formula | Peony Rehmannia Decoction Shao Yao Di Huang Tang |
source | Waitai Miyao Volume 2, Citing Xiaopin Fang |
Peony 12 gm, Rehmannia 30 gm, Moutan 9 gm, Rhinoceros Horn Powder 3 gm
bubble_chart Preparation and Dosage
Take the above 4 ingredients, cut them. Use 1 liter of water, decoct to 400 ml, remove the dregs, administer 200 ml while warm each time, twice a day.
Clearing heat and removing toxin, cooling blood and resolving stasis.
Excessive heat causing bleeding, hematemesis, epistaxis, hematuria, bloody stool; blood accumulation fever, rinsing mouth with water but not wanting to swallow, abdomen not full but feeling stuffiness and fullness, black and easily passed stool; heat disturbing the heart palace, unconsciousness and delirious speech, purplish-black spots, crimson tongue with thorns.
bubble_chart Formula Principles
In the formula, Rhinoceros Horn serves as the monarch herb, clearing heat and cooling blood, as well as removing toxins. Unprocessed Rehmannia Root acts as the minister herb, clearing heat, cooling blood, and nourishing yin fluids. Peony Root harmonizes the nutrient aspect and drains heat, while Moutan Bark drains latent heat from the blood aspect, cools blood, and resolves stasis, serving as assistant and envoy herbs. These four herbs combined not only clear heat but also nourish yin, and while cooling blood, they also disperse stasis, making this formula essential for treating heat invading the blood aspect.
bubble_chart Formula Modification
For those with intense heat and mania, add 6 grams of Skullcap Root.
bubble_chart Modern Application
It is currently used for acute hemorrhagic purpura, thrombocytopenic purpura, acute yellow liver atrophy, disseminated intravascular coagulation, uremia, acute leukemia, macula and papule cold-damage disease, sepsis, boil and sore swelling and pain, etc., which are attributed to heat entering the nutrient-blood.