Xiao Ji Yin Zi - 小蓟飲子 - Small Thistle Drink

English:	Small Thistle Drink
Also Known As:	Cephalanoplos Decoction Decoction of Small Thistle Cephalanoplos Cold Decoction

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hb. Cirsii	Xiao Ji	9-30g	Stops bleeding, eliminates Blood Heat and Stagnation and facilitates urination. With Ou Jie, Pu Huang and Sheng Di Huang, cools the Blood and stops bleeding.
Nodus Nelumbo Rhizomatis	Ou Jie	6-30g	Astringes leakage of Blood, Eliminates Blood Heat, Removes Blood Stasis, Stops bleeding.
Dry-fried Pollen Typhae	Chao Pu Huang	6-15g	Invigorates and astringes Blood, Promotes urination, Stops bleeding, Tonifies. With Xiao Ji, for Blood Lin.
Rx. Rehmanniae	Sheng Di Huang	9-120g	Nourishes Yin, clears Heat and prevents injury to Yin by diuretics. With Mu Tong and Dan Zhu Ye, for sensations of Heat in the chest, irritability, insomnia, thirst, dark, scanty urine, and mouth and tongue sores from Heat in the Heart and Small Intestine.
Talcum	Hua Shi	9-18g	Clears Damp-Heat, promotes urination, unblocks and soothes painful urination, and stops bleeding due to Heat. With Mu Tong, for Heat Lin. With Zhi Zi and Mu Tong, for Lin Syndrome with hot, painful urinary dribbling and scanty, dark, painful urination.
Caulis Akebiae	Mu Tong	3-15g	Promotes urination. With Dan Zhu Ye and Zhi Zi, clears and drains Fire and Heat from the Heart. Lungs and San Jiao. With Dang Gui, invigorates the Blood and stops pain. With Ou Jie and Chao Pu Huang, for painful, bloody urinary dysfunction.
Hb. Lophatheri	Dan Zhu Ye	6-15g	Clears Heat, promotes urination and clears Damp-Heat.
Fr. Gardeniae	Zhi Zi	6-15g	Clears Heat, Cools Blood, Drains Damp-Heat, Stops bleeding. With Hua Shi, for painful urinary dysfunction due to Damp-Heat in Bladder.
Rx. Angelicae Sinensis	Dang Gui	6-15g	Prevents Blood Stasis, nourishes and harmonizes the Blood, alleviates pain and moderates the cold properties of the other herbs.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	3-15g	Clears Heat and moderates, Harmonizes the harsh properties of the other herbs, Harmonizes the Middle Jiao, Relieves spasmodic pain.

Formula Actions

• Cools the Blood
• Stops bleeding
• Eliminates Heat
• Promotes urination
• Unblocks painful urinary dysfunction

Syndromes

• Damp-Heat in the Bladder
• Blood Lin
• Heart Fire
• Heat causing urinary bleeding (Secondary source)

Clinical Manifestations

Bloody, painful urination Blood clots Urgent urination Purplish, red blood Burning urination Thirst Bleeding from the gums and tongue

Hematuria Irritability Frequent urination Oliguria with reddish urine T: Red or Red tip C: Thin and yellow P: Excess and rapid or Thin and rapid Bright-colored blood (Secondary source) Profuse bleeding of fairly acute onset

Treats

Acute urinary tract infections Urolithiasis Renal tuberculosis Polycystic Kidneys Renal cysts Acute glomerulonephritis Ureter stones Tumor of the Bladder Thrombocytopenic purpura Hemophilia Oliguria with reddish urine Polyuria Allergic purpura Enuresis Gonorrhea

Sickle cell disease Hydronephrosis Benign prostatic hypertrophy Hematuria Proteinuria Lithangiuria Renal carcinoma Periodontitis Glossitis Prostatitis Hematuria Low back pain Pyelonephritis Strangury

Contraindications And Herb/Drug Interactions

Notes

• A well-balanced formula for blood in the urine caused by excess Heat.

