Liang Xue Di Huang Tang Jia Jian - 凉血地黃汤加減 - Modified Cool Blood Rehmannia Decoction

English:	Modified Cool Blood Rehmannia Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Rehmanniae	Sheng Di Huang	12g	Clears Heat, cools the Blood, nourishes Yin and generates fluids. With Sheng Ma, cools Heat in the Lungs and Stomach, stopping hemoptysis and hematemesis.
Rx. Angelicae Sinensis	Dang Gui	9g	Tonifies, activates and harmonizes the Blood, moistens the Intestines, unblocks the bowels, reduces swelling, expels pus, generates flesh and alleviates pain.
Rx. Scutellariae	Huang Qin	9g	Clears Heat, drains Fire and detoxifies, cools the Blood and stops bleeding. With Di Yu, for bloody stool due to Intestinal Wind and abdominal pain associated with Intestinal abscess. With Da Huang, for constipation.
Flos. Sophorae Immaturus	Huai Hua Mi	9g	Cools the Blood and stops bleeding. With Huang Qin, for Pathogenic Heat injuring the collaterals in Intestinal Wind with hemafecia or bleeding hemorrhoids.
Rx. Sanguisorbae	Di Yu	9g	Cools the Blood, stops bleeding, clears Toxic Heat, astringes fluids and generates flesh. With Huai Hua Mi, for hot, bleeding hemorrhoids or other Intestinal bleeding.
Hb. Schizonepetae	Jing Jie	9g	Stops bleeding. With Dang Gui, for Intestinal Wind with bleeding from the rectum. With Huai Hua Mi, for hemafecia. With Huai Hua Mi and Zhi Ke, for Rectal bleeding from Intestinal Wind or hemorrhoids.
Rx. Paeoniae Rubra	Chi Shao	9g	Activates the Blood, dispels Blood Stasis, relieves pain, clears Heat, cools the Blood and reduces swelling from sores and abscesses. With Da Huang, for chronic accumulation in the abdomen, blockage of urine, constipation, Qi rushing upward to the Heart, abdominal distention and rebellious damage from food and drink.
Rx. Trichosanthis	Tian Hua Fen	9g	Drains Heat, generates Fluids, relieves toxicity, expels pus and reduces swelling.
Fr. Aurantii	Zhi Ke	6g	Promotes the movement of Qi, reduces distention and pressure and resolves hardenings. With Sheng Ma, relaxes the bowels and encourages the downward flow of turbid Yin.
Rz. Cimicifugae	Sheng Ma	6g	Clears Heat and relieves toxicity.
Rx. et Rz. Rhei	Da Huang	6g	Drains Heat, purges accumulations, drains Heat from the Blood, activates the Blood, dispels Blood Stasis and reduces Fire toxicity. With Huang Lian, for a feeling of fullness and distention due to Heat Accumulation. With Huang Lian and Huang Qin, for bleeding due to Blood Heat. With Dang Gui, for Blood Stasis. With Sheng Di Huang, for parched, dry stools with damaged Yin.
Rz. Coptidis	Huang Lian	6g	Clears Heat, drains Fire, resolves Fire toxicity, clears Heat and stops bleeding. With Huang Qin, for explosive diarrhea and dysentery with burning pain in the anus or fetid, filthy stools and abdominal pain.

Formula Actions

• Clears Heat
• Moistens Dryness
• Cools the Blood
• Stops bleeding

Syndromes

• Dry-Heat

Clinical Manifestations

Hemorrhoids which may protrude beyond the anus Dry stools Difficult defecation May an explosive discharge of fresh Blood from the anus Constipation

Abdominal distention or fullness A dry mouth Thirst Dark colored urine T: Red and dry C: Dry and yellow P: Rapid

Treats

Hemorrhoids

Constipation

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe hemorrhoids:		For severe bleeding:
+ 9g Fr. Aristolochiae	Ma Dou Ling	+ Hb. sive Rx. Cirsii Japonici	Da Ji
+ 6g Rx. Saposhnikoviae	Fang Feng
For severe pain:		+ 6g Rz. Imperatae	Bai Mao Gen
+ 9g Sm. Arecae	Bing Lang	For hemorhoids in robust, Yang Excess patients:
+ 12g Rz. Corydalis	Yan Hu Suo	- Rx. et Rz. Rhei	Da Huang
+ 3-6g Rx. Glycyrrhizae	Gan Cao