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Development of TCM Internal Medicine

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Herbs that regulate the Blood Stop Bleeding Vomiting blood; nosebleed, coughing up blood; blood in the stool, blood in the urine; excessive menstrution; abnormal ... – PowerPoint PPT presentation

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Title: Development of TCM Internal Medicine


1
Herbs that regulate the Blood Stop Bleeding

Vomiting blood nosebleed, coughing up blood blood in the stool, blood in the urine excessive menstrution abnormal uterine bleeding or bleeding associated with truma Vomiting blood nosebleed, coughing up blood blood in the stool, blood in the urine excessive menstrution abnormal uterine bleeding or bleeding associated with truma
Stop Bleeding Stop Bleeding
Warm Ai Ye
Astringent Good for various type of bleeding Xian He Cao Bai Ji
Cold Cool the blood heat to stop bleeding 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 Pu Huang Qian Cao

2
Herbs that stop bleeding
Part One Warm herbs Ai Ye ??
3
Ai Ye ??
4
Ai Ye ?? (Warm)
Pharmaceutical Name Citri reticulatae Exocarpium rubrum
Actions 1. Warms the Womb stops bleeding
Actions 2. Disperse cold alleviates pain
Actions 3. Eliminates dampness stops itching
Actions Calms the fetus
Indications (Excess def.) Prolonged menstrual bleeding uterine bleeding due to cold from def.
Indications (Excess def.) Restless fetus
Indications (Excess def.) Cold abdominal pain
Indications (Excess def.) 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
5
Ai Ye ??(Warm)
Contraindications heat from yin def.
Combinations Combinations Combinations
Indications Formular
E Jiao ?? prolonged uterine bleeding, profuse bleeding during menstruation Jiao Ai Tang ???
Gan Jiang ?? Prolonged uterine bleeding
Xiang Fu ?? Abdominal pain due to cold from def. Qi stag. Ai Fu Nuan Gong Wan ?????
Wu Zhu Yu ??? Xu Duan ?? Severe cold from def. of the womb
Di Fu Zi ??? Bai Xian Pi ??? Variety of itching skin lesions due to cold-dampness
Dang Gui ?? Shu Di ?? Irregular menstruation
6
Herbs that stop bleeding
Part Two Agents which are astringent good for
various type of bleeding Xian He Cao ??? Bai
Ji ??
7
Xian He Cao ???
8
Xian He Cao ??? ( neutral )
Pharmaceutical Name Agrimoniae Herba
Actions 1. Restrains leakage of blood and stops bleeding
Actions 2. Alleviates diarrhea dysenteric disorders
Actions 3. Kills parasites
Indications (Excess def. ) Widely used for various types of bleeding
Indications (Excess def. ) Chronic diarrhea
Indications (Excess def. ) Tapeworm, malarial disorders
Indications (Excess def. ) Exhaustion ( ???)
Dosage 3 -9 g
Cook
Toxic Sym. In rare case nausea, vomiting
9
Xian He Cao ??? ( neutral )
Contraindications Not for active pathogens due to astringent nature
Combinations Combinations Combinations
Indications Formular
Bai Mao Gen ??? Bloody urine
Ou Jie ?? Nose bleed
E Jiao ?? Bleeding with yin blood def.
Ce Bai Ye ??? Vomiting of blood
Dang Shen ?? Huang Qi ?? Bleeding with Qi Def.
Wu Mei ?? Mu Xiang ?? Chronic diarrhea
Long Yan Rou ??? Da Zao ?? Exhaustion
10
Bai Ji ??
11
Bai Ji ?? ( cool )
Pharmaceutical Name Bletillae Rhizoma
Actions 1. Restrains leakage of blood stops bleeding
Actions Reduces swelling generates flesh
Actions
Indications ( Excess ) Mainly for bleeding from the stomach Lung vomiting blood, coughing of blood, and nose bleeding
Indications ( Excess ) Traumatic injury
Indications ( Excess ) 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
12
Bai Ji ?? ( cool )
Contraindications Blood due to externally-contracted disease
Combinations Combinations Combinations
Indications Formular
San Qi ?? Hai Piao Xiao ??? Vomiting of blood from bleeding petic ulcers
E Jiao ?? Bai Shao ?? Stomach bleeding
Bai he ?? E Jiao ?? Coughing of blood due to lung yin def.
