Yibian
 Shen Yaozi 
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formula nameDonkey-hide Gelatin and Artemisia Decoction
aliasSichuan Lovage, Angelica, Donkey-hide Gelatin and Artemisia Decoction
sourceShanghan Zabing Lun
categoryHemostasis
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bubble_chart Preparation and Dosage

Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 6gm (2 liǎng)
Donkey-hide Gelatin (Colla Corii Asini) 6gm (2 liǎng)
Liquorice Root (Radix Glycyrrhizae) 6gm (2 liǎng)
Mugwort (Folium Artemisiae Argyi) 9gm (3 liǎng)
Chinese Angelica (Radix Angelicae Sinensis) 9gm (3 liǎng)
Peony Root (Radix Paeoniae Alba) 12gm (4 liǎng)
Dried Rehmannia Root (Radix Rehmanniae) 12gm (4 liǎng)

Take five liters of water and three liters of clear wine, boil them together, and reduce to three liters. Remove the dregs, add gelatin until it completely dissolves, and take one liter warm, three times a day. If not cured, repeat the process.

bubble_chart Efficacy

Nourishing blood and stopping bleeding, regulating menstruation and calming the fetus.

bubble_chart Indications

Women with deficiency of the Chong and Ren meridians, blood deficiency with cold syndrome/pattern. Menorrhagia and metrostaxis with excessive bleeding, hypermenorrhea, continuous dripping, postpartum or late abortion injury to the Chong and Ren meridians, continuous bleeding; or abdominal pain during pregnancy, vaginal bleeding during pregnancy with abdominal pain.

bubble_chart Formula Principles

This formula is derived from Four Ingredients Decoction with the addition of Donkey-hide Gelatin, Mugwort, and Liquorice Root. It is suitable for conditions such as incessant Jingshui caused by deficiency of the Chong and Ren meridians, as well as persistent bleeding before and after childbirth. In the formula, Donkey-hide Gelatin tonifies blood, enriches yin, and calms the fetus to stop bleeding; Mugwort warms the meridians, stops bleeding, calms the fetus, and relieves pain, serving as the main medicinal. Chinese Angelica, Sichuan Lovage Rhizome, Peony Root, and Rehmannia constitute the Four Ingredients Decoction, which nourishes blood, regulates blood, and tonifies the Chong and Ren meridians, acting as minister medicinals. Liquorice Root strengthens the spleen and regulates the middle, and when paired with Peony Root, it also alleviates spasms and relieves pain. Combined with Donkey-hide Gelatin, it further enhances the hemostatic function. The combination of these medicinals primarily nourishes blood and stops bleeding, while also regulating menstruation and calming the fetus.

bubble_chart Syndrome Differentiation

  1. Excessive and continuous menstruation.
  2. Pregnancy with vaginal bleeding and abdominal pain.

bubble_chart Formula Modification

  1. qi deficiency menorrhagia: add Ginseng, Astragalus Root, White Atractylodes Rhizome.
  2. threatened abortion: add Dipsacus, Eucommia Bark, Dodder Seed.
  3. postpartum lochia not clean: combine with Generation and Transformation Decoction.
  4. hemorrhagic purpura: add Peony Bark, Scrophularia Root, hairyvein agrimonia herb.

bubble_chart Modern Application

Modern medicine believes that this prescription reduces capillary permeability, promotes blood coagulation, regulates uterine function, promotes red blood cell production, and protects the fetus. It is mainly used for: threatened late abortion, incomplete postpartum uterine involution, functional uterine bleeding, poor uterine contraction, gastrointestinal bleeding, thrombocytopenic purpura, anal bleeding, hemorrhoidal bleeding, and hematuria. It is indicated for metrorrhagia and metrostaxis, hypermenorrhea, continuous dripping of dark-colored blood, dull complexion or threatened abortion, pale tongue with white coating, and thin pulse.

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