Clear Heat and Stop Excessive Uterine Bleeding Decoction
Chinese Prescription: Qing Re Zhi Beng Tang
English Translation: Clear Heat and Stop Excessive Uterine Bleeding Decoction
Formula Type: Clear Heat and Stop Bleeding
Actions: Clears heat & stops bleeding.
Indications: For abnormal movement of blood due to heat. Presents as abnormal uterine bleeding with large quantities of bright red blood & dry lips & mouth. Tongue coat is yellow & pulse is rapid.
Contraindications: Unknown.
Pinyin | English | Suggested Dosage |
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view: Zhi Zi |
Gardenia | 9g |
view: Huang Qin |
Dry-Fried Scutellaria Baicalensis | 15g |
view: Huang Bai |
Phellodendron Bark | 9g |
view: Sheng Di Huang |
Unprepared Rehmannia | 24g |
view: Mu Dan Pi |
Moutan Root Bark | 9g |
view: Di Yu |
Sanguisorba-Burnet Root | 24g |
view: Ce Bai Ye Tan |
Biota or Arborvitae Leaves Charred | 30g |
view: Chun Gen Pi |
Ailanthus | 30g |
view: Gui Ban (Duan) |
Turtle Shell, ventral part, calcined | 15g |
view: Bai Shao Yao |
White Peony | 30g |
Zhi Zi / Gardenia, Cape Jasmine Fruit | |||
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Taste: Bitter • Temperature: Cold • Category: Clear Heat • Sub Category: Drain Fire | |||
Dosage3-12g |
Actions1. Clears heat & eliminates irritability: for heat patterns with fever, irritability, restlessness, a stifling sensation in the chest, insomnia, or delirious speech.2. Dries damp-heat: for painful urinary dysfunction due to damp-heat in the lower burner; damp-heat & constrained Liver & Gallbladder (middle burner) with jaundice; & damp-heat in the Gallbladder & Triple Burner channels of the face, affecting the nose & eyes or causing sores in the mouth or facial region. 3. Cools the blood & stops bleeding: for heat in the blood with such symptoms as nosebleed, or blood in the vomit, stool, or urine. For this purpose, the herb is partiallly charred. 4. Reduces swelling & moves blood stasis due to trauma: for this purpose, apply topically as a powder mixed with egg white or vinegar. |
MeridiansHeart, Liver, Lung, Stomach, Triple Burner |
CautionsContraindicated in cases of loose stool or loss of appetite due to cold from deficiency. |
Huang Qin / Scute or Baical Skullcap Root | |||
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Taste: Bitter • Temperature: Cold • Category: Clear Heat • Sub Category: Drain Damp | |||
Dosage6-15g |
Actions1. Clears heat & drains fire, especially from the upper burner: for heat patterns with high fever, irritability, thirst, cough, & expectoration of thick, yellow sputum, or hot sores & swellings. In treating the latter it can be applied topically or taken internally.2. Clears heat & dries dampness: a major herb for damp-heat in the Stomach or Intestines, which manifests as diarrhea or dyenteric disorder; damp warm-febrile disease, which presents with fever, stifling senstaion in the chest, & thirst but inability to drink; or for damp-heat in the lower burner with painful urinary dysfunction. Used as a an auxiliary herb for damp-heat jaundice. |
MeridiansGallbladder, Large Intestine, Lung, Stomach |
CautionsContraindicated in cases of heat from deficiency in the Lungs, cold diarrhea o any other condition with cold in the middle burner, & restless fetus due to cold in the blood. May counteract mu dan pi & li lu. |
Huang Bai / Phellodendron Bark | |||
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Taste: Bitter • Temperature: Cold • Category: Clear Heat • Sub Category: Drain Damp | |||
Dosage3-12g |
Actions1. Drains damp-heat, particularly from the lower-burner: for such problems as thick, yellow vaginal discharge, foul-smelling diarrhea, or dysenteric disorder. Also for damp-heat pouring downward or hot leg qi with such symptoms as red, swollen, & painful knees, legs, or feet. Also for damp-heat jaundice.2. Drains Kidney fire: for ascending Kindey fire with signs of yin deficiency such as steaming bone disorder, night sweats, afternoon fevers & sweating, sometimes accompanied by nocturnal emissions & spermatorrhea. 3. Drains fire & relieves toxicity: for fire toxin generated sores & damp lesions of the skin. |
