bubble_chart Preparation and Dosage

Take the four ingredients on the right, crush them, and boil in nine liters of water until reduced to three liters. Divide into three doses. For those experiencing delirium or mania, add two taels of Rhubarb Rhizoma and three taels of Skullcap Root. If the patient has a large but slow pulse and complains of abdominal fullness despite no actual distension, this indicates an absence of heat. In such cases, follow the original formula without adding the extra ingredients.

bubble_chart Efficacy

Clearing heat and removing toxin, cooling blood and resolving stasis.

bubble_chart Indications

Heat invading the blood aspect, a syndrome of heat damaging the blood vessels. The original text treats cold-damage disease and warm disease cases where sweating should have occurred but did not, leading to internal blood stasis, as well as cases of epistaxis and hematemesis where the bleeding does not stop, leaving residual static blood, yellow complexion, and black stools, with a formula to dissipate static blood.

bubble_chart Formula Principles

Rhinoceros HornClears fire and cools blood, serving as the sovereign medicinal;Unprocessed Rehmannia RootSweet and bitter in nature, cold in property, clears heat and cools blood, enriches yin and produces fluid, serving as the minister medicinal;Peony RootBitter and sour, slightly cold, astringes yin qi and expels pathogenic qi, nourishes blood and astringes yin, and assistsUnprocessed Rehmannia RootIn cooling blood and harmonizing the camp to expel heat, while Moutan bark clears heat and cools blood, stops bleeding, and also invigorates blood and resolves stasis. Both serve as assistant medicinals. The combination of these four medicinals achieves the effects of clearing heat and removing toxins, cooling blood and resolving stasis.

bubble_chart Modern Application

Antibacterial, anti-inflammatory, antipyretic, neutralizing toxins, promoting blood coagulation. Mainly used for leukemia, acute jaundice liver atrophy, acute hepatitis, toxic hepatitis, epidemic cerebrospinal meningitis, macula and papule cold-damage disease, liver unconsciousness, intestinal cold-damage disease, gastric ulcer, duodenal ulcer, uremia, sepsis, burns, disseminated intravascular coagulation, ulcer disease with bleeding, glaucoma, iridocyclitis, scleritis, hyphema, hypopyon, green tangerine peel inflammation, etc., presenting with fever aggravated at night, or unconsciousness with delirious speech, or macula and papule with purple-black color, dry mouth and thirst with desire to rinse but not swallow, or manifestations of blood heat, crimson tongue, and thin rapid pulse.

bubble_chart Supplementary Formulas

Modern medicine uses buffalo horn as a substitute for rhinoceros horn, and the prescription is named Clearing Heat and Cooling Blood Decoction.