San Huang Si Wu Tang - 三黃膏四物汤 - Three Yellow And Four Substance Decoction

English:	Three Yellow and Four Substance Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Scutellariae	Huang Qin	3-18g	Cools the Blood and stops bleeding Drains Fire and detoxifies
Rz. Coptidis	Huang Lian	1.5-10g	Clears Heat and stops bleeding, drains Fire and resolves Fire toxicity. With Huang Qin, drains pathogenic Heat from the Upper and Middle Jiaos for high fever, redness, swelling and pain of the head and face, dry mouth, parched throat, ulcerations of the mouth and tongue, epistaxis, rashes and irritability in warm-febrile disease.
Cx. Phellodendri	Huang Bai	3-12g	Drains Damp-Heat especially from the Lower Jiao and drains Deficiency Heat.
Rx. Rehmanniae	Shu Di Huang	4-21g	Strengthens the Liver and Kidneys and nourishes the Yin of the Blood. With Bai Shao, strongly nourishes Liver Blood.
Rx. Paeoniae Alba	Bai Shao	4-15g	Calms Liver Yang and alleviates pain, Nourishes Blood, Preserves Yin. With Dang Gui, nourishes Yin and Blood. With Dang Gui and Shu Di Huang, for dizziness, blurred vision and dysmenorrhea due to Blood Deficiency or Blood Stasis.
Rx. Angelicae Sinensis	Dang Gui	4-12g	Nourishes and activates Blood, regulates Liver and Kidneys, regulates menses and alleviates pain. With Shu Di Huang, Bai Shao and Chuan Xiong, for menstrual irregularity, amenorrhea and dysmenorrhea due to Blood Deficiency or Stasis.
Rx. Ligustici	Chuan Xiong	3-9g	Invigorates Blood, moves Qi, releases Stagnation and alleviates pain. With Dang Gui, for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses and amenorrhea.

Formula Actions

• Clears Heat
• Cools the Blood
• Nourishes the Blood

Syndromes

• Blood Heat

Clinical Manifestations

Sudden epistaxis or hemoptysis one to two days prior to the onset of menstruation Menstruation is reduced or clotted Painful abdomen Thirst

Flushed face Insomnia due to heartburn T: Red C: Little P: Thready and rapid

Treats

Vicarious menstruation Hemoptysis

Epistaxis

Contraindications And Herb/Drug Interactions

Notes

Modifications