Herbs that regulate the Blood– Stop BleedingHerbs that regulate the Blood– Stop Bleeding

Vomiting blood; nosebleed, coughing up blood; blood in the stool, blood in Vomiting blood; nosebleed, coughing up blood; blood in the stool, blood in the urine; excessive menstrution; abnormal uterine bleeding; or bleeding the urine; excessive menstrution; abnormal uterine bleeding; or bleeding associated with trumaassociated with truma

Stop Bleeding

Warm Ai YeAi Ye ；；

Astringent – Good for various type of bleeding Xian He Cao; Xian He Cao; Bai Ji;Bai Ji;

Cold – Cool the blood heat to stop bleeding

Da Ji; Di Yu; Huai Mi; Ce Bai Ye; Bai Mao Gen; Da Ji; Di Yu; Huai Mi; Ce Bai Ye; Bai Mao Gen; Xiao Ji; Huai Jiao; Zhu Ma Gen; Zi Zhu; Zong lu Pi;

Move blood stasis to stop bleeding San Qi; San Qi; Pu Huang; Pu Huang; Qian Cao;Qian Cao;

Herbs that stop bleedingHerbs that stop bleeding

Part OnePart One

Warm herbsWarm herbs

Ai Ye Ai Ye 艾叶艾叶

Ai Ye Ai Ye 艾叶艾叶

Pharmaceutical Name Citri reticulatae Exocarpium rubrum

Actions

1. Warms the Womb & stops bleeding

2. Disperse cold & alleviates pain

3. Eliminates dampness & stops itching

* Calms the fetus

Indications

(Excess & def.)

Prolonged menstrual bleeding & uterine bleeding due to cold from def.

Restless fetus

Cold abdominal pain

External wash for a variety of skin problems due to dampness

Dosage 3 - 9 g

Cook

Toxic Sym. Dry mouth, nausea, vomiting, gastric discomfort, diarrhea, and dizziness

Ai Ye Ai Ye 艾叶艾叶(Warm)(Warm)

Contraindications heat from yin def.

Ai Ye Ai Ye 艾叶艾叶 (Warm)(Warm)

Combinations

Indications Formular

E Jiao 阿胶 prolonged uterine bleeding, profuse bleeding during menstruation

Jiao Ai Tang

胶艾汤Gan Jiang 干姜 Prolonged uterine bleeding

Xiang Fu 香附 Abdominal pain due to cold from def. & Qi stag.

Ai Fu Nuan Gong Wan

艾附暖宫丸Wu Zhu Yu 吴茱萸

Xu Duan 续断 Severe cold from def. of the womb

Di Fu Zi 地肤子Bai Xian Pi 白藓皮

Variety of itching skin lesions due to cold-dampness

Dang Gui 当归Shu Di 熟地 Irregular menstruation

Herbs that stop bleedingHerbs that stop bleeding

Part TwoPart Two

Agents which are astringent & good for various type of Agents which are astringent & good for various type of bleedingbleeding

Xian He Cao Xian He Cao 仙鹤草仙鹤草

Bai Ji Bai Ji 白及白及

Xian He Cao Xian He Cao 仙鹤草仙鹤草

Pharmaceutical Name Agrimoniae Herba

Actions

1. Restrains leakage of blood and stops bleeding

2. Alleviates diarrhea & dysenteric disorders

3. Kills parasites

Indications

(Excess & def. )

Widely used for various types of bleeding

Chronic diarrhea

Tapeworm, malarial disorders

* Exhaustion ( 脱力草）

Dosage 3 -9 g

Cook

Toxic Sym. In rare case: nausea, vomiting

Xian He Cao Xian He Cao 仙鹤草仙鹤草( neutral )( neutral )

Contraindications Not for active pathogens due to astringent nature

Combinations

Indications Formular

Bai Mao Gen 白茅根 Bloody urine

Ou Jie 藕节 Nose bleed

E Jiao 阿胶 Bleeding with yin & blood def.

Ce Bai Ye 侧柏叶 Vomiting of blood

Dang Shen 党参Huang Qi 黄芪 Bleeding with Qi Def.