MeridiansKidney, Bladder |
CautionsContraindicated in cases of Spleen deficiency with or without diarrhea. Toxicity: There has been one case reported of a patient who developed a rash after ingestion of huang bai. When the patient was later skin-tested, there was a very strong local reaction. |
Sheng Di Huang / Rehmannia Root, Unprepared | |||
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Taste: Sweet, Bitter • Temperature: Cold • Category: Clear Heat • Sub Category: Cool Blood | |||
Dosage9-30g |
Actions1. Clears heat & cools the blood: for all warm-febrile diseases where heat enters the nutritive level causing very high fever, thirst, & a scarlet tongue. Also indicated in cases of hemorrhage due to heat entering the blood level.2. Nourishes the yin & generates fluids: for yin deficiency with heat signs, as well as injury to the body's fluids. Manifestations include dry mouth, continuous low-grade fever, & constipation. Also for throat pain associated with yin deficiency. 3. Cools the upward-blazing of Heart fire: for mouth & tongue sores, & for irritability, insomnia, afternoon or low-grade fevers, & malar flush. 4. Wasting & thirsting disorder. |
MeridiansHeart, Kidney, Liver |
CautionsContraindicated in cases of Spleen deficiency with dampness, yang deficiency, & in pregnant women with blood deficiency or Spleen or Stomach deficiency. |
Mu Dan Pi / Moutan root bark - tree peony root bark | |||
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Taste: Acrid, Bitter • Temperature: Cool • Category: Clear Heat • Sub Category: Cool Blood | |||
Dosage6-12g |
Actions1. Clears heat & cools the blood: for heat entering the blood level during a warm-febrile disease with such symptoms as nosebleed, blood in the sputum or vomit, or subcutaneous bleeding. Also for frequent & profuse menstruation due to heat in the blood.2. Clears fire from deficiency: for yin deficiency patterns such as steaming-bone disorder, particularly in the aftermath of a warm-febrile disease. Most suitable in the absence of sweating. 3. Invigorates the blood & dispels blood stasis: for Liver blood stasis patterns with amenorrhea, abdominal masses, lumps, or bruises due to traumatic injury. 4. Clears ascending Liver fire: for such symptoms as headaches, eye pain, flank pain, flushing, & dysmenorrhea. 5. Drains pus & reduces swelling: used topically for firm non-draining sores or internally for Intestinal abscess. |
MeridiansHeart, Liver, Kidney |
CautionsContraindicated for cold disorders, during pregnancy or excessive menstruation, & for yin deficiency with excessive sweating. May counteract the effects of tu si zi, bei mu, & da huang, & should be avoided when using garlic. |
Di Yu / Sanguisorba Root | |||
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Taste: Bitter, Sour • Temperature: Slightly Cold • Category: Regulate Blood • Sub Category: Stop Bleeding | |||
Dosage6-15g |
Actions1. Cools the blood & stops bleeding: especially for bleeding in the lower burner due to damp-heat with such symptoms as blood in the stool, bleeding hermorrhoids, bloody dysenterial disorders, & excessive uterine bleeding. Also used for vomiting blood & nosebleed.2. Clears heat & generates flesh: applied topically for sores, ulcers, & injuries from burns. It both reduces the oozing by holding in the fluids, & promotes the generation of new flesh. |
MeridiansLiver, Large Intestine, Stomach |
CautionsContraindicated in cases of cold from deficiency. |
Ce Bai Ye Tan / Biota or Arborvitae Leaves Charred | |||
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Taste: Bitter, Astringent • Temperature: Slighlty Cold • Category: Regulate Blood • Sub Category: Stop Bleeding | |||
Dosage6-15g, charred, or as powder in ointment base for burns |
Actions1. Cools the blood & stops bleeding: widely used for various bleeding disorders including vomiting blood, bleeding gums, coughing of blood, blood in the stool or urine, bloody dysenterial disorders, & uterine bleeding. Owing to its slighlty cold nature, this herb is effectively used in treating patterns of hot blood, but it may also be used with warming herbs for bleeding associated with cold patterns.2. Stops coughing & expels phlegm: for Lung heat patterns with cough & accumulation of phlegm. Especially important in cases of difficuly to expectorate sputum streaked blood. 3. Promotes healing of burns: used topically in powdered form for the early stages of burns over a small to moderate surface area. |
