Xiao Ji Yin Zi, Cephalanoplos Decoction, is Xiao Ji, Ou Jie, Pu Huang, Sheng Di Huang, Hua Shi, Mu Tong, Dan Zhu Ye, Zhi Zi, Dang Gui and Zhi Gan Cao. The catalogue classes it among the formulas that clear Heat and stop bleeding.

Herb

Amount

15 g

15 g

15 g

120 g

15 g

15 g

15 g

15 g

15 g

15 g

Actions and indications

Cools the Blood and stops bleeding

Blood Lin: Heat pouring into the Lower Jiao and injuring the vessels of the Bladder
Blood in the urine, ranging from faint to heavy, purplish red, at times clotted
Bleeding of the gums and tongue

Clears Heat, promotes urination and unblocks painful urinary dysfunction

Damp-Heat in the Bladder: frequent, urgent, burning and painful urination; scanty reddish urine
Heart Fire with thirst and irritability; possible discomfort of the lower abdomen or low back
Tongue red, or red at the tip, with a thin yellow coat; pulse rapid and forceful, or thin and rapid

Modern uses

Acute urinary tract infections and cystitis
Acute glomerulonephritis
Pyelonephritis
Hematuria
Proteinuria
Urolithiasis and ureter stones
Lithangiuria
Strangury
Scanty reddish urine
Polyuria
Enuresis
Radiation cystitis
Bleeding after urological procedures
IgA nephropathy with hematuria
Renal tuberculosis
Polycystic kidneys and renal cysts
Hydronephrosis
Renal carcinoma
Bladder tumor
Prostatitis
Benign prostatic hypertrophy
Gonorrhea
Low back pain
Thrombocytopenic purpura
Allergic purpura
Hemophilia
Sickle cell disease
Periodontitis
Glossitis

Modifications

Show all 33 modifications

Constipation: + da huang, + gua lou
Thirst and a bitter taste: + shi hu, + lu gen
Prostatitis with blood in the urine: + qu mai, + chao pu huang, + hu po fen, − dang gui
Blood in the urine with sleeplessness and irritability: + qu mai, + chao pu huang, + hu po fen, + huang lian, + mai men dong, + ye jiao teng, − dang gui
Prostatitis with heavy bleeding (combined with Yun Nan Bai Yao): + qu mai, + chao pu huang, + hu po fen, − dang gui
Hematuria: + shi wei, − mu tong
Severe hematuria: + shi wei, + san qi, + bai mao gen, − mu tong
Hematuria with clots: + shi wei, + chuan niu xi, + chi shao, − mu tong
Hematuria with clots, alternative: + shi wei, + ce bai ye, + xian he cao, − mu tong
Hematuria plus chills and fever: + shi wei, + jin yin hua, + lian qiao, − mu tong
Hematuria with severe pain: + shi wei, + qu mai, + bian xu, − mu tong
Hematuria with scanty urine: + shi wei, + che qian zi, − mu tong
Hematuria and lower back pain: + shi wei, + chuan niu xi, − mu tong
Hematuria where Damp-Heat or Heat has injured Yin: + shi wei, + e jiao, + mo han lian, − mu tong
Hematuria and lower back pain (second option): + shi wei, + da huang, − mu tong
Proteinuria: + lian zi
Blood in the urine with urinary infection (combined with Ba Zheng San)
Heavy blood in the urine with urinary infection (combined with Ba Zheng San): + mu dan pi, + bai mao gen
Burning and pain in the urethra (combined with Ba Zheng San): + qu mai, + che qian zi
More severe hematuria: + bai mao gen, + da ji
More marked painful, dribbling urination: + qu mai, + bian xu

Cautions

contraindication Bloody, painful urination from Qi deficiency, or hematuria and frequent urination from Spleen or Kidney deficiency without Heat (pale, watery urine, tiredness, cold signs)

contraindication Chronic conditions

pregnancy Contraindicated in pregnancy; it holds Dang Gui and strongly draining, diuretic herbs

caution Not for long-term use: its cold, draining herbs can damage Spleen and Stomach Yang; stop or change it once the Heat and bleeding settle

caution Use Chuan Mu Tong (Clematis), never Guan Mu Tong (Aristolochia), which is linked to serious kidney damage and, with long use, urinary tract cancer

caution Blood in the urine that persists or returns always needs medical assessment

Pinyin

xiao ji yin zi

English Name

Cephalanoplos Decoction

xiao ji yin zi

About xiao ji yin zi

Ingredients

Actions and indications

Cools the Blood and stops bleeding

Clears Heat, promotes urination and unblocks painful urinary dysfunction

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification