Jiao Ai Tang - 膠艾湯 - Ass Hide Gelatin And Mugwort Decoction

English:	Ass Hide Gelatin and Mugwort Decoction
Also Known As:	Xiong Gui Jiao Ai Tang Tangkuei and Gelatin Combination Decoction of Artemisia and Donkey-Hide Gelatin Decoction of Donkey-Skin Glue and Artemisia Decoction of Colla Corii Asini and Artemisia Argyi

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Colla Corii Asini	E Jiao	3-10g	Nourishes the Blood and stops bleeding. With Bai Shao and Ai Ye, for excessive menstrual bleeding.
Fol. Artemisiae Argyi	Ai Ye	3-9g	Warms the uterus, calms the fetus, stops bleeding, disperses Cold, stops pain and regulates Qi and Blood. With E Jiao, for restless fetus and threatened miscarriage
Rx. Rehmanniae Preparata	Shu Di Huang	5-18g	Nourishes Yin, Jing and Blood. With Dang Gui, Chuan Xiong and Bai Shao, nourishes and activates Blood, and regulates menstruation. With E Jiao and Ai Ye, for excessive uterine bleeding.
Rx. Angelicae Sinensis	Dang Gui	4-10g	Nourishes and invigorates Blood, regulates menses and disperses Cold. With Bai Shao, regulates and harmonizes Blood. With Bai Shao, Shu Di Huang, and Chuan Xiong, for menstrual problems due to Blood Deficiency or Stasis.
Rz. Chuanxiong	Chuan Xiong	3-6g	Invigorates the Blood, regulates Qi and alleviates pain. With Dang Gui, for menstrual problems due to Blood Deficiency or Stasis
Rx. Paeoniae Alba	Bai Shao	4-12g	Alleviates pain, nourishes the Blood and regulates menstruation. With Dang Gui and Shu Di Huang, for dysmenorrhea due to Blood Deficiency or Blood Stasis.
Rx. Glycyrrhizae	Gan Cao	3-6g	Harmonizes and makes the hemostatic action of E Jiao more effective. With Bai Shao, for abdominal pain.
(White Wine)	(Bai Jiu)	(3 parts)	(Enhances activation of the formula.)

Formula Actions

• Nourishes and warms the Blood
• Stops bleeding
• Regulates menstruation
• Calms the fetus
• Prevents miscarriage

Syndromes

• Spleen Not Governing Blood
• Insufficiency of the Chong Mai and Ren Mai
• Habitual miscarriage
• Yin maculae due to Blood Deficiency with Cold
• Uterine bleeding due to Chong & Ren Deficiency-Cold with Blood deficiency (Secondary source)

Clinical Manifestations

Abdominal pain Uterine bleeding (metrorrhagia) Excessive menstruation Menstruation with constant spotting Postpartum bleeding Bleeding during pregnancy The Blood is pale and thin without clots Weakness Dizziness

Sore lower back Post abortion bleeding Dull complexion Weakness and pain of the legs Light red, unelevated and indistinct eruptions T: Pale C: Thin and white or Whitish and moist P: Thready and weak

Treats

Bleeding due to injuries Hemoptysis Hemophthalmia Menorrhagia Hemafecia Idiopathic thrombocytopenic purpura Anaphylactic purpura Anemia Habitual miscarriage Prolonged lochia Rectal bleeding Threatened miscarriage Epistaxis Vertigo Abdominal pain Crohn's disease Chronic leukemia Fatigue Dysmenorrhea Irregular menstruation Abdominal pain during pregnancy Ulcerative colitis

Metrorrhagia Endometritis Endometriosis Hemorrhoidal bleeding Intestinal bleeding Functional Uterine Bleeding Bleeding peptic ulcer Bleeding duodenal ulcer Postpartum uterine bleeding Uterine cancer Yin maculae Prolonged menstruation Dizziness Hematuria Low back pain Colitis Purpura Weakness Infertility Dyspnea Vaginal bleeding during pregnancy

Contraindications And Herb/Drug Interactions

Notes

• For uterine bleeding, Gu Chong Tang treats the Spleen Qi Deficiency type, while Jiao Ai Tang treats the Liver Blood Deficiency type.

Modifications

For low back pain:		For simultaneous Qi Deficiency:
+ Rx Dipsaci	Xu Duan	+ Rx. Codonopsis	Dang Shen
+ Rz. Atractylodis Macrocephalae	Bai Zhu	+ Rx. Astragali	Huang Qi
+ Cx. Eucommiae	Du Zhong	Or
+ Hb. Taxilli	Sang Ji Sheng	+ Rx. Ginseng	Ren Shen
For Spleen Not Governing Blood:		+ Rx. Astragali	Huang Qi
+ Restore the Spleen Decoction Gui Pi Tang		For restless fetus disorder:
For pain in the abdomen and low back:		+ Rz. Zingiberis	Gan Jiang
+ Fr. Aurantii Immaturus	Zhi Shi	For threatened miscarriage:
+ Cx. Magnoliae Officinalis	Hou Po	- Rx. Glycyrrhizae	Gan Cao
For excessive bleeding:		+ Cx. Eucommiae	Du Zhong
+ Hb. Agrimoniae	Xian He Cao	+ Hb. Taxilli	Sang Ji Sheng
+ Rx. Sanguisorbae	Di Yu	For bleeding during pregnancy:
For profuse bleeding:		- Rz. Chuanxiong	Chuan Xiong
+ Rx. Sanguisorbae	Di Yu	+ Rz. Atractylodis Macrocephalae	Bai Zhu
+ Charred Fol. Artemisiae Argyi	Ai Ye Tan	+ Cx. Eucommiae	Du Zhong
For abdominal pain due to Blood Stagnation:		+ Hb. Taxilli	Sang Ji Sheng
+ Rz Corydalis	Yan Hu Suo	For unstable pregnancy:
+ Rx. Notoginseng	San Qi	+Worry-Free Formula to Protect Birth Bao Chan Wu You Fang
For constant and restless movement of the fetus due to Deficiency:		For thrombocytopenic purpura:
+ Cx. Eucommiae	Du Zhong	+ Rx. Scrophulariae	Xuan Shen
+ Rx Dipsaci	Xu Duan	+ Rx. Ophiopogonis	Mai Men Dong
+ Hb. Taxilli	Sang Ji Sheng	+ Rx. Salviae Miltiorrhizae	Dan Shen
For menorrhagia due to injury of the Chong and Ren:		+ Rx. Ginseng	Ren Shen
+ Rx. Sanguisorbae	Di Yu
+ Rx. Astragali	Huang Qi