MeridiansHeart, Liver, Large Intestine |
CautionsLong-term ingestion or a large dose may cause dizziness, nausea, &/or vomiting. |
Chun Gen Pi / Ailanthus bark or root bark | |||
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Taste: Bitter, Astringent • Temperature: Cold • Category: Stabilize & Bind • Sub Category: | |||
Dosage3-15g |
Actions1. Clears heat, dries dampness, & binds up the Intestines: for chronc diarrhea or dysenteric disorders, especially those due to damp-heat. Particularly useful when there is blood in the stool. Also used for chronic vaginal discharge due to damp-heat.2. Kills parasites: for roundworms. Used externally for pruritic tinea-like rashes. |
MeridiansLarge Intestine, Stomach |
CautionsAccording to some traditional sources, this herb should not be used in cases of cold & deficiency of the Spleen & Stomach, or where there is significant Kidney yin deficiecy. |
Gui Ban (Duan) / Turtle Shell, Fresh Water-Ventral Part, calcined | |||
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Taste: Salty, Sweet • Temperature: Cold • Category: Tonic • Sub Category: Tonify Yin | |||
Dosage9-30g, crush & cook 30 minutes before adding other ingredients |
Actions1. Nourishes the yin & anchors the yang: for yin deficiency with ascendant yang with such symptoms as night sweats, dizziness, tinnitus, & steaming bone disorder. Also for yin deficiency of the Liver & Kidneys that generates internal wind symptoms such as facial spasms & tremors of the hands & feet.2. Benefits the Kidneys & strengthens the bones: for Kidney yin deficiency with such signs as soreness of the lower back & weakness in the legs, retarded skeletal development in children, or failure of the fontanel to close. 3. Cools blood & stops uterine bleeding: for excessive menstruation or uterine bleeding casued by reckless movement of hot blood. 4. Nourishes the blood & tonifies the Heart: for Heart deficiency with anxiety, insomnia, & forgetfulness. 5. Also for nonhealing sores & ulcerations. |
MeridiansHeart, Kidney, Liver |
CautionsAncient sources would indicate that this substance is contraindicated during pregnancy because it softens hardness, expels stasis, & aids in difficult births. Also contraindicated in cases with damp-cold Stomach, or diarrha due to yang deficiency. According to some traditional sources, this substance antagonizes Sha Shen & Ren Shen. |
Bai Shao Yao / Peony (White) | |||
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Taste: Bitter, Sour • Temperature: Cool • Category: Tonic • Sub Category: Tonify Blood | |||
Dosage6-15g, very large doses up to 30 g |
Actions1. Nourishes the blood & regulates the menses: for blood deficiency with such symptoms as menstrual dysfunction, vaginal discharge, & uterine bleeding. This is a very commonly used herb for treating women's disorders.2. Calms & curbs the Liver yang & alleviates pain: for such symptoms as flank, chest, or abdominal pain from either constrained Liver qi or disharmony between the Liver & Spleen. In general, this herb is used to "soften & comfort" the Liver, stop painful spasms in the abdomen, stop cramping pain or spasms in the hands & feet, & alleviate abdominal pain associated with dysentric disorders. It is also used for headache & dizziness due to ascendant Liver yang. 3. Preserves the yin & adjusts the nutritive & protective levels: for vaginal discharge & spermatorrhea, as well as exterior wind-cold from deficiency patterns with continuous sweating that does not resolve the problem. It is also used for yin deficiency where the yang floats to the surface causing spontaneous sweating or night sweats. |
MeridiansLiver, Spleen |
CautionsUse with caution in cases of diarrhea due to cold from deficiency, & in patients with weak yang & cold from deficiency. May antagonize shi hu & mang xiao, may counteract with bie jia & xiao ji, & may be incompatible with li lu. |