HERB FORMULAS

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	Stops bleeding, astringes leakage of Blood, removes Blood Stasis and eliminates Blood Heat.
Dry-fried Pollen Typhae	*Chao Pu Huang*	6-15g	Stops bleeding, tonifies, invigorates and astringes Blood and promotes urination. 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, drains Damp-Heat, cools Blood and 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	*Relieves spasmodic pain, harmonizes the Middle Jiao, clears Heat and moderates and harmonizes the harsh properties of the other herbs.*

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

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

TREATS

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

CONTRAINDICATIONS

Contraindicated for those with bloody, painful urinary dysfunction due to Qi Deficiency.
Contraindicated during pregnancy.
Contraindicated for those with chronic conditions.

HERB/DRUG INTERACTIONS

NOTES

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
+ 6g Powdered Rx. Notoginseng	San Qi	+ 9g Cx. Phellodendri	Huang Bai
+ 1g Powdered Succinum	Hu Po	+ 15g Flos Lonicerae	Jin Yin Hua
+ 1g Powdered Succinum	Hu Po	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
+ 6g Rz. Pinelliae Preparatum	Zhi Ban Xia	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	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
+ 3g Powdered Succinum	Hu Po Fen	+ 6g Dry-fried Pollen Typhae	Chao Pu Huang
For severe bleeding:		+ 6g Dry-fried Pollen Typhae	Chao Pu Huang
- Rx. Angelicae Sinensis	Dang Gui	+ 3g Powdered Succinum	Hu Po Fen
+ 12g Hb. Dianthi	Qu Mai	+ 3g Powdered Succinum	Hu Po Fen
+ 6g Dry-fried Pollen Typhae	Chao Pu Huang	+ 6g Rz. Coptidis	Huang Lian
+ 6g Dry-fried Pollen Typhae	Chao Pu Huang	+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:
+ Yun Nan White Powder (patent) Yun Nan Bai Yao		- 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 Rx. Paeoniae Rubra	Chi Shao
+ 9g Fol. Pyrrosiae	Shi Wei	For hematuria with chills and fever:
+ 9g Cacumen Platycladi	Ce Bai Ye	- Caulis Akebiae	Mu Tong
+ 9g Cacumen Platycladi	Ce Bai Ye	+ 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
+ 9g Hb. Polygoni Avicularis	Bian Xu	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		+ 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	+ Eight-Herb Powder for Rectification Ba Zheng San
		+ Hb. Dianthi	Qu Mai
		+ Sm. Plantaginis	Che Qian Zi