Shi Hui San - 十灰散 - Ten Partially-Charred Substances Powder

English:	Ten Partially-Charred Substances Powder
Also Known As:	Powder of Ten Ingredients in Ash

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hb. Siva Rx. Cirsii Japonici	Da Ji	9-30g	Cools the Blood and stops bleeding. With Qian Cao Gen, for hematemesis and epistaxis due to Blood Heat. With Xiao Ji, for hematuria due to Blood Heat and Heat induced hemorrhages. With Xiao Ji and Bai Mao Gen, for hemorrhage due to Heat. With Xiao Ji, Bai Mao Gen, Ce Bai Ye and Qian Cao Gen, for hematemesis and hemoptysis.
Hb. Cirsii	Xiao Ji	9-30g	Cools the Blood and stops bleeding. With Bai Mao Gen, for bleeding due to Blood Heat, especially hematuria due to Heat.
Fol. Nelumbinis	He Ye	9-10g	Removes Stagnation and stops bleeding. With Xiao Ji, Qian Cao Gen and Bai Mao Gen, all charred for sudden onset of bleeding.
Cacumen Platycladi	Ce Bai Ye	9-30g	Cools the Blood and stops bleeding. With Xiao Ji, Bai Ji and Bai Mao Gen, for epistaxis with bright red Blood due to Heat forcing the Blood upward and hematemesis caused by Heat in the Bladder.
Rz. Imperatae	Bai Mao Gen	9-30g	Cools the Blood, stops bleeding, clears Heat and promotes urination. With Ge Gen, for warm febrile disease with nausea and vomiting.
Rx. Rubiae	Qian Cao Gen	9-15g	Cools the Blood, Dispels Blood Stasis, Invigorates the Blood, Stops bleeding.
Fr. Gardeniae	Zhi Zi	9-12g	Clears Heat, reduces Fire, eliminates irritability, drains Damp-Heat, cools the Blood, relieves toxicity and stops bleeding by astringing. With Mu Dan Pi, resolves Qi Level Stagnation leading to Heat and Heat in the Blood, for irregular menstruation, headache, red eyes, and thirst due to Liver Qi Heat from Stagnation and dysmenorrhea, headache, dry, scratchy eyes and intercostal pain due to Liver Blood Deficiency. With Bai Mao Gen, for Epistaxis, hematemesis, or hematuria. With Da Huang, for constipation. With Da Ji, Xiao Jia and Ce Bai Ye, for hematemesis and epistaxis.
Rx. et Rz. Rhei	Da Huang	9-10g	Dispels Blood Stasis, Drains Fire, Drains Heat, Drains Heat from the Blood, Invigorates the Blood, Purges accumulations.
Cx. Moutan	Mu Dan Pi	9-12g	Clears Heat, cools, harmonizes and invigorates the Blood, dispels Blood Stasis and clears Liver Fire. With Bai Mao Gen, for hematuria, hematemesis, and epistaxis due to Warm Febrile Disease.
Petiolus Trachycarpi	Zong Lu Pi	6-10g	Astringes leakage of Blood and stops bleeding. With Da Ji, Xiao Ji, Bai Mao Gen and Zhi Zi, for bleeding due to Blood Heat. With Da Ji, Xiao Ji, Bai Mao Gen, Ce Bai Ye and Qian Cao Gen, for hemoptysis and hematemesis. With Ce Bai Ye, for excessive menstrual bleeding due to Heat in the Blood.

Formula Actions

• Cools the Blood
• Stops bleeding
• Clears Heat
• Drains Fire

Syndromes

• Bleeding due to Upper and Middle Jiao Fire
• Bleeding due to Heat in the Blood
• Bleeding due to Liver Attacking the Stomach
• Acute bleeding due to Liver & Stomach Fire with Blood Heat (Secondary source)

Clinical Manifestations

Epistaxis Hemoptysis Hematemesis Bright red Blood

Sudden onset Bloody saliva T: Red P: Rapid Profuse bleeding

Treats

Pulmonary tuberculosis Bronchiectasis Acute hemorrhagic esophagitis Acute hemorrhagic gastritis Hyphemia Bleeding peptic ulcer Dysentery

Hemorrhagic febrile diseases Dysfunctional uterine bleeding Epistaxis Hemoptysis Hematemesis Menorrhagia

Contraindications And Herb/Drug Interactions

Notes

• Burn the above ingredients into ashes. Mix with fresh lotus node or white turnip juice and make into pills.

