Shi Hui San / Ten Charred Substances Powder

Shi Hui San / Ten Charred Substances Powder

Chinese Name	十灰散
Phonetic	Shi Hui San
English Name	Ten Charred Substances Powder
Classification	Blood-regulating formulas
Source	《Divine Book of Ten Medicinal Formulas》Shi Yao Shen Shu《十藥神書》
Combination	Cirsii Japonici Herba (Da Ji) 9g, Cirsii Herba (Xiao Ji) 9g, Nelumbinis Folium (He Ye) 9g, Platycladi Cacumen (Ce Bai Ye) 9g, Imperatae Rhizoma (Bai Mao Gen) 9g, Rubiae Radix et Rhizoma (Qiao Cao Gen) 9g, Gardeniae Fructus (Zhi Zi) 9g, Rhei Radix et Rhizoma (Da Huang) 9g, Moutan Cortex (Mu Dan Pi) 9g, Trachycarpi Petiolus(Zong Lu Pi) 9g
Method	Char the medicinals, but take care to retain their medicinal properties. Grind them into a fine powder, wrap them with paper, cover them with a bowl on the ground for one night in order to get rid of the fire toxin, and use either white lotus root juice or radish juice to grind half bowl of Peking ink. Mix 5 qian of the powder, and take after meals. (Modern use: Char the medicinals, but take care to retain their medicinal properties. Grind them into a fine powder; use either white lotus root juice or radish juice to grind the right amount of Peking ink. Mix 9-15g of the powder and take it. Or make a decoction, adjusting the dosages according to the proportions of the original formula.)
Action	Cools blood and stanches bleeding.
Indication	Shi Hui San is indicated for hemorrhages due to blood heat. Examples include vomiting of blood, spitting of blood, expectoration of blood, coughing of blood, nosebleed. If the color of the blood is bright red, the situation is acute and severe. The tongue body is red and the pulse is rapid.
Pathogenesis	This formula is indicated for all kinds of hemorrhages of the upper jiao. The cause of the hemorrhage is flaming heat moving upward and damaging the blood vessels, then blood travels out of the normal pathway. The treatment principle is to cool blood and stanch bleeding.
Application	1. Essential pattern differentiation Shi Hui San is indicated for all kinds of hemorrhages in the upper jiao due to blood heat. This clinical pattern is marked by bright red blood, red tongue body with yellow coating, rapid pulse. 2. Modern applications This formula can be used in the following biomedically defined disorders when the patient shows signs of hemorrhage due to blood heat: upper gastrointestinal hemorrhage, bronchiectasis, and hemoptysis due to tuberculosis. 3. Cautions and contraindications This formula is used to treat the branch in acute circumstances. However, once the bleeding has been brought under control, the root of the problem should be identified in order to further increase efficacy of the treatment. Shi Hui San is not suitable for patterns of deficiency-cold. Since it is a powder, it can be used for either internal or external treatment. No matter how it is used, prepare it in advance and use it to decrease blood heat. Although these medicinals are to be charred, when doing so take care to make sure that their medicinal properties remain intact, otherwise the reliability of their medicinal effect will be uncertain.
Additonal formulae	Si Sheng Wan (Four Fresh Medicinals Pill 四生丸) [Source]《The Complete Compendium of Fine Formulas for Women》Fu Ren Da Quan Liang Fang《婦人大全良方》 [Ingredients] Fresh he ye equal doses, fresh ai ye equal doses, fresh ce bai ye equal doses, sheng di huang equal doses [Preparation and Administration] Grind the ingredients into powder and form into pills with the size of yolk. 1 pill (6g) is taken as one dose. It can also be prepared as decoction. [Actions] Cools the blood and stanches bleeding. [Applicable Patterns] Hemorrhage due to blood heat. Symptoms include: spitting of blood, nosebleed with bright red blood, dry mouth and throat, a red or crimson tongue, and a wiry, rapid pulse.