Huai Hua San, Sophora Japonica Flower Powder, is dry-fried Huai Hua, Ce Bai Ye, Jing Jie Sui and Zhi Ke. The catalogue classes it among the formulas that clear Heat and stop bleeding, and records it as cooling the Intestines to stop bleeding while dispersing Wind.

Herb

Amount

9 g

9 g

6 g

6 g

Actions and indications

Cools the Intestines and stops bleeding

Wind-Heat (Intestinal Wind) or Damp-Heat lodged in the Stomach, Intestines or Large Intestine, forcing blood out of its vessels
Fresh red blood from the bowel, usually before the stool but sometimes after it or mixed with it
Bleeding haemorrhoids, the blood bright or dark red
Possibly bleeding of a dysentery type

Disperses Wind

Tongue red; pulse wiry and rapid (more Heat) or soggy and rapid (more Damp)

Promotes the movement of Qi and relaxes the Intestines

Swelling, heat or discomfort around the anus

Modern uses

Haemorrhoids, internal or external, with bleeding
Rectal bleeding and blood in the stool (hematochezia)
Anal fissure
Colitis
Ulcerative colitis
Amoebic dysentery
Rectal prolapse
Rectal polyp

Modifications

Stronger haemostatic effect: + jing jie (tan), − jing jie sui

Severe or excess Heat in the Large Intestine: + huang lian, + huang bai

Strong Liver Heat pouring down into the Intestines: + ku shen, + huang qin, + zhi zi, + qing dai

Rectal bleeding that is chronic or heavy: + di yu, + hai piao xiao

Long-term bleeding that has depleted Blood and Qi: + dang gui, + ren shen, + huang qi, + ge gen, + sheng ma

Ulcerative colitis: + bai shao, + di yu, + bai ji, + hai piao xiao, + huang qin, − zhi ke

Amoebic dysentery (combined with Bai Tou Weng Tang)

Excessive bleeding: + di yu, + xiao ji

Hard, dry stools with bleeding: + mang xiao, + huo ma ren

Blood in the stool with abdominal pain, distension and straining: + mu xiang, + hou po

Bleeding haemorrhoids with rectal prolapse: + dang gui, + huang qin, + fang feng, + di yu, − ce bai ye, − jing jie

Qi deficiency from long-term bleeding: + huang qi, + dang shen, + sheng ma

Show all 26 modifications

Ongoing heavy bleeding that has led to Blood deficiency: + sheng di huang, + dang gui, + chuan xiong, + wu mei
Haemorrhoids with a dragging, bearing-down feeling at the anus: + chi shao, + huang qin, + dang gui
Constipation or sticky stools: + huai jiao, + da huang, − huai hua (chao)
Bleeding haemorrhoids: + di yu, + huang qin
Bleeding haemorrhoids with intense Heat: + di yu, + cang zhu, + dang gui, + chi xiao dou, + san qi, + huang lian, + e jiao
Bleeding haemorrhoids with intense Heat (alternative): + di yu, + cang zhu, + dang gui, + chi xiao dou, + san qi
Bleeding haemorrhoids from Heat in the Blood: + di yu, + cang zhu, + dang gui, + chi xiao dou, + san qi, + sheng di huang, + chi shao
Bleeding haemorrhoids with hard-to-pass stools or constipation: + di yu, + cang zhu, + dang gui, + chi xiao dou, + san qi, + zhi da huang, + bai wei
Bleeding haemorrhoids with Qi stagnation, abdominal distension or straining: + di yu, + cang zhu, + dang gui, + chi xiao dou, + san qi, + mu xiang
Bleeding haemorrhoids with pus in the blood: + di yu, + cang zhu, + dang gui, + chi xiao dou, + san qi, + hong teng, + jin yin hua
Damp-Heat haemorrhoids: + huang bai, + huang qin, + huang lian
Damp-Heat haemorrhoids that bleed heavily: + di yu, + hai piao xiao
Damp-Heat haemorrhoids with Liver Heat: + long dan cao, + zhi zi, + qing dai
Damp-Heat haemorrhoids with straining: + mu xiang

Cautions

contraindication Not for long-term use: it is a cold formula for an acute Heat pattern, and continuing after the Heat has cleared can harm Spleen and Stomach Yang

contraindication Bleeding of a cold or deficient type (blood pale, or dark and not fresh, with a dull ache, cold limbs, tiredness or a pale tongue), including rectal bleeding with signs of Qi or Yin deficiency; it would worsen the deficiency

caution Not suited to chronic, low-grade bleeding

caution Use carefully with deficient Cold of the Middle Jiao; its cooling herbs can worsen loose stools or poor appetite where digestion is already weak and cold

caution Any rectal or digestive-tract bleeding needs proper diagnosis to exclude serious causes and should be guided by a qualified practitioner, not self-treated

pregnancy Use in pregnancy only under a qualified practitioner's guidance

Pinyin

huai hua san

English Name

Sophora Japonica Flower Powder

huai hua san

About huai hua san

Ingredients

Actions and indications

Cools the Intestines and stops bleeding

Disperses Wind

Promotes the movement of Qi and relaxes the Intestines

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification

Support