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Herbs & Cultures

Formulas that clear heat

Xi jiao di huang tang

Rhinoceros Horn and Rehmannia Decoction

Chinese name
犀角地黄汤
Group
Formulas that clear heat
English name
Rhinoceros and Rehmannia Combination
Basic formula
✓

For severe fever with heat in the blood; resolves blood stagnation.

Indications

For severe febrile illnesses with delirium, vomiting blood, nosebleeds, blood in the urine and black stools. The book also mentions acute leukaemia, uraemia, liver failure, septicaemia and severe local inflammations.

Ingredients

IngredientsAmount
Rhinoceros horn (xi jiao)animal3–6 g
Raw rehmannia (sheng di huang)8 g
Red peony root (chi shao)3 g
Tree peony bark (mu dan pi)2 g
Tongue
dark red with a prickly coating
Pulse
thin and rapid

Variations

  • For vomiting blood and nosebleeds: add cogon grass and arborvitae leaf.
  • For blood in the stool: add pagoda tree flower and zi cao.
  • For delirium and confusion: add huang qin and rhubarb.
  • For lupus of the excess-heat type (sudden onset, high fever, red rash), the book describes a variant with, among others, gypsum, zhi mu, xuan shen, honeysuckle flower, lian qiao, zi cao, mai men dong and cogon grass.