xi jiao di huang tang

Rhinoceros Horn and Rehmannia Decoction

About xi jiao di huang tang

Xi Jiao Di Huang Tang, Rhinoceros Horn and Rehmannia Decoction, is Xi Jiao, Sheng Di Huang, Chi Shao and Mu Dan Pi. The catalogue classes it among the formulas that clear Heat from the Nutritive level and cool the Blood.

Ingredients

Herb	Amount
xi jiao	3 g
sheng di huang	24 g
chi shao	9 g
mu dan pi	6 g

Actions and indications

Clears Heat from the Blood level and relieves Fire toxicity

Warm-febrile disease with Heat that has reached the Blood (Xue) level, the deepest stage
High fever, often worse at night, with thirst yet no wish to swallow, or wanting only to rinse the mouth
Tongue deep red or scarlet, possibly dry or prickled, or deep purple; pulse rapid and thin, rapid and forceful, or wiry and rapid

Cools the Blood and stops bleeding

Reckless bleeding driven by Heat
Vomiting or coughing of blood, and nosebleed
Blood in the stool or urine, including black, tarry stools; heavy periods
Purple-red or black maculae from bleeding under the skin

Nourishes Yin

Fluids and Yin damaged by deep Heat, with a dry mouth

Invigorates the Blood and dispels stasis

Heat congealing the Blood into stasis
Irritability rising to mania or delirium, and forgetfulness
Chest pain, abdominal fullness and distention, and fixed, painful abdominal masses

Modern uses

Septicemia
Toxemia
Encephalitis
Meningitis
Purulent meningitis
Hepatic coma
Uremia
Kidney failure
Acute icteric nephroatrophy
Oliguria
Thrombocytopenic purpura
Allergic purpura
Purpura
Aplastic anemia
Hemophilia
Acute leukemia
Leukocytic leukemia
Upper gastrointestinal bleeding
Esophageal hemorrhage
Hematemesis
Hemoptysis
Epistaxis
Hematuria
Hematochezia
Vicarious menstruation
Uterine fibroids
Epidemic hemorrhagic fever
Ebola
Typhus
Measles
AIDS/HIV
Lupus erythematosus
Pneumonia
Pleurisy
Bronchiectasis
Acute bronchitis
Tracheitis
Pertussis
Upper respiratory tract infection
Acute tonsillitis
Lung cancer
Hepatitis
Hepatitis B
Cholecystitis
Cholelithiasis
Hypertension
Eclampsia
Glaucoma
Hyphema
Blood or pus in the eye's anterior chamber
Iridocyclitis
Red eyes
Psoriasis
Herpes zoster
Drug-induced dermatitis
Drug-induced allergic dermatitis
Boils
Burns
Local inflammation
Rheumatic fever
Painful obstruction
Fever

Symptoms

Abdominal distention
Abdominal mass
Bleeding
Blood in stools
Chest pain
Delirium
Desire to rinse the mouth without swallowing
Difficulty swallowing
Dry mouth
Epistaxis
Fever
Hematemesis
Hematuria
Hemoptysis
High fever
Irritability
Mania
Melena
Menorrhagia
Poor memory
Purpura
Thirst
Thirst with no desire to drink

Modifications

Manic behavior: + huang qin, + da huang
Vomiting blood or nosebleed: + ce bai ye, + bai mao gen, + mo han lian
Serious damage to Blood and Yin: + bai shao, − chi shao
Irritable temper from constraint: + chai hu, + huang qin, + zhi zi
Heavy bleeding with the stool: + di yu, + huai hua mi
Rashes: + zi cao, + qing dai
Rashes, alternative additions: + di yu, + zi cao
Liver and Kidney Yin deficiency stirring Wind: + shu di huang, + dan shen
Severe bleeding: + san qi
Bleeding from hot, reckless Blood together with Qi too weak to hold it: + huang qi, + ren shen
High fever with clouded consciousness (combined with An Gong Niu Huang Wan)
Psoriasis from Blood Heat: + zi cao, + hong hua, + jin yin hua tan, + di yu, + shi gao, + han shui shi, + sha shen, + mai men dong, + xuan shen

