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Liang Xue Di Huang Tang Jia Jian凉血地黃汤加減

Modified Cool Blood Rehmannia Decoction

Medicinals
12

Composition

  • Sheng Di HuangRx. Rehmanniae12 g

    Clears Heat, cools the Blood, nourishes *Yin and generates fluids.*

    cools Heat in the Lungs and Stomach, stopping hemoptysis and hematemesis.
  • Dang GuiRx. Angelicae Sinensis9 g

    Tonifies, activates and harmonizes the Blood, moistens the Intestines, unblocks the bowels, reduces swelling, expels pus, generates flesh and alleviates pain.

  • Huang QinRx. Scutellariae9 g

    Clears Heat, drains Fire and detoxifies, cools the Blood and stops bleeding.

    for bloody stool due to Intestinal Wind and abdominal pain associated with Intestinal abscess.
    for constipation.
  • Huai Hua MiFlos. Sophorae Immaturus9 g

    Cools the Blood and stops bleeding.

    for Pathogenic Heat injuring the collaterals in Intestinal Wind with hemafecia or bleeding hemorrhoids.
  • Di YuRx. Sanguisorbae9 g

    Cools the Blood, stops bleeding, clears Toxic Heat, astringes fluids and generates flesh.

    • Huai Hua Mi
    for hot, bleeding hemorrhoids or other Intestinal bleeding.
  • Jing JieHb. Schizonepetae9 g

    Stops bleeding.

    for Intestinal Wind with bleeding from the rectum.
    • Huai Hua Mi
    for hemafecia.
    • Huai Hua Mi
    • Zhi Ke
    for Rectal bleeding from Intestinal Wind or hemorrhoids.
  • Chi ShaoRx. Paeoniae Rubra9 g

    Activates the Blood, dispels Blood Stasis, relieves pain, clears Heat, cools the Blood and reduces swelling from sores and abscesses.

    for chronic accumulation in the abdomen, blockage of urine, constipation, Qi rushing upward to the Heart, abdominal distention and rebellious damage from food and drink.
  • Tian Hua FenRx. Trichosanthis9 g

    Drains Heat, generates Fluids, relieves toxicity, expels pus and reduces swelling.

  • Zhi KeFr. Aurantii6 g

    Promotes the movement of Qi, reduces distention and pressure and resolves hardenings.

    relaxes the bowels and encourages the downward flow of turbid Yin.
  • Sheng MaRz. Cimicifugae6 g

    Clears Heat and relieves toxicity.

  • Da HuangRx. et Rz. Rhei6 g

    Drains Heat, purges accumulations, drains Heat from the Blood, activates the Blood, dispels Blood Stasis and reduces Fire toxicity.

    for a feeling of fullness and distention due to Heat Accumulation.
    for bleeding due to Blood Heat.
    for Blood Stasis.
    for parched, dry stools with damaged Yin.
  • Huang LianRz. Coptidis6 g

    Clears Heat, drains Fire, resolves Fire toxicity, clears Heat and stops bleeding.

    for explosive diarrhea and dysentery with burning pain in the anus or fetid, filthy stools and abdominal pain.

Actions

  • Removes Heat
  • Brings moisture to relieve Dryness
  • Brings a cooling action to the Blood
  • Halts bleeding

Patterns treated

Heat combined with Dryness

Manifestations

  • Hemorrhoids that sometimes extend beyond the anus
  • Stool that is dry
  • Difficulty with bowel movements
  • Possibly a sudden, forceful release of fresh Blood from the anus
  • Difficulty passing stool
  • Distention or a feeling of fullness in the abdomen
  • Dryness of the mouth
  • Feeling thirsty
  • Urine that is dark in color
Tongue body
Red in color and dry in texture
Coating
A coating both dry and yellow in appearance
Pulse
A pulse that is Rapid

Indications

  • Piles
  • Difficulty passing stool

Modifications