Huang Qin ?? Zhi Mu ?? Vomiting blood due to stomach heat
Olive Oil Skin chap
13
Herbs that stop bleeding
Part Three Agents which are cold cool the
blood heat to stop bleeding ?? Da Ji ?? Di
Yu ?? Huai Mi ??? Ce Bai Ye ??? Bai Mao
Gen
14
Da Ji ??
15
Da Ji ?? ( Cool )
Pharmaceutical Name Cirsii japonici Herba sive Radix
Actions 1. Cools the blood stops bleeding
Actions 3. Reduces swelling generates flesh at sores
Actions 3. Benefits the Gallbladder reduces jaundice
Actions 3. Treats hypertension
Indications ( Excess ) Bleeding due to heat
Indications ( Excess ) Carbuncles, sores swellings
Indications ( Excess ) Jaundice
Indications ( Excess ) Hypertension due to liver heat
Dosage 9 15 g
Cook
Toxic Sym. None noted
16
Da Ji ?? ( Cool )
Contraindications Cold from Sp. Kid. Yang def.
Combinations Combinations Combinations
Indications Formular
Xiao Ji ?? Bao Mao Gen ??? Heat-induced hemorrhage Shi Hui San ???
Qian Cao ?? Nosebleed spitting of blood due to heat in the blood
Di Yu ?? Niu Xi ?? Internal abscesses
Yin Chen ?? Jaundice
Xia Ku Cao ??? Xi Xian Cao ??? Hypertension due to liver heat
17
Di Yu ??
18
Di Yu ?? ( slightly cold )
Pharmaceutical Name Sanguisorbae Radix
Actions 1. Cools the blood stops bleeding
Actions 3. Clears heat generates flesh
Actions
Actions
Indications ( Excess ) Especially for bleeding in the lower burner
Indications ( Excess ) Sores, ulcers injuries from burns
Indications ( Excess )
Indications ( Excess )
Dosage 9 15 g
Cook
Toxic Sym. Used in large-area burns may cause toxin hepatitis
19
Di Yu ?? ( slightly cold )
Contraindications Cold from Sp. Kid. Yang def.
Combinations Combinations Combinations
Indications Formular
Huai Mi ?? Sheng Di ?? Hot bleeding hemorrhoids
Huai Hua ?? Ce Bai Ye ??? Bright red bleeding from the rectum Huai Hua San ???
Huang Lian ?? Mu Xiang ?? Wu Mei ?? Blood stools, bleeding hemorrhoids
Ai Ye ?? E Jiao ?? Bai Zhu ?? Vaginal bleeding with abdominal pain
20
Huai Mi ??
21
Huai Mi ?? ( cool )
Pharmaceutical Name Sophorae Flos immaturus
Actions 1. Cools the blood stops bleeding
Actions 2. Cools the liver
Actions
Actions
Indications ( Excess ) Damp-heat in the LI. When bleeding is present
Indications ( Excess ) Bleeding hemorrhoids and bloody dysenteric disorders
Indications ( Excess ) Red eyes, headache dizziness due to liver heat
Indications ( Excess )
Dosage 4.5 9 g
Cook
Toxic Sym. Nausea ,dizziness, vomiting, abdominal pain
22
Huai Mi ??( cool )
Contraindications Cold from Sp. St. def.
Combinations Combinations Combinations
Indications Formular
Zhi Zi ?? Heat toxin
Ce Bai Ye ??? Bloody stools,bloody urine
Xia Ku Cao ??? Ju Hua ?? Liver heat leading to red eyes, a sense of distention in the head, dizziness
Xi Xian Cao ??? Dizziness and insomnia due to liver fire
23
Ce Bai Ye ???
24
Ce Bai Ye ??? ( slightly cold )
Pharmaceutical Name Platycladi Cacumen
Actions 1. Cools the blood stops bleeding
Actions 2. Stops cough expel phlegm
Actions 3. Promotes healing of burns
Actions
Indications ( Excess ) Various bleeding disorders, effectively used in hot blood
Indications ( Excess ) Cough with phlegm accmulation in lung heat pattern
Indications ( Excess ) Early stages of burns
Indications ( Excess ) Hair loss
Dosage 6 15 g
Cook
Toxic Sym. Over dosage Gastric discomfort, in severe case may vomiting blood
25
Ce Bai Ye ??? ( slightly cold )
Contraindications Bleeding with def. ( must be combined with appropriate herbs )
Combinations Combinations Combinations
Indications Formular
Sheng Di ?? Many forms of hemorrhage resulting from hot blood
Da Ji ?? Xiao Ji ?? Bai Mao Gen ??? Bright red blood due to heat forceing the blood upward
Ai Ye ?? Gan Jiang ?? Bleeding associated with cold from def. Bai Ye Tang ???
Pu Huang ?? Excessive uterine bleeding due to heat
Da Zhao ?? Chronic hot cough
26
Bai Mao Gen ???
27
Bai Mao Gen ??? ( cold )
Pharmaceutical Name Imperatae Rhizoma