Wu Mei 乌梅Mu Xiang 木香 Chronic diarrhea

Long Yan Rou 龙眼肉 Da Zao 大枣 Exhaustion

Xian He Cao Xian He Cao 仙鹤草 仙鹤草 ( neutral )( neutral )

Bai Ji Bai Ji 白及白及

Pharmaceutical Name Bletillae Rhizoma

Actions

1. Restrains leakage of blood & stops bleeding

* Reduces swelling & generates flesh

Indications

( Excess )

Mainly for bleeding from the stomach & Lung: vomiting blood, coughing of blood, and nose bleeding

Traumatic injury

•Sores, ulcers, and chapped skin

Dosage 3 – 15 g (up to 30g) ( taken orally as a powder: 1.5 – 3 g)

Cook

Toxic Sym. None noted

Bai Ji Bai Ji 白及白及( cool )( cool )

Contraindications Blood due to externally-contracted disease

Combinations

Indications Formular

San Qi 三七Hai Piao Xiao 海螵蛸

Vomiting of blood from bleeding petic ulcers

E Jiao 阿胶Bai Shao 白芍 Stomach bleeding

Bai he 百合E Jiao 阿胶

Coughing of blood due to lung yin def.

Huang Qin 黄芩Zhi Mu 知母

Vomiting blood due to stomach heat

Olive Oil Skin chap

Bai Ji Bai Ji 白及 白及 ( cool )( cool )

Herbs that stop bleedingHerbs that stop bleeding

Part ThreePart Three

Agents which are cold & cool the blood heat to stop Agents which are cold & cool the blood heat to stop bleedingbleeding

大蓟 大蓟 Da Ji; Da Ji;

地榆 地榆 Di Yu; Di Yu;

槐米 槐米 Huai Mi; Huai Mi;

侧柏叶 侧柏叶 Ce Bai Ye; Ce Bai Ye;

白茅根 白茅根 Bai Mao Gen; Bai Mao Gen;

Da Ji Da Ji 大蓟大蓟

Pharmaceutical Name Cirsii japonici Herba sive Radix

Actions

1. Cools the blood & stops bleeding

3. Reduces swelling & generates flesh at sores

3. Benefits the Gallbladder & reduces jaundice

3. Treats hypertension

Indications

( Excess )

Bleeding due to heat

Carbuncles, sores & swellings

Jaundice

Hypertension due to liver heat

Dosage 9 – 15 g

Cook

Toxic Sym. None noted

Da Ji Da Ji 大蓟大蓟( Cool )( Cool )

Contraindications Cold from Sp. & Kid. Yang def.

Combinations

Indications Formular

Xiao Ji 小蓟Bao Mao Gen 白茅根 Heat-induced hemorrhage Shi Hui San 十灰散

Qian Cao 茜草 Nosebleed & spitting of blood due to heat in the blood

Di Yu 地榆Niu Xi 牛膝 Internal abscesses

Yin Chen 茵陈 Jaundice

Xia Ku Cao 夏枯草Xi Xian Cao 豨莶草 Hypertension due to liver heat

Da Ji Da Ji 大蓟 大蓟 ( Cool )( Cool )

Di Yu Di Yu 地榆地榆

Pharmaceutical Name Sanguisorbae Radix

Actions

1. Cools the blood & stops bleeding

3. Clears heat & generates flesh

Indications

( Excess )

Especially for bleeding in the lower burner

Sores, ulcers & injuries from burns

Dosage 9 – 15 g

Cook

Toxic Sym. Used in large-area burns may cause toxin hepatitis

Di Yu Di Yu 地榆地榆( slightly cold )( slightly cold )

Contraindications Cold from Sp. & Kid. Yang def.

