HERB FORMULAS

DI YU SAN ER HAO - 地榆散二号 - SANGUISORBA POWDER #2

English: Sanguisorba Powder #2
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Sanguisorbae Di Yu 12-15g Cools the Blood, stops bleeding, clears Toxic Heat, astringes fluids and generates flesh.
With Qian Cao Gen, for hemorrhage due to Damp-Heat in the Lower Jiao.
Rx. Rubiae Qian Cao Gen 12-15g Cools the Blood, stops bleeding, activates the Blood and dispels Blood Stasis.
With Huang Lian and Huang Qin, for Bloody dysentery.
Fr. Gardeniae Zhi Zi 9-12g Clears Heat, reduces Fire, drains Damp-Heat, cools and activates the Blood, relieves toxicity and reduces swelling.
Rx. Scutellariae Huang Qin 9-12g Clears Heat, dries Dampness, drains Fire, detoxifies, cools the Blood and stops bleeding.
With Huang Lian, for explosive diarrhea and dysentery with burning pain in the anus or fitted, filthy stools and abdominal pain.
With Di Yu, for bloody stool due to Intestinal Wind.
With Zhi Zi, for Damp-Heat and jaundice.
Rz. Coptidis Huang Lian 6-9g Clears Heat, drains Dampness, drains Fire, resolves Fire toxicity and stops bleeding.
Poria Fu Ling 12-15g Promotes urination and leaches out Dampness.
Sm. Phaseoli Chi Xiao Dou 30g Promotes urination, reduces edema, clears Damp Heat, disperses Blood Stasis, reduces swelling, reduces Fire toxicity and dispels pus.
With Dang Gui, resolves toxicity, disperses Blood and expels pus, for Intestinal Wind due to Damp-Heat (the passage of Blood preceding the stool) or bleeding hemorrhoids.
Rx. Angelicae Sinensis Dang Gui 9-12g Tonifies, activates and harmonizes the Blood, moistens the Intestines, unblocks the bowels, reduces swelling, expels pus, generates flesh and alleviates pain.

FORMULA ACTIONS

  • Clears Heat
  • Transforms Dampness
  • Cools the Blood
  • Stops bleeding

SYNDROMES

  • Damp-Heat in the Large Intestine

CLINICAL MANIFESTATIONS

  • Difficulty passing stools
  • Diarrhea with tenesmus which intensifies after defecation
  • Frequent stools which are small in quantity
  • Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and Blood
  • The stools may be loose or firm depending on the ratio of Dampness to Heat
  • Burning hot sensation in anus
  • Abdominal pain, fullness and distention
  • Urine short and red
  • Sustained fever despite profuse perspiration or
  • Raging fever in the afternoon
  • Severe cases: High fever and coma
  • Mouth dry but no desire to drink
  • A sticky sensation in the mouth
  • A bitter taste in the mouth
  • Body heavy
  • Limbs tired
  • Fullness in chest
  • Lump in epigastrium
  • Anorexia
  • Vomiting
  • T: Red
  • C: Yellow and greasy
  • P: Slippery and rapid or Soft and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For copious bleeding: For Dampness predominant:
+ 12-15g Flos Sophorae Huai Hua Mi + 6-9g Rz. Atractylodis Cang Zhu
+ 12-15g Cacumen Platycladi Ce Bai Ye For constipation:
+ 6-9g processed Rx. et Rz. Rhei Zhi Da Huang
For difficult or sluggish stools or tenesmus:
+ 9-12g Rz. Acori Tatarinowii Bing Lang For abdominal or hypochondriac pain:
+ 6-9g Rx. Aucklandiae Mu Xiang
+ 6-9g Rx. Aucklandiae Mu Xiang + 9-12g Rz. Corydalis Yan Hu Suo
For swelling and pain:    
+ one or two of the following:
    
18-30g Flos Lonicerae Jin Yin Hua    
9-12g Fr. Forsythiae Lian Qiao    
9-12g Rx. Sophorae Flavescentis Ku Shen    
   
9-12g Cx. Phellodendri Huang Bai