Modifications

For more intense Fire and heat in the Blood, use as a decoction:		For hematemesis in bronchiectasis:
+ More Rx. et Rz. Rhei	Da Huang	+ Rx. Notoginseng	San Qi
+ More Fr. Gardeniae	Zhi Zi	+ Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ Rx. Achyranthis Bidentatae	Niu Xi	+ Powdered Rz. Bletillae	Bai Ji
+ Haematitum	Dai Zhe Shi	For Hyphemia:
For gastrointestinal bleeding:		+ 10g Flos Carthami	Hong Hua
+ Left Metal Pill Zuo Jin Wan		For hemafecia:
+ Drain the Epigastrium Powder San Huang Xie Xin Tang
For hemafecia with Blood Stagnation:
+ Drain the Epigastrium Powder San Huang Xie Xin Tang		- Fol. Nelumbinis	He Ye
- Petiolus Trachycarpi	Zong Lu Pi
- Fol. Nelumbinis	He Ye	+ 15-30g Rz. Bletillae	Bai Ji
- Petiolus Trachycarpi	Zong Lu Pi	For hemafecia with epigastric pain:
+ 15-30g Rz. Bletillae	Bai Ji	+ Drain the Epigastrium Powder San Huang Xie Xin Tang
+ 3-6g Rx. Notoginseng	San Qi
For hemafecia with epigastric pain and persistent focal gnawing pain and bleeding:		- Fol. Nelumbinis	He Ye
+ Drain the Epigastrium Powder San Huang Xie Xin Tang		- Petiolus Trachycarpi	Zong Lu Pi
+ 15-30g Rz. Bletillae	Bai Ji
- Fol. Nelumbinis	He Ye	+ 9-12g Rz. Corydalis	Yan Hu Suo
- Petiolus Trachycarpi	Zong Lu Pi	+ 9g Rx. Aucklandiae	Mu Xiang
+ 15-30g Rz. Bletillae	Bai Ji	For hemafecia with nausea:
+ 3g Endoconcha Sepiae	Hai Piao Xiao	+ Drain the Epigastrium Powder San Huang Xie Xin Tang
+ 3g Rx. Glycyrrhizae	Gan Cao
For hemafecia with severe thirst:		- Fol. Nelumbinis	He Ye
+ Drain the Epigastrium Powder San Huang Xie Xin Tang		- Petiolus Trachycarpi	Zong Lu Pi
+ 15-30g Rz. Bletillae	Bai Ji
- Fol. Nelumbinis	He Ye	+ 9-12g Caulis Bambusae in Taeniam	Zhu Ru
- Petiolus Trachycarpi	Zong Lu Pi
+ 15-30g Rz. Bletillae	Bai Ji	+ 12-15g Flos Inulae	Xuan Fu Hua
+ 12-15g Hb. Dendrobii	Shi Hu	+ 15 Haematitum	Dai Zhe Shi
+ 12-15g Rx. Trichosanthis	Tian Hua Fen	For hemafecia with constipation or dry stools:
+ Drain the Epigastrium Powder San Huang Xie Xin Tang
For hematemesis:
+ Drain the Epigastrium Powder San Huang Xie Xin Tang		- Fol. Nelumbinis	He Ye
- Petiolus Trachycarpi	Zong Lu Pi
- Fol. Nelumbinis	He Ye	+ 15-30g Rz. Bletillae	Bai Ji
- Petiolus Trachycarpi	Zong Lu Pi	+ 18-24g Rx. Scrophulariae	Xuan Shen
For hematemesis with prolonged Heat causing Blood Stagnation:
+ 9-12g Rx. Ophiopogonis	Mai Men Dong
+ Drain the Epigastrium Powder San Huang Xie Xin Tang
+ 12-18g Rx. Rehmanniae	Sheng Di Huang
- Fol. Nelumbinis	He Ye
- Petiolus Trachycarpi	Zong Lu Pi	For hematemesis with Fire:
+ 3-6g Rx. Notoginseng	San Qi	+ Drain the Epigastrium Powder San Huang Xie Xin Tang
For hematemesis with persistent focal distention and bleeding:
- Fol. Nelumbinis	He Ye
+ Drain the Epigastrium Powder San Huang Xie Xin Tang		- Petiolus Trachycarpi	Zong Lu Pi
+ 2 or 3 of the following:
- Fol. Nelumbinis	He Ye	9-12g Hb. Violae	Zi Hua Di Ding
- Petiolus Trachycarpi	Zong Lu Pi	15-30g Hb. Taraxaci	Pu Gong Ying
- Fol. Nelumbinis	He Ye	24-30g Rz. Phragmitis	Lu Gen
- Petiolus Trachycarpi	Zong Lu Pi	9-12g Fructus Luffae Retinervus	Si Gua Luo
+ 3-6g Powdered Endoconcha Sepiae	Hai Piao Xiao
+ 3-6g Powdered Rz. Bletillae	Bai Ji	9-12g Sm. Phaseoli	Lu Dou
For hematemesis with excess gastric acid or heartburn:
+ 3-6g Powdered Rx. Glycyrrhizae	Gan Cao
+ Drain the Epigastrium Powder San Huang Xie Xin Tang
For hematemesis with epigastric pain:
+ Drain the Epigastrium Powder San Huang Xie Xin Tang		- Fol. Nelumbinis	He Ye
- Petiolus Trachycarpi	Zong Lu Pi
- Fol. Nelumbinis	He Ye	+ 15g Endoconcha Sepiae	Hai Piao Xiao
- Petiolus Trachycarpi	Zong Lu Pi
+ 9-12g Rz. Corydalis	Yan Hu Suo	+ 15g Concha Ostreae	Mu Li
+ 6-9g Rx. Aucklandiae	Mu Xiang	For hematemesis with nausea:
For hematemesis with severe thirst:		+ Drain the Epigastrium Powder San Huang Xie Xin Tang
+ Drain the Epigastrium Powder San Huang Xie Xin Tang
- Fol. Nelumbinis	He Ye
- Fol. Nelumbinis	He Ye	- Petiolus Trachycarpi	Zong Lu Pi
- Petiolus Trachycarpi	Zong Lu Pi	+ 9-12g Caulis Bambusae in Taeniam	Zhu Ru
+ 9-12g Caulis Bambusae in Taeniam	Zhu Ru
+ 12-15g Flos Inulae	Xuan Fu Hua
+ 12-15g Flos Inulae	Xuan Fu Hua	+ 15g Haematitum	Dai Zhe Shi
+ 15g Haematitum	Dai Zhe Shi	For hematemesis with constipation or dry stools:
+ Drain the Epigastrium Powder San Huang Xie Xin Tang
- Fol. Nelumbinis	He Ye
- Petiolus Trachycarpi	Zong Lu Pi
+ 18-24g Rx. Scrophulariae	Xuan Shen
+ 9-12g Rx. Ophiopogonis	Mai Men Dong
+ 12-18g Rx. Rehmanniae	Sheng Di Huang