Show all 67 modifications

Night-time fever and delirium during a period: + tao ren, + ling xiao hua
Muscle Bi: + bai shao, + tu fu ling, + ban lan gen, + da qing ye, + da huang, + sheng gan cao, − xi jiao
Herpes zoster (combined with Bai Hu Tang and Huang Lian Jie Du Tang)
Drug allergy dermatitis, excess interior Heat: + shui niu jiao, + da huang, − xi jiao
Delirium and mania: + chai hu, + huang qin
Delirium and mania, or instead combined with Dang Gui Long Hui Wan
Blood in the urine: + bai mao gen, + xiao ji
Drug allergy dermatitis, Toxic Heat in the Ying and Xue levels: + shui niu jiao, + pu gong ying, + jin yin hua, − xi jiao
Drug allergy dermatitis, Toxic Heat in the Ying and Xue levels, alternative additions: + da huang, + xuan shen, + huai niu xi
Ebola: + xuan shen, + da qing ye, + zi cao
Ebola, alternative additions: + huang qin, + bai shao, + da ji, + xiao ji, + bai mao gen
Purple skin maculae: + shi gao, + xuan shen, + zi hua di ding, + gan cao
Purple skin maculae, high fever: + shi gao, + xuan shen, + zi hua di ding, + gan cao, + huang lian, + huang qin, + zhi zi
Purple skin maculae, delirium (combined with An Gong Niu Huang Wan): + shi gao, + xuan shen, + zi hua di ding, + gan cao
Tendency to bleed: + bai mao gen, + zi cao, + da ji
Lupus erythematosus: + zhi zi, + shi gao, + zhi mu, + jin yin hua, + lian qiao, + xuan shen, + mai men dong, + bai mao gen, + zi cao
Lupus erythematosus, confusion and delirium: + zhi zi, + shi gao, + zhi mu, + jin yin hua, + lian qiao, + xuan shen, + mai men dong, + bai mao gen
Lupus erythematosus, high fever (combined with An Gong Niu Huang Wan): + zhi zi, + shi gao, + zhi mu, + jin yin hua, + lian qiao, + xuan shen, + mai men dong, + bai mao gen, + ling yang jiao
Drug allergy dermatitis, toxins at the Ying and Xue stages (combined with Zi Xue Dan): + pu gong ying, + jin yin hua, + shui niu jiao
Cholecystitis or gallstones: + tu fu ling, + yin chen hao, + xuan shen, + ju hua, + mu dan pi, + huang lian, + da huang, + zhi zi, + gan cao, + sheng ma, − chi shao
Cholecystitis or gallstones, clouded Shen and confused speech: + tu fu ling, + yin chen hao, + xuan shen, + ju hua, + mu dan pi, + huang lian, + da huang, + zhi zi, + gan cao, + sheng ma, − chi shao
Cholecystitis or gallstones, frequent, scant, reddish urine: + tu fu ling, + yin chen hao, + xuan shen, + ju hua, + mu dan pi, + huang lian, + da huang, + zhi zi, + gan cao, + sheng ma, + bai mao gen, + ma bian cao, − chi shao
Cholecystitis or gallstones, may also be combined with An Gong Niu Huang Wan
Vomiting blood: + shui niu jiao, + ce bai ye, + bai mao gen, + qian cao gen, − xi jiao
Vomiting blood, heavy bleeding: + shui niu jiao, + ce bai ye, + bai mao gen, + qian cao gen, + san qi, − xi jiao
Vomiting blood, heavy bleeding, alternative (combined with Yun Nan Bai Yao): + shui niu jiao, + ce bai ye, + bai mao gen, + qian cao gen, − xi jiao
Vomiting blood, marked fever: + shui niu jiao, + ce bai ye, + bai mao gen, + qian cao gen, + da qing ye, + ban lan gen, + zi cao, − xi jiao
Vomiting blood, Blood stasis: + shui niu jiao, + ce bai ye, + bai mao gen, + qian cao gen, + tao ren, + dan shen, − xi jiao
Drug-induced dermatitis (combined with Huang Lian Jie Du Tang): + jin yin hua, + xuan shen, + shi gao, + zhi mu, + gan cao, − huang bai
Drug-induced dermatitis, coma and delirium (combined with Huang Lian Jie Du Tang): + jin yin hua, + xuan shen, + shi gao, + zhi mu, + gan cao, − huang bai
Drug-induced dermatitis, thirst (combined with Huang Lian Jie Du Tang): + jin yin hua, + xuan shen, + shi gao, + zhi mu, + gan cao, + shi hu, + tian hua fen, − huang bai
Drug-induced dermatitis, may also be combined with Zi Xue Dan
Thrombocytopenic purpura: + xiao ji, + lian qiao, + zi cao, + xuan shen
Coughing or spitting blood and nosebleed from Summerheat injuring the Lung vessels (combined with Yin Qiao San): + zhi zi, + huang qin, + bai mao gen, + ce bai ye, − bo he, − dan dou chi, − jing jie
