is pale red and accompanied by cold extremities, dull complexion, pale tongue with white coat, deep thin weak pulse.
槐花散 Huai Hua San
Pu ji ben shi fang《本事方》
Ingredients:
Huai Hua (flos sophorae japonicae)…12g
Ce Bai Ye (cacumen biotae orientalis)…12g
Jing Jie Sui (herba seu flos schizonepetae tenurfoliae)…6g
Zhi Ke (fructus citri seu ponciri)…6g
Actions: cools the intestines, stops bleeding, disperses Wind, moves Qi
Indications: bright red rectum bleeding which precedes or following the passage of stool, blood in stool, hemorrhoids with bright or dark red bleeding, red tongue, rapid pulse.
血府逐瘀汤Xue Fu Zhu Yu Tang (From Yi Lin Gai Cuo)
Ingredients:
Chief---Tao Ren (semen persicae) 12g
Deputy---Hong Hua (flos carthami tinctorii) 9g
Deputy---Dang Gui (radix angelicae sinensis) 9g
Deputy---Chuan Xiong (radix ligustici chuanxiong) 5g
Deputy---Chi Shao (radix paeoniae rubrae) 6g
Assistant---Niu Xi (radix niuxi) 9g
Assistant---Chai Hu (radix bupleuri) 3g
Assistant---Jie Geng (radix platycodi grandiflori) 5g
Assistant---Zhi Ke (fructus citri seu ponciri) 6g
Assistant--Sheng Di Huang (radix rehmanniae glutinosae) 9g
Envoy---Gan Cao (radix glycyrrhizae uralensis) 3g
This formula is based on Tao Hong Si Wu Tang (Tao Ren, Hong Hua, Shu Di Huang, Dang Gui, Bai Shao, and Chuan Xiong) and Si Ni Shan (Chai Hu, Zhi Shi, Bai Shao, Zhi Gan Cao) pulsing Jie Gen and Niu Xi.
Actions: Move blood & remove Blood Stasis, move Qi and stop pain
Indications: Chest pain which are stabbing, chronic and fixed, or headache, chronic hiccups, heat feeling in the chest with depression, palpitations, insomnia, restless sleep, irritablity, evening tidal fever, mania, dark red tongue with dark spots on the sides, dark or purple lips, complexion or sclera, choppy or wiry tight pulse.
身痛逐瘀汤 Shen Tong Zhu Yu Tang
Ingredients:
Tao Ren (Semen Persicae) 9g
Hong Hua (Flos Carthami) 9g
Dang Gui (Radix Angelicae Sinensis) 9g
Wu Ling Zhi (Faeces Trogopterori) 6g
Xiang Fu (Rhizoma Cyperi) 3g
Chuan Niu Xi (Radix Cyathulae) 9g
Chuan Xiong (Rhizoma Chuanxiong) 6g
Qin Jiao (Radix Gentianae Macrophyllae) 3g
Qiang Huo (Radix Et Rhizoma Notopterygii) 3g
Di Long (Pheretima) 6g
Mo Yao (Myrrha) 6g
Gan Cao (Radix Glycyrrhizae) 6g
Actions: Move Qi and blood, unblock the channels, treat Bi syndrome and relieves pain
Indications: Pain due to qi and blood stagnation blocking the channels and collateral, pain in the shoulder, elbow, waist and/or leg; and generalized pain throughout the hole body that does not heal for long time.
补阳还五汤Bu Yang Huan Wu Tang
(Form Yi Lin Gai Cuo, means tonify Yang decoction for recuperation)
Ingredients:
Chief---Huang Qi (radix astragali membranacei) 120g
Deputy---Dang Gui (radix angelicae sinensis) 6g
Assistant---Chuan Xiong (radix ligustici chuanxiong) 3g
Assistant---Chi Shao (radix paeoniae rubrae) 5g
Assistant---Tao Ren (semen persicae) 3g
Assistant---Hong Hua (flos carthami tinctorii) 3g
Assistant---Di Long (lumbricus) 3g
Action: Tonify Qi, move blood, and unblock channels
Indications: Wind stroke caused by Qi deficiency and blood stasis manifested as hemiplegia, facial paralysis, slurred speech, drooling, frequent urination or incontinence, purple tongue with white coating, moderate pulse.