Combinations

Indications Formular

Huai Mi 槐米Sheng Di 生地 Hot bleeding hemorrhoids

Huai Hua 槐花Ce Bai Ye 侧柏叶

Bright red bleeding from the rectum

Huai Hua San

槐花散Huang Lian 黄连Mu Xiang 木香Wu Mei 乌梅

Blood stools, bleeding hemorrhoids

Ai Ye 艾叶E Jiao 阿胶

Bai Zhu 白术

Vaginal bleeding with abdominal pain

Di Yu Di Yu 地榆 地榆 ( slightly cold ( slightly cold ))

Huai Mi Huai Mi 槐米槐米

Pharmaceutical Name Sophorae Flos immaturus

Actions

1. Cools the blood & stops bleeding

2. Cools the liver

Indications

( Excess )

Damp-heat in the LI. When bleeding is present

Bleeding hemorrhoids and bloody dysenteric disorders

Red eyes, headache &dizziness due to liver heat

Dosage 4.5 – 9 g

Cook

Toxic Sym. Nausea ,dizziness, vomiting, abdominal pain

Huai Mi Huai Mi 槐米槐米( cool )( cool )

Contraindications Cold from Sp. & St. def.

Combinations

Indications Formular

Zhi Zi 栀子 Heat toxin

Ce Bai Ye 侧柏叶 Bloody stools ， bloody urine

Xia Ku Cao 夏枯草Ju Hua 菊花

Liver heat leading to red eyes, a sense of distention in the

head, dizziness

Xi Xian Cao 豨莶草 Dizziness and insomnia due to liver fire

Huai Mi Huai Mi 槐米槐米 ( cool ( cool ))

Ce Bai Ye Ce Bai Ye 侧柏叶侧柏叶

Pharmaceutical Name Platycladi Cacumen

Actions

1. Cools the blood & stops bleeding

2. Stops cough & expel phlegm

3. Promotes healing of burns

Indications

( Excess )

Various bleeding disorders, effectively used in hot blood

Cough with phlegm accmulation in lung heat pattern

Early stages of burns

* Hair loss

Dosage 6 – 15 g

Cook

Toxic Sym.Over dosage: Gastric discomfort, in severe case may vomiting blood

Ce Bai Ye Ce Bai Ye 侧柏叶侧柏叶( slightly cold )( slightly cold )

ContraindicationsBleeding with def. ( must be combined with appropriate herbs )

Combinations

Indications Formular

Sheng Di 生地 Many forms of hemorrhage resulting from hot blood

Da Ji 大蓟Xiao Ji 小蓟

Bai Mao Gen 白茅根

Bright red blood due to heat forceing the blood upward

Ai Ye 艾叶Gan Jiang 干姜

Bleeding associated with cold from def.

Bai Ye Tang

柏叶汤

Pu Huang 蒲黄 Excessive uterine bleeding due to heat

Da Zhao 大枣 Chronic hot cough

Ce Bai Ye Ce Bai Ye 侧柏叶 侧柏叶 ( slightly cold )( slightly cold )

Bai Mao Gen Bai Mao Gen 白茅根白茅根

Pharmaceutical Name Imperatae Rhizoma

Actions

1. Cools the blood & stops bleeding

2. Clears heat & promotes urination

3. Clears heat from stomach & lung

Indications

( Excess )

Chaotic movement of hot blood

Hot painful urinary dribbling

Nausea & thrist due to St. heat

Wheezing due to lung heat

Dosage 9 -30 g

Cook

Toxic Sym. Note noted

Bai Mao Gen Bai Mao Gen 白茅根白茅根( cold )( cold )

Contraindications Sp. & St. def.

Combinations

Indications Formular

Sheng Di 生地Xiao Ji 小蓟 Blood in the urine due to heat

Che Qian Zi 车前子Mu Tong 木通 Hot urine dribbling

Ce Bai Ye 侧柏叶Da Ji 大蓟

Coughing blood due to lung heat

Huang Qi 黄芪 Edema due to Qi def. ( chronic nephritis )

Yin Chen 茵陈 Damp-heat

Bai Mao Gen Bai Mao Gen 白茅根白茅根 (cold )(cold )