Actions 1. Cools the blood stops bleeding
Actions 2. Clears heat promotes urination
Actions 3. Clears heat from stomach lung
Actions
Indications ( Excess ) Chaotic movement of hot blood
Indications ( Excess ) Hot painful urinary dribbling
Indications ( Excess ) Nausea thrist due to St. heat
Indications ( Excess ) Wheezing due to lung heat
Dosage 9 -30 g
Cook
Toxic Sym. Note noted
28
Bai Mao Gen ???(cold )
Contraindications Sp. St. def.
Combinations Combinations Combinations
Indications Formular
Sheng Di ?? Xiao Ji ?? Blood in the urine due to heat
Che Qian Zi ??? Mu Tong ?? Hot urine dribbling
Ce Bai Ye ??? Da Ji ?? Coughing blood due to lung heat
Huang Qi ?? Edema due to Qi def. ( chronic nephritis )
Yin Chen ?? Damp-heat
29
Herbs that stop bleeding
Part Four Move blood stasis to stop
bleeding San Qi ?? Pu Huang ?? Qian Cao ??
30
San Qi ??
31
San Qi ?? (warm)
Pharmaceutical Name Notoginseng Radix
Actions 1. Stops bleeding transforms blood stasis
Actions 2. Reduces swelling alleviates pain
Actions Tonify Qi
Indications ( Excess Def. ) All the internal or external bleeding
Indications ( Excess Def. ) Traumatic injuries
Indications ( Excess Def. ) Swelling pain due to falls, fractures, contusions, and sprains
Indications ( Excess Def. ) Qi def. weakness
Indications ( Excess Def. )
Dosage 3 9 g
Cook
Toxic sym. Nausea, repeated vomiting, hemorrhagic tendencies. Generally, these symptoms disappeared without terminating treatment
32
San Qi ?? (warm)
Contraindications Pregnancy
Combinations Combinations Combinations
Indications Formular
Bai Ji ?? Vomiting and coughing blood
Si Wu Tang ??? Irregular uterine bleeding due to both blood stasis blood def.
Xue Jie ?? Ru Xiang ?? Mo Yao ?? Bleeding due to stab wounds
Xiang Fu ?? Gan Cao ?? Generalized muscle pain due to ligamentous muscular injuries
Ren Shen ?? All bleeding due to def.
Fang Feng ?? Chi Shi Zhi ??? Bleeding in stools
33
Pu Huang ??
34
Pu Huang ?? ( Neutral )
Pharmaceutical Name Typhae Pollen
Actions 1. Stops bleeding
Actions 1. Invigorates the blood disperse blood stasis
Actions 2. Promotes urination stops bleeding
Indications (Excess) Various forms of internal bleeding
Indications (Excess) Chest pain, postpartum abdominal pain, and menstrual pain due to blood stasis
Indications (Excess) Hot painful urinary dribbling
Indications (Excess)
Dosage 3-9g
Cook
Toxic Sym. One report for allergic skin reaction
35
Pu Huang ?? ( Neutral )
Contraindications Pregnancy
Indications Formular
Long Gu ?? Ai Ye ?? Prolonged menses or irregular uterine bleeding, especially if it is profuse
Dang Gui ?? Xiang Fu ?? Cramp
Wu Ling Zhi ??? Chest abdominal pain due to blood stasis Shi Xiao San ???
Bai Mao Gen ??? Sheng Di Huang??? Blood in urine
Dan Shen ?? San Qi ?? Angina
36
Qian Cao ??
37
Qian Cao ?? ( Cold )
Pharmaceutical Name Rubiae Radix
Actions Cools the blood stops bleeding
Actions Invigorates the blood dispels blood stasis
Actions
Indications (Excess ) Bleeding due to heat
Indications (Excess ) Pain associated with blood stasis
Indications (Excess )
Indications (Excess )
Dosage 9 15 g
Cook
Toxic Sym. Only be used for short periods of time contain lucidine
38
Qian Cao ?? ( Cold )
Contraindications Cold from Sp. Kid. Yang def.
Combinations Combinations Combinations
Indications Formular
Xiao Ji ?? Bao Mao Gen ??? Heat-induced hemorrhage Shi Hui San ???
Di Yu ?? Niu Xi ?? Internal abscesses
Yin Chen ?? Jaundice
Xia Ku Cao ??? Xi Xian Cao ??? Hypertension due to liver heat
39

strengthen characters
San Qi ?? ????? Injury or blood stais
Bai Ji ?? ????? Especially for St. bleeding or injury
Pu Huang ?? ????? Abdominal area with pain ( blood stasis )
Xian He Cao ??? ????? diarrhea
Qian Cao ?? Da Ji ?? Di Yu ?? Huai Mi ?? Ce Bai Ye ??? Bai MaoGen ??? ????? Cool blood heat
Ai Ye ?? ????? Warm the womb
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