HERB FORMULAS

LIANG XUE DI HUANG TANG JIA JIAN - 凉血地黃汤加減 - MODIFIED COOL BLOOD REHMANNIA DECOCTION

English: Modified Cool Blood Rehmannia Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Rehmanniae Sheng Di Huang 12g Clears Heat, cools the Blood, nourishes Yin and generates fluids.
With Sheng Ma, cools Heat in the Lungs and Stomach, stopping hemoptysis and hematemesis.
Rx. Angelicae Sinensis Dang Gui 9g Tonifies, activates and harmonizes the Blood, moistens the Intestines, unblocks the bowels, reduces swelling, expels pus, generates flesh and alleviates pain.
Rx. Scutellariae Huang Qin 9g Clears Heat, drains Fire and detoxifies, cools the Blood and stops bleeding.
With Di Yu, for bloody stool due to Intestinal Wind and abdominal pain associated with Intestinal abscess.
With Da Huang, for constipation.
Flos. Sophorae Immaturus Huai Hua Mi 9g Cools the Blood and stops bleeding.
With Huang Qin, for Pathogenic Heat injuring the collaterals in Intestinal Wind with hemafecia or bleeding hemorrhoids.
Rx. Sanguisorbae Di Yu 9g Cools the Blood, stops bleeding, clears Toxic Heat, astringes fluids and generates flesh.
With Huai Hua Mi, for hot, bleeding hemorrhoids or other Intestinal bleeding.
Hb. Schizonepetae Jing Jie 9g Stops bleeding.
With Dang Gui, for Intestinal Wind with bleeding from the rectum.
With Huai Hua Mi, for hemafecia.
With Huai Hua Mi and Zhi Ke, for Rectal bleeding from Intestinal Wind or hemorrhoids.
Rx. Paeoniae Rubra Chi Shao 9g Activates the Blood, dispels Blood Stasis, relieves pain, clears Heat, cools the Blood and reduces swelling from sores and abscesses.
With Da Huang, 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.
Rx. Trichosanthis Tian Hua Fen 9g Drains Heat, generates Fluids, relieves toxicity, expels pus and reduces swelling.
Fr. Aurantii Zhi Ke 6g Promotes the movement of Qi, reduces distention and pressure and resolves hardenings.
With Sheng Ma, relaxes the bowels and encourages the downward flow of turbid Yin.
Rz. Cimicifugae Sheng Ma 6g Clears Heat and relieves toxicity.
Rx. et Rz. Rhei Da Huang 6g Drains Heat, purges accumulations, drains Heat from the Blood, activates the Blood, dispels Blood Stasis and reduces Fire toxicity.
With Huang Lian, for a feeling of fullness and distention due to Heat Accumulation.
With Huang Lian and Huang Qin, for bleeding due to Blood Heat.
With Dang Gui, for Blood Stasis.
With Sheng Di Huang, for parched, dry stools with damaged Yin.
Rz. Coptidis Huang Lian 6g Clears Heat, drains Fire, resolves Fire toxicity, clears Heat and stops bleeding.
With Huang Qin, for explosive diarrhea and dysentery with burning pain in the anus or fetid, filthy stools and abdominal pain.

FORMULA ACTIONS

  • Clears Heat
  • Moistens Dryness
  • Cools the Blood
  • Stops bleeding

SYNDROMES

  • Dry-Heat

CLINICAL MANIFESTATIONS

  • Hemorrhoids which may protrude beyond the anus
  • Dry stools
  • Difficult defecation
  • May an explosive discharge of fresh Blood from the anus
  • Constipation
  • Abdominal distention or fullness
  • A dry mouth
  • Thirst
  • Dark colored urine
  • T: Red and dry
  • C: Dry and yellow
  • P: Rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe hemorrhoids: For severe bleeding:
+ 9g Fr. Aristolochiae Ma Dou Ling + Hb. sive Rx. Cirsii Japonici Da Ji
+ 6g Rx. Saposhnikoviae Fang Feng
For severe pain: + 6g Rz. Imperatae Bai Mao Gen
+ 9g Sm. Arecae Bing Lang For hemorhoids in robust, Yang Excess patients:
+ 12g Rz. Corydalis Yan Hu Suo - Rx. et Rz. Rhei Da Huang
    + 3-6g Rx. Glycyrrhizae Gan Cao