桂枝茯苓丸Gui Zhi Fu Ling Wan
From Jin gui yao lue
Ingredients:
Gui Zhi (ramulus cinnamomi cassiae) 6g
Fu Ling (sclerotium poriae cocos) 6g
Shao Yao (radix paeoniae) 6g
Mu Dan Pi (cortex moutan radixis) 6g
Tao Ren (semen persicae) 6g
Actions: invigorate blood, remove Blood Stasis, reduce fixed abdominal masses,
Indications: for painful blood stasis in the uterus from chronic spleen deficiency manifested manifested as mild persistent uterine bleeding that is purple or dark during pregnancy with abdominal pain that increases with pressure, immobile masses in the low Jiao with pain and tenderness, abdominal spasms and tension, amenorrhea with abdominal distension and pain, dysmenorrhea, retention of lochia, choppy pulse.
失笑散Shi Xiao San
From Tai ping jui min he ji ju fang
Ingredients:
Wu Ling Zhi (excrementum trogopteri seu pteromi) 6g
Pu Huang (pollen typhae) 6g
Actions: invigorate blood, move Blood Stasis, disperse accumulation, relieve pain
Indications: Pain due to blood stasis: dysmenorrhea, retention of lochia, post partum abdominal pain, acute pain in the low abdomen, severe pain in the middle abdomen, epigastric pain. Dark red tongue with dark spots on the sides, choppy or wiry tight pulse.
复元活血汤 Fu Yuan Huo Xue Tang
FromYi xue fa ming
Ingredients:
Dang Gui (radix angelicae sinensis)…9g
Tao Ren (semen persicae)…9g
Hong Hua (flos carthami tinctorii)…6g
Chuan Shan Jia (squama manitis pentadactylae)…6g
Jiu Zhi Da Huang (wine treated radix and rhizoma rhei)…30g
Tian Hua Fen (radix trichosanthis kirilowii)…9g
Chai Hu (radix bupeuri)…15g
Gan Cao (radix glycyrrhizae uralensis)…6g
Actions: invigorate blood, moves Blood Stasis, soothe Liver Qi, unblock channels
Indications: for upper body unbearable pain due to traumatic injury, especially in the chest and hypochondria.
温经汤Wen Jing Tang
Ingredients:
Wu Zhu Yu (Fructus Evodiae)
Gui Zhi (Ramulus Cinnamomi)
Dang Gui (Radix Angelicae Sinensis)
Chuan Xiong (radix ligustici chuanxiong)
Bai Shao (Radix Alba Paeoniae)
Mu Dan Pi (Cortex Moudan)
E Jiao (Gelatinum Corii Asini)
Mai Men Dong (Tuber Ophiopgonis)
Dang Shen (Radix Codonopsis)
Ban Xia (Rhizoma Pinelliae)
Gan Cao (Radix Glycyrrhizae)
Sheng Jiang (uncooked Rhizoma Zingiberis)
Actions: Warms the womb, dispels cold, nourishes the blood, and dispels blood stasis
Indications: For irregular menstruation due to deficiency and coldness in the Chong (Vital) and Ren (Conception) channels; manifestations are early or late menses, persistent but mild uterine bleeding; continuous or extended menstrual flow; bleeding or spotting between cycles; distension, pain, and cold in the lower abdomen; low grade fever in the evenings; dry mouth and lips, warm feeling in the palms and soles; incapability to conceive.
生化汤Sheng Hua Tang
Fu qing zhu nu ke
Ingredients:
Dang Gui (radix angelicae sinensis)…24g
Chuan Xiong (radix ligustici chuanxiong)…9g
Tao Ren (semen persicae)…6g
Pao Jiang (quick fried rhizoma zingiberis officinalis)…2g
Zhi Gan Cao (honey fried radix glycyrrhizae uralensis)…2g
Actions: invigorates blood, moves Blood Stasis, warms womb, relieves pain
Indications: retention of lochia with cold and pain in the low abdomen, pale purple tongue or pale tongue with purple spots, thin deep and choppy pulse.
