Xī Jiāo Dì Huáng Tāng

犀角地黄汤

Rhinoceros Horn and Rehmannia Decoction

Disclaimer    For educational purposes only.  Do not use as medical advice

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Category: Clear Heat
Subcategory: Xue Level  Source: Bei Ji Qian Jin Yao Fang  
Actions: Clear Heat detoxification, cool blood and dissipate blood stagnation [31]
Diagnosis
Tongue: crimson body with prickles[31]      Pulse:    Other: 
Patterns: Xue-stage Heat 
Indications: Heat enters blood level, high fever, various bleeding (nasal, stool, urine, under skin, hematemesis, etc), restlessness, crimson tongue with prickles, coma, delirium [31]
Contraindications: 
Description
Name Variations: Xi Jiao Di Huang Tang, 犀角地黄汤, Rhinoceros Horn and Rehmannia Decoction,
Herb List: Xi Jiao(K) • Sheng Di Huang(M) • Mu Dan Pi(A) • Chi Shao(A)
Commentary: MODIFICATIONS: Different type of bleeding when heat enters Blood stage: • Vomit blood: Huang Qin, Shi Gao, Bai Ji, San Qi • Nasal bleeding: Huang Qin, Zhi Zi, Ce Bai Ye, Bai Mao Gen • Bleeding in stools: Di Yu, Huai Hua Mi • Urine bleeding: Bai Mao Gen, Xiao Ji • Under skin bleeding: Zi Cao, Xian He Cao, Han Lian Cao, Qian Cao, Da Zao [31]
Related Formulas:
Herbs Cat/Dosage Actions Attributes
Shi Gao   Clear Heat Drain Fire
30g
Clear heat • Drain fire • Clear High fever • Stop thirst • Promote flesh healing [18] antipyretic • Immunostimulant
Bai Shao Tonify Blood
9g
Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei QiDao Di: Zhe Jiang • AKA Shao Yao analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative
Zhi Gan CaoLicorice Root • 甘草 Tonify Qi
3g
Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effects • enters 12 channelsEnters all 12 channels, often serve as envoy in a formula. Hypoglycemic • Antiarrhythmic • Hypertensive • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal
Jing Mi  
9g-15g
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions:
Modifications For
+ Xi Xin+ Huang Lian + Huang Qin R 14
+ Tian Hua Fen + Lu Gen + Mai Men Dong T 14
+ Shan Yao –Geng Mi St 14
+ Cong Bai +Dan Dou Chi + Xi Xin Exterior wind cold 14
+ Da Huang Gum swelling, headache, dry mouth, nose bleed, constipation 14 
+ Huang Lian Jie Du Tang Disorientation, insomnia, skin blotches 14

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Shan Zha:
Shen Qu:
Lai Fu Zi: Pregnancy
Ban Xia: Yin deficiency cough • Bleeding • Dehydration • Heat • Pregnancy • Incompatible with Wu Tou and Fu Zi • Antidepressant drugs • Blood pressure medication • Terfenadine (antihistamine) • Foods: lamb, goat
Chen Pi: Excess internal heat • Dry cough from heat, yin deficiency or qi deficiency • Cough with blood • Red tongue • Fluid deficiency
Fu LingBa Dou: Foods: Vinegar, pickled food
Lian Qiao: Diarrhea

Notes

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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