HERB FORMULAS

SHI HUI SAN - 十灰散 - TEN PARTIALLY-CHARRED SUBSTANCES POWDER

English: Ten Partially-Charred Substances Powder
Also Known As: Powder of Ten Ingredients in Ash

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Hb. Siva Rx. Cirsii Japonici Da Ji 9-30g Cools the Blood and stops bleeding.
With Qian Cao Gen, for hematemesis and epistaxis due to Blood Heat.
With Xiao Ji, for hematuria due to Blood Heat and Heat induced hemorrhages.
With Xiao Ji and Bai Mao Gen, for hemorrhage due to Heat.
With Xiao Ji, Bai Mao Gen, Ce Bai Ye and Qian Cao Gen, for hematemesis and hemoptysis.
Hb. Cirsii Xiao Ji 9-30g Cools the Blood and stops bleeding.
With Bai Mao Gen, for bleeding due to Blood Heat, especially hematuria due to Heat.
Fol. Nelumbinis He Ye 9-10g Removes Stagnation and stops bleeding.
With Xiao Ji, Qian Cao Gen and Bai Mao Gen, all charred for sudden onset of bleeding.
Cacumen Platycladi Ce Bai Ye 9-30g Cools the Blood and stops bleeding.
With Xiao Ji, Bai Ji and Bai Mao Gen, for epistaxis with bright red Blood due to Heat forcing the Blood upward and hematemesis caused by Heat in the Bladder.
Rz. Imperatae Bai Mao Gen 9-30g Cools the Blood, stops bleeding, clears Heat and promotes urination.
With Ge Gen, for warm febrile disease with nausea and vomiting.
Rx. Rubiae Qian Cao Gen 9-15g Cools the Blood, stops bleeding, invigorates the Blood and dispels Blood Stasis.
Fr. Gardeniae Zhi Zi 9-12g Clears Heat, reduces Fire, eliminates irritability, drains Damp-Heat, cools the Blood, relieves toxicity and stops bleeding by astringing.
With Mu Dan Pi, resolves Qi Level Stagnation leading to Heat and Heat in the Blood, for irregular menstruation, headache, red eyes, and thirst due to Liver Qi Heat from Stagnation and dysmenorrhea, headache, dry, scratchy eyes and intercostal pain due to Liver Blood Deficiency.
With Bai Mao Gen, for Epistaxis, hematemesis, or hematuria.
With Da Huang, for constipation.
With Da Ji, Xiao Jia and Ce Bai Ye, for hematemesis and epistaxis.
Rx. et Rz. Rhei Da Huang 9-10g Drains Heat, purges accumulations, drains Fire, drains Heat from the Blood, invigorates the Blood and dispels Blood Stasis.
Cx. Moutan Mu Dan Pi 9-12g Clears Heat, cools, harmonizes and invigorates the Blood, dispels Blood Stasis and clears Liver Fire.
With Bai Mao Gen, for hematuria, hematemesis, and epistaxis due to Warm Febrile Disease.
Petiolus Trachycarpi Zong Lu Pi 6-10g Astringes leakage of Blood and stops bleeding.
With Da Ji, Xiao Ji, Bai Mao Gen and Zhi Zi, for bleeding due to Blood Heat.
With Da Ji, Xiao Ji, Bai Mao Gen, Ce Bai Ye and Qian Cao Gen, for hemoptysis and hematemesis.
With Ce Bai Ye, for excessive menstrual bleeding due to Heat in the Blood.

FORMULA ACTIONS

  • Cools the Blood
  • Stops bleeding
  • Clears Heat
  • Drains Fire

SYNDROMES

  • Bleeding due to Upper and Middle Jiao Fire
  • Bleeding due to Heat in the Blood
  • Bleeding due to Liver Attacking the Stomach

CLINICAL MANIFESTATIONS

  • Epistaxis
  • Hemoptysis
  • Hematemesis
  • Bright red Blood
  • Sudden onset
  • Bloody saliva
  • T: Red
  • P: Rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Discontinue as soon as bleeding stops.
  • The patient must lie quietly during the treatment.
  • Contraindicated for those with bleeding due to Deficiency and/or Cold.
HERB/DRUG INTERACTIONS

NOTES

  • Burn the above ingredients into ashes. Mix with fresh lotus node or white turnip juice and make into pills.