Herbs that stop bleedingHerbs that stop bleeding

Part FourPart Four

Move blood stasis to stop bleeding

San Qi San Qi 三七三七

Pu Huang Pu Huang 蒲黄蒲黄

Qian Cao Qian Cao 茜草茜草

San Qi San Qi 三七三七

Pharmaceutical Name Notoginseng Radix

Actions

1. Stops bleeding & transforms blood stasis

2. Reduces swelling & alleviates pain

* Tonify Qi

Indications

( Excess & Def. )

All the internal or external bleeding

Traumatic injuries

Swelling & pain due to falls, fractures, contusions, and sprains

* Qi def. weakness

Dosage 3 – 9 g

Cook

Toxic sym.Nausea, repeated vomiting, hemorrhagic tendencies. Generally, these symptoms disappeared without terminating treatment

San Qi 三七 (warm)

Contraindications Pregnancy

Combinations

Indications Formular

Bai Ji 白芨 Vomiting and coughing blood

Si Wu Tang 四物汤 Irregular uterine bleeding due to both blood stasis & blood def.

Xue Jie 血竭Ru Xiang 乳香Mo Yao 没药

Bleeding due to stab wounds

Xiang Fu 香附Gan Cao 甘草

Generalized muscle pain due to ligamentous & muscular injuries

Ren Shen 人参 All bleeding due to def.

Fang Feng 防风Chi Shi Zhi 赤石脂 Bleeding in stools

San Qi 三七 (warm)

Pu Huang Pu Huang 蒲黄 蒲黄

Pharmaceutical Name Typhae Pollen

Actions

1. Stops bleeding

1. Invigorates the blood & disperse blood stasis

2. Promotes urination & stops bleeding

Indications

(Excess)

Various forms of internal bleeding

Chest pain, postpartum abdominal pain, and menstrual pain due to blood stasis

Hot painful urinary dribbling

Dosage 3-9g

Cook

Toxic Sym. One report for allergic skin reaction

Pu Huang Pu Huang 蒲黄蒲黄( Neutral )( Neutral )

Contraindications Pregnancy

Indications Formular

Long Gu 龙骨Ai Ye 艾叶

Prolonged menses or irregular uterine bleeding, especially if

it is profuse

Dang Gui 当归Xiang Fu 香附 Cramp

Wu Ling Zhi 五灵脂 Chest & abdominal pain due to blood stasis

Shi Xiao San

失笑散Bai Mao Gen 白茅根Sheng Di Huang 生地

黄Blood in urine

Dan Shen 丹参San Qi 三七 Angina

Pu Huang Pu Huang 蒲黄 蒲黄 ( Neutral )( Neutral )

Qian Cao Qian Cao 茜草茜草

Pharmaceutical Name Rubiae Radix

ActionsCools the blood & stops bleeding

Invigorates the blood & dispels blood stasis

Indications

(Excess )

Bleeding due to heat

Pain associated with blood stasis

Dosage 9 – 15 g

Cook

Toxic Sym. Only be used for short periods of time: contain lucidine

Qian Cao Qian Cao 茜草茜草 ( Cold )( Cold )

Contraindications Cold from Sp. & Kid. Yang def.

Combinations

Indications Formular

Xiao Ji 小蓟Bao Mao Gen 白茅根 Heat-induced hemorrhage Shi Hui San 十灰散

Di Yu 地榆Niu Xi 牛膝

Internal abscesses

Yin Chen 茵陈 Jaundice

Xia Ku Cao 夏枯草Xi Xian Cao 豨莶草 Hypertension due to liver heat

Qian Cao Qian Cao 茜草 茜草 ( Cold ( Cold ))

strengthen characters

San Qi 三七 ★★★★★ Injury or blood stais

Bai Ji 白及 ★★★★☆ Especially for St. bleeding or injury

Pu Huang 蒲黄 ★★★☆☆ Abdominal area with pain

（ blood stasis ）

Xian He Cao 仙鹤草 ★★★☆☆ diarrhea

Qian Cao 茜草Da Ji 大蓟Di Yu 地榆

Huai Mi 槐米Ce Bai Ye 侧柏叶

Bai MaoGen 白茅根

★★☆☆☆ Cool blood heat

Ai Ye 艾叶 ★☆☆☆☆ Warm the womb