Modifications

For severe pain:		For injury to the Qi and Yin:
+ Succinum	Hu Po	- Caulis Akebiae	Mu Tong
+ Spora Lygodii	Hai Jin Sha	- Talcum	Hua Shi
For acute urinary tract infection:		+ Rx. Astragali	Huang Qi
+ Fol. Pyrrosiae	Shi Wei	+ Colla Corni Asini	E Jiao
+ Sm. Persicae	Tao Ren	+ Rx. Codonopsis	Dang Shen
+ Cx. Phellodendri	Huang Bai	For acute nephritis:
+ Hb. Taraxaci	Pu Gong Ying	+ Hb. Spirodelae	Fu Ping
For more Heat:		+ Rz. Imperatae	Bai Mao Gen
- Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ Flos Lonicerae	Jin Yin Hua
+ Rx. Glycyrrhizae	Gan Cao	+ Fr. Forsythiae	Lian Qiao
For Qi Deficiency:		For excessive Heat:
+ Rx. Ginseng	Ren Shen	+ Cx. Phellodendri	Huang Bai
For mild Blood Stasis:		Or
+ 6g Powdered Rx. Notoginseng	San Qi	+ 15g Hb. Taraxaci	Pu Gong Ying
+ 9g Cx. Phellodendri	Huang Bai
+ 1g Powdered Succinum	Hu Po	+ 15g Flos Lonicerae	Jin Yin Hua
For severe bleeding:
+ 6g Rx. Cyathulae	Chuan Niu Xi	+ 9g Cacumen Platycladi	Ce Bai Ye
For chills and fever:		+ 6g Crinis Carbonisatus	Xue Yu Tan
+ 9g Fr. Forsythiae	Lian Qiao	+ 12g Hb. Agrimoniae	Xian He Cao
+ 12g Flos Lonicerae	Jin Yin Hua	Or
For Damp-Heat Obstructing the Shao Yang with alternating chills and fever and nausea:		+ Yun Nan White Powder (Patent) Yun Nan Bai Yao
+ 9g Rx. Bupleuri	Chai Hu	For constipation:
+ 9g Rx Scutellariae	Huang Qin	+ 6g Rx. et Rz. Rhei	Da Huang
+ 6g Rz. Pinelliae Preparatum	Zhi Ban Xia	+ 12g Fr. Trichosanthis	Gua Lou
For thirst with a bitter taste in the mouth:
For prostatitis with hematuria:		+ 9g Hb. Dendrobii	Shi Hu
- Rx. Angelicae Sinensis	Dang Gui	+ 15g Rz. Phragmitis	Lu Gen
+ 12g Hb. Dianthi	Qu Mai	For hematuria, insomnia and irritability::
+ 6g Dry-fried Pollen Typhae	Chao Pu Huang
- Rx. Angelicae Sinensis	Dang Gui
+ 3g Powdered Succinum	Hu Po Fen	+ 12g Hb. Dianthi	Qu Mai
+ 6g Dry-fried Pollen Typhae	Chao Pu Huang
For severe bleeding:
- Rx. Angelicae Sinensis	Dang Gui	+ 3g Powdered Succinum	Hu Po Fen
+ 12g Hb. Dianthi	Qu Mai
+ 6g Dry-fried Pollen Typhae	Chao Pu Huang	+ 6g Rz. Coptidis	Huang Lian
+10g Rx. Ophiopogonis	Mai Men Dong
+ 3g Powdered Succinum	Hu Po Fen	+ 15g Caulis Polygoni Multiflori	Ye Jiao Teng
+ Yun Nan White Powder (patent) Yun Nan Bai Yao		For hematuria:
- Caulis Akebiae	Mu Tong
For severe hematuria:		+ 9g Fol. Pyrrosiae	Shi Wei
- Caulis Akebiae	Mu Tong	For hematuria with Blood clots:
+ 9g Fol. Pyrrosiae	Shi Wei	- Caulis Akebiae	Mu Tong
+ 3g Rx. Notoginseng	San Qi	+ 9g Fol. Pyrrosiae	Shi Wei
+ 12g Rz. Imperatae	Bai Mao Gen	+ 12g Rx. Cyathulae	Chuan Niu Xi
Or		+ 9g Rx. Paeoniae Rubra	Chi Shao
- Caulis Akebiae	Mu Tong
+ 9g Fol. Pyrrosiae	Shi Wei	For hematuria with chills and fever:
+ 9g Cacumen Platycladi	Ce Bai Ye	- Caulis Akebiae	Mu Tong
+ 9g Fol. Pyrrosiae	Shi Wei
+ 9g Hb. Agrimoniae	Xian He Cao	+ 18g Flos Lonicerae	Jin Yin Hua
For hematuria with severe pain:		+ 9g Fr. Forsythiae	Lian Qiao
- Caulis Akebiae	Mu Tong	For hematuria with scanty urination:
+ 9g Fol. Pyrrosiae	Shi Wei	- Caulis Akebiae	Mu Tong
+ 9g Hb. Dianthi	Qu Mai	+ 9g Fol. Pyrrosiae	Shi Wei
+ 9g Hb. Polygoni Avicularis	Bian Xu	+ 9g Sm. Plantaginis	Che Qian Zi
For hematuria with low back pain:
For hematuria with Damp-Heat or Heat damaging the Yin:		- Caulis Akebiae	Mu Tong
+ 9g Fol. Pyrrosiae	Shi Wei
- Caulis Akebiae	Mu Tong	+ 9g Rx. Cyathulae	Chuan Niu Xi
+ 9g Fol. Pyrrosiae	Shi Wei	For hematuria with low back pain:
+ 9g Colla Corii Asini	E Jiao	- Caulis Akebiae	Mu Tong
+ 12g Hb. Ecliptae	Mo Han Lian	+ 9g Fol. Pyrrosiae	Shi Wei
For proteinuria:		+ 6g Rx. et Rz. Rhei	Da Huang
+ Calyx Nelumbinis	Lian Zi	For hematuria in urinary tract infection:
For excess hematuria in urinary tract infection:		+ Eight-Herb Powder for Rectification Ba Zheng San
+ Eight-Herb Powder for Rectification Ba Zheng San
For burning sensations and urethral pain:
+ Cx. Moutan	Mu Dan Pi	+ Eight-Herb Powder for Rectification Ba Zheng San
+ Rz. Imperatae	Bai Mao Gen
+ Hb. Dianthi	Qu Mai
+ Sm. Plantaginis	Che Qian Zi