Shi Hui San

Ten Partially-Charred Substances Powder

A J I F D
B

Chief (a) Da Ji Cools the xue and stops bleeding.

(b) Xiao Ji
(c) He Ye
(d) Ce Bai Ye
(e) Bai Mao Gen
(f) Qian Cao Gen

(g) Zong Lu Pi Stopping the bleeding.

Deputy (h) Zhi Zi Clears heat (Liver) and drains fire (through the
urine).

(i) Da Huang Conducts the Liver and Stomach heat downward

and drains it through the stool.
Assistant (j) Mu Dan Pi (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

Chief (a) Ce Bai Ye Cools the xue and stops bleeding.

Deputy (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.

Assistant/ (c) He Ye Stops bleeding and harmonizes the blood by

Envoy (d) Ai Ye 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 bright-

red 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

E
B C

Chief (a) Qing Dai Disperses the fire from constraint and prevents
Liver fire from influencing the Heart and Lungs.

Conducts the qi downward, clearing heat from the

(b) Zhi Zi Heart and relieving the irritability.

Together = Clears the Liver, drains the fire, and

cools the xue.

Deputy (c) Gua Lou Ren Cools the transforms hot phlegm and reduces the
(d) Fu Hai Shi fire.
Assistant/ (e) He Zi Cools, restrains, and help the Lungs direct the qi
Envoy 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

C
D

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.

Assistant (d) Zhi Ke Promotes the movement of qi and thereby relaxes

the Intestines.

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 C D E
A

F G

I J H

Chief (a) Xiao Ji Cool the xue and stop bleeding.

Deputy (b) Ou Jie Assist the chief herb, reduce yu, enabling the formula to
(c) Pu Huang stop bleeding without causing yu.
Assistant (d) Sheng Di Huang 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 Clear & drain fire & heat from the Ht, Lungs, and S.J.,
(g) Dan Zhu Ye eliminating the heat by conducting it downward.
(h) Zhi Zi
Nourish and harmonize xue, leading it back into the
(i) Dang Gui channels and preventing the formation of xue yu.
Envoy (j) Zhi Gan Cao 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 H
J
D

E
I

B C

Chief (a) Zhi Zi (all address the root)

(b) Chao Huang Qin Clear heat from the Liver
(c) Huang Bai

(d) Sheng Di Huang

(e) Mu Dan Pi Cool the Liver xue.
Deputy (f) Di Yu Addresses the manifestation, i.e. the bleeding
(g) Ce Bai Ye Tan itself.
(h) Chun Gen Bai Pi
Assistant Chao Huang Qin Assists in stopping the bleeding in the context
of heat patterns.
Envoy (j) Duan Gui Ban Nourish the yin and xue, calm the Liver, and
(k) Bai Shao 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

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 E
F

B
D C

Chief (a) Zao Xin Tu Warms the middle, harmonizes the Stomach,
(Can use Chi Shi restrains the Intestines, and stops the bleeding by
Zhi as a stabilizing the lower burner.
substitution)
Deputy (b) Bai Zhu Warm the yang and strengthen the Spleen, thereby
(c) Fu Zi restoring the ability of the Spleen and Stomach qi
to govern the xue.

Assistant (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.

Envoy (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

D
C

Chief (a) E Jiao Tonifies the xue and stops bleeding.

(b) Ai Ye Warms the womb, calms the restless fetus, and

stops bleeding.
Deputy (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
Assistant (g) Gan Cao Harmonizes the actions of the other ingredients,
and potentates the hemostatic action of E Jiao.

Envoy 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.