MODIFICATIONS

For more intense Fire and heat in the Blood, use as a decoction: For hematemesis in bronchiectasis:
+ More Rx. et Rz. Rhei Da Huang + Rx. Notoginseng San Qi
+ More Fr. Gardeniae Zhi Zi + Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ Rx. Achyranthis Bidentatae Niu Xi + Powdered Rz. Bletillae Bai Ji
+ Haematitum Dai Zhe Shi
For Hyphemia:
For gastrointestinal bleeding:
+ 10g Flos Carthami Hong Hua
+ Left Metal Pill
Zuo Jin Wan
For hemafecia:
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
For hemafecia with Blood Stagnation:
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
 - Fol. Nelumbinis He Ye
- Petiolus Trachycarpi Zong Lu Pi
- Fol. Nelumbinis He Ye + 15-30g Rz. Bletillae Bai Ji
- Petiolus Trachycarpi Zong Lu Pi
For hemafecia with epigastric pain:
+ 15-30g Rz. Bletillae Bai Ji
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
+ 3-6g Rx. Notoginseng San Qi
For hemafecia with epigastric pain and persistent focal gnawing pain and bleeding:
- Fol. Nelumbinis He Ye
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
 - Petiolus Trachycarpi Zong Lu Pi
+ 15-30g Rz. Bletillae Bai Ji
- Fol. Nelumbinis He Ye + 9-12g Rz. Corydalis Yan Hu Suo
- Petiolus Trachycarpi Zong Lu Pi + 9g Rx. Aucklandiae Mu Xiang
+ 15-30g Rz. Bletillae Bai Ji
For hemafecia with nausea:
+ 3g Endoconcha Sepiae Hai Piao Xiao
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
+ 3g Rx. Glycyrrhizae Gan Cao
For hemafecia with severe thirst:
- Fol. Nelumbinis He Ye
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
 - Petiolus Trachycarpi Zong Lu Pi
+ 15-30g Rz. Bletillae Bai Ji
- Fol. Nelumbinis He Ye + 9-12g Caulis Bambusae in Taeniam Zhu Ru
- Petiolus Trachycarpi Zong Lu Pi
+ 15-30g Rz. Bletillae Bai Ji + 12-15g Flos Inulae Xuan Fu Hua
+ 12-15g Hb. Dendrobii Shi Hu + 15 Haematitum Dai Zhe Shi
+ 12-15g Rx. Trichosanthis Tian Hua Fen
For hemafecia with constipation or dry stools:
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
For hematemesis:
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
 - Fol. Nelumbinis He Ye
- Petiolus Trachycarpi Zong Lu Pi
- Fol. Nelumbinis He Ye + 15-30g Rz. Bletillae Bai Ji
- Petiolus Trachycarpi Zong Lu Pi + 18-24g Rx. Scrophulariae Xuan Shen
For hematemesis with prolonged Heat causing Blood Stagnation:
+ 9-12g Rx. Ophiopogonis Mai Men Dong
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
+ 12-18g Rx. Rehmanniae Sheng Di Huang
- Fol. Nelumbinis He Ye
- Petiolus Trachycarpi Zong Lu Pi
For hematemesis with Fire:
+ 3-6g Rx. Notoginseng San Qi
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
For hematemesis with persistent focal distention and bleeding:
- Fol. Nelumbinis He Ye
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
 - Petiolus Trachycarpi Zong Lu Pi
+ 2 or 3 of the following:
- Fol. Nelumbinis He Ye 9-12g Hb. Violae Zi Hua Di Ding
- Petiolus Trachycarpi Zong Lu Pi 15-30g Hb. Taraxaci Pu Gong Ying
- Fol. Nelumbinis He Ye 24-30g Rz. Phragmitis Lu Gen
- Petiolus Trachycarpi Zong Lu Pi 9-12g Fructus Luffae Retinervus Si Gua Luo
+ 3-6g Powdered Endoconcha Sepiae Hai Piao Xiao
+ 3-6g Powdered Rz. Bletillae Bai Ji 9-12g Sm. Phaseoli Lu Dou
For hematemesis with excess gastric acid or heartburn:
+ 3-6g Powdered Rx. Glycyrrhizae Gan Cao
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
For hematemesis with epigastric pain:
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
 - Fol. Nelumbinis He Ye
- Petiolus Trachycarpi Zong Lu Pi
- Fol. Nelumbinis He Ye + 15g Endoconcha Sepiae Hai Piao Xiao
- Petiolus Trachycarpi Zong Lu Pi
+ 9-12g Rz. Corydalis Yan Hu Suo + 15g Concha Ostreae Mu Li
+ 6-9g Rx. Aucklandiae Mu Xiang For hematemesis with nausea:
For hematemesis with severe thirst:
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
- Fol. Nelumbinis He Ye
- Fol. Nelumbinis He Ye - Petiolus Trachycarpi Zong Lu Pi
- Petiolus Trachycarpi Zong Lu Pi + 9-12g Caulis Bambusae in Taeniam Zhu Ru
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru
+ 12-15g Flos Inulae Xuan Fu Hua
+ 12-15g Flos Inulae Xuan Fu Hua + 15g Haematitum Dai Zhe Shi
+ 15g Haematitum Dai Zhe Shi For hematemesis with constipation or dry stools:
   
+ Drain the Epigastrium Powder
San Huang Xie Xin Tang
   
    - Fol. Nelumbinis He Ye
    - Petiolus Trachycarpi Zong Lu Pi
    + 18-24g Rx. Scrophulariae Xuan Shen
   
    + 9-12g Rx. Ophiopogonis Mai Men Dong
   
    + 12-18g Rx. Rehmanniae Sheng Di Huang