第二节 止血 Stop bleeding
小蓟饮子Xiao Ji Yin Zi
From Ji sheng fang
Ingredients:
Xiao Ji (herba cephalenoplos)…15g
Ou Jie (nodus nelumbinis nuciferae rhizomatis)…9g
Chao Pu Huang (dry fried pollen typhae)…9g
Sheng Di Huang (radix rehmanniae glutinosae)…30g
Hua Shi (talcum)…15g
Mu Tong (caulis mutong)…6g
Dan Zhu Ye (herba lophatheri gracilis)…9g
Zhi Zi (fructus gardeniae jasminoidis)…9g
Dang Gui (radix angelicae sinensis)…6g
Zhi Gan Cao (honeu fried radix glycyrrhizae uralensis)…6g
Actions: cools blood, stops bleeding, promotes urination, treats Lin syndrome
Indications: bloody urine, urinary frequency urgency burning pain (Xue Lin), or simple blood in urine, thirst, irritable, red tongue with thin yellow coat, rapid forceful pulse.
十灰散Shi Hui San
From Shi yao shen shu《十药神书》
Ingredients:
Da Ji (herba seu radix cirsii japonici)…9g
Xiao Ji (herba cephalanoplos)…15g
He Ye (folium nelumbinis nuciferae)…9g
Ce Bai Ye (cacumen biotae orientalis)…9g
Bai Mao Gen (rhizoma imperatae cylindricae)…30g
Qian Cao Gen (radix rubiae cordifoliae)…12g
Zhi Zi (fructus gardeniae jasminoidis)…12g
Da Huang (radix and rhizoma rhei)…9g
Mu Dan Pi (cortex moutan radicis)…9g
Zong Lu Pi (fibra stipulae trachycarpi)…6g
Actions: cools blood, stops bleeding
Indications: bleeding including vomiting, spitting or coughing up blood. Red tongue and rapid pulse.
咳血方Ke Xue Fang
From Dan xi xin fa《丹溪心法》
Ingredients:
Qing Dai (indigo pulverata levis)…6-9g
Zhi Zi (fructus gardeniae jasminoidis)…9g
Gua Lou Ren (fructus trichosanthis)…9g
Fu Hai Shi (pumice)…9g
He Zi (fructus terminaliae chebulae)…6-9g
Actions: clears Fire, transforms Phlegm, preserves Lungs, stops coughing & bleeding
Indications: coughing up blood streaked sputum which is difficult to expectorate, bitter taste in mouth, irritability, easily angered, constipation, red cheeks, red tongue with yellow coat, wiry rapid pulse.
黄土汤Huang Tu Tang
From Jin gui yao lue《金匮要略》
Ingredients:
Zao Xin Tu (terra flava usta)…30g
Sheng Di Huang (radix rehmanniae glutinosae)…9g
E Jiao (gelatinum corii asini)…9g
Bai Zhu (rhizoma atractylodis macrocephalae)…9g
Gan Cao (radix glycyrhizae uralensis)…9g
Fu Zi (radix lateralis aconiti carmichaeli praeparata)…9g
Huang Qin (radix scutellariae baicalensis)…9g
Actions: warms Yang, strengthens Spleen, nourishes blood, stops bleeding
Indications: blood in stool, vomit, nose, or abnormal uterine bleeding that is pale red and accompanied by cold extremities, dull complexion, pale tongue with white coat, deep thin weak pulse.
槐花散 Huai Hua San
Pu ji ben shi fang《本事方》
Ingredients:
Huai Hua (flos sophorae japonicae)…12g
Ce Bai Ye (cacumen biotae orientalis)…12g
Jing Jie Sui (herba seu flos schizonepetae tenurfoliae)…6g
Zhi Ke (fructus citri seu ponciri)…6g
Actions: cools the intestines, stops bleeding, disperses Wind, moves Qi
Indications: bright red rectum bleeding which precedes or following the passage of stool, blood in stool, hemorrhoids with bright or dark red bleeding, red tongue, rapid pulse.