Thrombocytopenic purpura, profuse bleeding: + xiao ji, + lian qiao, + zi cao, + xuan shen, + xian he cao, + qian cao gen
Thrombocytopenic purpura, profuse bleeding with thirst for cold drinks: + xiao ji, + lian qiao, + zi cao, + xuan shen, + shi gao, + zhi mu
Thrombocytopenic purpura, agitation and constipation: + xiao ji, + lian qiao, + zi cao, + xuan shen, + da huang
Thrombocytopenic purpura, nosebleed: + xiao ji, + lian qiao, + zi cao, + xuan shen, + huang qin, + chuan niu xi, + ce bai ye
Thrombocytopenic purpura, bleeding gums: + xiao ji, + lian qiao, + zi cao, + xuan shen, + shi gao, + huang lian
Thrombocytopenic purpura, blood in the stool: + xiao ji, + lian qiao, + zi cao, + xuan shen, + di yu, + huai jiao
Thrombocytopenic purpura, blood in the urine: + xiao ji, + lian qiao, + zi cao, + xuan shen, + ou jie, + da ji
Thrombocytopenic purpura, vomiting blood: + xiao ji, + lian qiao, + zi cao, + xuan shen, + bai mao gen, + ce bai ye, + bai ji
Thrombocytopenic purpura, heavy periods: + xiao ji, + lian qiao, + zi cao, + xuan shen, + pu huang, + e jiao
Thrombocytopenic purpura, severe, with a red, swollen, sore throat: + xiao ji, + lian qiao, + zi cao, + xuan shen, + shan dou gen, + ban lan gen, + she gan
Thrombocytopenic purpura, Heat entering the Pericardium with restlessness, insomnia, confused speech and muddled thinking: + xiao ji, + lian qiao, + zi cao, + xuan shen, + zhi zi, + lian zi xin, + huang lian
Thrombocytopenic purpura, fever: + xiao ji, + lian qiao, + zi cao, + xuan shen, + jin yin hua
Thrombocytopenic purpura, severe, with tiredness and weakness: + xiao ji, + lian qiao, + zi cao, + xuan shen, + huang qi, + dang shen
Fever from infection: + bai shao, − chi shao
Eclampsia: + bai shao, + zhi shi, + gou teng, + fu ling, + chen pi, + dang gui, + mai men dong, + hou po, − chi shao, − mu dan pi
AIDS/HIV: + shui niu jiao, + xuan shen, + mai men dong, + zi cao, + jin yin hua, + lian qiao, + huang lian, + dan zhu ye, + bai hua she she cao, − xi jiao
AIDS/HIV, high fever: + shui niu jiao, + xuan shen, + mai men dong, + zi cao, + jin yin hua, + lian qiao, + huang lian, + dan zhu ye, + bai hua she she cao, + shi gao, + zhi mu, − xi jiao
AIDS/HIV, convulsions: + shui niu jiao, + xuan shen, + mai men dong, + zi cao, + jin yin hua, + lian qiao, + huang lian, + dan zhu ye, + bai hua she she cao, + ling yang jiao, + gou teng, − xi jiao
Reckless bleeding, with styptic herbs matched to where the bleeding is: + bai mao gen, + ce bai ye, + san qi
Heat with Blood stasis: mania, forgetfulness, dark stools or fixed abdominal masses: + da huang, + huang qin
Sores or deep swellings from Heat toxin: + jin yin hua, + lian qiao, + xuan shen

Cautions

contraindication Bleeding from Yang deficiency with Cold, or from weak Spleen and Stomach (Qi failing to hold the Blood); these call for warming and tonifying treatment instead
contraindication Bleeding caused by traumatic injury
contraindication Heat that has not truly reached the Blood level, and any Cold or deficiency pattern
caution Rhinoceros horn comes from critically endangered, CITES-listed species and is not used; water buffalo horn (Shui Niu Jiao) is the standard substitute
caution Bleeding, purpura, high fever or altered consciousness call for prompt professional and, where needed, emergency medical assessment
caution The cold, bitter herbs and rich Sheng Di Huang can upset a weak or cold Spleen, with loose stools or poor appetite; stop once the Heat has cleared rather than using it long term
pregnancy Contains Chi Shao and Mu Dan Pi, which invigorate the Blood; use in pregnancy only under professional guidance

Preparation

Decoction; Shui Niu Jiao, powdered or shaved and used in place of rhinoceros horn, is cooked separately first and then combined with the strained decoction of the other three herbs

Names

Pinyin	xi jiao di huang tang·xi jiao di huang tang
English Name	Rhinoceros Horn and Rehmannia Decoction

Classification

Category: Clear Heat from the Nutritive Level and Cool Blood