HERB FORMULAS

SI SHENG WAN - 四生囊 - FOUR-FRESH PILL

English: Four-Fresh Pill
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fresh Cacumen Platycladi Sheng Ce Bai Ye 12g Cools the Blood, stops bleeding, stops cough and asthma, expels Phlegm and clears and resolves toxicity.
With Sheng Di Huang, for all types of bleeding due to Heat in the Blood.
With Xian Ai Ye, Sheng Di Huang and Xian He Ye, for hemorrhage due to Blood Heat.
Rx. Rehmanniae Recens Sheng Di Huang 15-24g Clears Heat and cools the Blood.
Fresh Fol. Nelumbinis Xian He Ye 9-12g Removes Stagnation and stops bleeding.
Fresh Artemisiae Argyi Xian Ai Ye 6-9g Warms the channels, stops bleeding and alleviates pain.
With Sheng Ce Bai Ye, Sheng Di Huang and Xian He Ye, for epistaxis, hemoptysis, or hematemesis due to Blood Heat.

FORMULA ACTIONS

  • Cools the Blood
  • Stops Bleeding

SYNDROMES

  • Xue Stage: Excess Heat in the Blood Causes Bleeding

CLINICAL MANIFESTATIONS

  • Hemoptysis
  • Spitting Blood
  • Hematemesis
  • Epistaxis
  • Bright red Blood
  • A dry mouth
  • A dry throat
  • T: Red or Deep red
  • C: Yellow
  • P: Forceful, wiry and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • this formula should only be used acutely and discontinued when the bleeding has stopped.
  • Prolonged use may engender Blood Stasis.
HERB/DRUG INTERACTIONS

NOTES

  • This formula may be made by pounding the fresh herbs into a paste and forming pills or as a decoction.

MODIFICATIONS

For a stronger effect:
For severe coughing or spitting of Blood:
+ Nodus Nelumbinis Rhizomatis Ou Jie + Rz. Coptidis Huang Lian
+ Rx. et Rz. Rhei Da Huang
+ Rz. Imperatae Bai Mao Gen + Rx. Rubiae Qian Cao Gen
+ Hb. sive Rx. Cirsii Xiao Ji + Powdered Rx. Notoginseng San Qi
+ Hb. Agrimoniae Xian He Cao
For metrorrhagia:
For a bleeding peptic ulcer:
+ Ass-Hide Gelatin and Mugwort Decoction
Jiao Ai Tang
Yellow Earth Decoction
Huang Tu Tang
For severe bleeding:
For bleeding ulcers:
+ Rx. Rubiae Qian Cao Gen + Rx. Scutellariae Huang Qin
+ Hb. Ecliptae Mo Han Lian + Rz. Atractylodis Macrocephalae Bai Zhu
+ Nodus Nelumbinis Rhizomatis Ou Jie
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Colla Corii Asini E Jiao
+ Rx. Glycyrrhizae Gan Cao
For constipation due to Excess Heat:
    + Sm. Pharbitidis Qian Niu Zi
    + Rx. et Rz. Rhei Da Huang
    + Fr. Gleditsiae Zao Jiao
    + Natrii Sulfas Mang Xiao