Si Sheng Wan, Four-Fresh Pill, is Ce Bai Ye, fresh Di Huang, He Ye and Ai Ye, each used fresh as the name says. The catalogue classes it among the formulas that clear Heat and stop bleeding.

Herb

Amount

12 g

15 g

9 g

6 g

Actions and indications

Cools the Blood

Excess Heat in the Blood level of the upper body forcing Blood out of the vessels
Heat drying the fluids: dry mouth and throat, with thirst
Tongue red or deep red with a yellow coat; pulse wiry, rapid and forceful

Stops bleeding

Sudden, often heavy bleeding of bright or deep red blood: coughing or spitting up blood, vomiting blood, nosebleed or bleeding gums

Modern uses

Pulmonary tuberculosis
Bronchiectasis
Peptic ulcer
Acute gastritis
Hematemesis
Epistaxis
Gingivitis
Periodontitis
Allergic purpura
Thrombocytopenic purpura
Metrorrhagia
Functional uterine bleeding
Habitual miscarriage
Hypertension

Modifications

Stronger effect: + ou jie, + bai mao gen, + xiao ji, + xian he cao

Severe haemoptysis or spitting up blood: + huang lian, + da huang, + qian cao gen, + san qi

Heavy uterine bleeding (combined with Jiao Ai Tang)

Bleeding peptic ulcer (combined with Huang Tu Tang)

Severe bleeding: + qian cao gen, + mo han lian, + ou jie, + e jiao, + gan cao

Bleeding ulcers: + huang qin, + bai zhu, + zhi fu zi

Constipation from excess Heat: + qian niu zi, + da huang, + zao jiao, + mang xiao

Cautions

contraindication Bleeding due to Cold or to deficient Qi or Blood (blood typically pale or dark in colour), which calls for warming and tonifying instead

caution For acute bleeding only: stop once the bleeding has stopped, as long use of its cold, astringent herbs can lead to Blood stasis

caution Any active or unexplained bleeding should be assessed promptly by a qualified practitioner, not self-treated

Pinyin

si sheng wan

English Name

Four-Fresh Pill

si sheng wan

About si sheng wan

Ingredients

Actions and indications

Cools the Blood

Stops bleeding

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification