Bleeding conditions

As pungent herbs have a moving property, these herbs should be used with caution in bleeding conditions or in pregnancy. 

Avoid usage in menstruation, bleeding conditions and in pregnancy ... 

Formulas that strongly drain downward can also drain Qi as well as blood downward, so they are not suitable for use during heavy menstruation or in bleeding conditions. They should not be used in pregnancy. 

All four herbs can cool the blood and stop bleeding, and are used in bleeding conditions when the heat forces the blood to leave its normal pathway. Da Qing Ye and Bai Mao Gen can particularly clear Stomach-heat and stop the bleeding there. Di Yu and Huai Hua enter the Large Intestine and treat bleeding in the intestines they can also be used to treat hemorrhoids. 

Sheng Di Huang and Bai Mao Gen are sweet and cold. They can clear heat and cool the blood, and can be used for bleeding conditions when the heat has injured the blood in the Lung, such as nose bleeds and expectoration of bloody sputum. Moreover, both herbs are able to nourish the Yin and increase body fluids. They are used in the syndrome where the heat has already injured the blood and consumed the Yin and fluid of the Lung. 

These three herbs are cold in temperature and they enter the blood. They can cool the blood and stop bleeding, and can be used in bleeding conditions such as heavy menstruation and blood in the urine. 

Sheng Di Huang is sweet and cold, and enters the Kidney, Heart and Liver meridians. As it can strongly tonify the Kidney-Yin, which is the root of the Stomach-Yin, it is often used in the condition of Stomach-Yin deficiency. In addition, as it can cool the blood and stop bleeding, it is often selected in bleeding conditions of the stomach and intestines. 

Sheng Di Huang is sweet and cold, and enters the Heart, Liver and Kidney meridians. It nourishes the Yin, particularly the fluid part of these organs. It can also reduce heat and cool the blood. It is particularly suitable for conditions where the heat has injured the fluid, and not only the Kidney-Yin, but also the Heart-Yin and Liver-Yin are weakened. This manifests as restlessness, palpitations, irritability and insomnia. Sheng Di Huang is also frequently used in bleeding conditions, such as in prolonged menstrual periods or heavy menstruation. 

Pungent and hot herbs should not be used alone in a bleeding condition or in a syndrome where Yin deficiency coexists with Yang deficiency. 

Second, the partially charred herbs are ground to a fine powder, sealed in an earthenware container and buried in the earth for a night. This procedure reduces any fire nature that the herbs may have developed from the charring process, which is inappropriate for bleeding conditions. 

Caution during pregnancy, heavy menstruation or in bleeding conditions ... 

This chapter introduces the principles, methods and strategies for the composition of formulas that can stop bleeding. They are used to treat various bleeding conditions and are used to treat the manifestation rather than the cause of the syndrome. 

Send patients to hospital in a severe bleeding condition ... 

Although the formulas that stop bleeding are effective in treating many kinds of bleeding conditions, patients should be sent to hospital immediately when heavy bleeding may bring danger to the patients. 

Since sour and astringent substances have an inward moving tendency, these substances can stop bleeding. They treat the symptom of bleeding rather than the cause and are often used in different bleeding conditions as a first aid procedure. 

In a very severe bleeding condition, if it is impossible to reach a hospital in time, or the speed of blood loss is faster than that of the blood transfusion, a large dose of Ren Shen should be applied together with herbs that stop bleeding. It can hold the Source-Qi in order to hold the blood. 

Huang Qi is sweet and warm, and enters the Lung and Spleen meridians. It can tonify the Spleen-Qi and Lung-Qi, and has an ascending tendency. It is often used in a chronic bleeding condition due to Spleen deficiency that fails to control the blood. 

Zhi Gan Cao is sweet in nature and primarily enters the Spleen meridian. It can tonify the Qi, slow down pathological development, ease the muscles and tendons, and stabilize the Qi and blood. It tonifies the Qi without the side effect of stimulating the Qi, and is particularly suitable in a crucial bleeding condition when the Qi and blood are too weak to bear strong tonification. 

These two substances can tonify the blood and are often used in chronic bleeding conditions. Unlike many tonifying herbs that can move the blood, Bai Shao Yao and E Jiao tonify and stabilize the blood because Bai Shao Yao is sour and E Jiao is sweet. They can either tonify the blood or stop the bleeding. 

In clinical practice and in laboratory trials, it has been shown that Huang Qi is able to tonify the Spleen-Qi and ascend the Qi, and can be used to control the blood in a bleeding condition. This function can be enhanced by a small amount of Sheng Ma and Chai Hu. 

These procedures suggest wider possibilities in unexpected bleeding conditions people may quickly burn plants to black and put the powder on the wound to stop bleeding, at the same time taking fresh vegetables to clear heat. 

Since these aromatic substances strongly stimulate the Yin, Yang, Qi and blood, they may scatter and weaken the Qi. Thus they should be applied only for a short period of time. After patients are revived from coma, treatment should be given according to the differentiation of the current syndrome. Caution in pregnancy and bleeding conditions ... 

Primarily extensions of pharmacologic actions (e.g., fluid overload dilutional coagulopathy) Bleeding (decreases factor Vlll/C activity not recommended in patients with severe bleeding conditions such as subarachnoid hemorrhage)... 

Patients with a bleeding condition who cannot take antiplatelet therapy long term. 

These drugs find clinical utility in settings such as prevention of rebleeding in intracranial hemorrhages, as adjunctive therapy in hemophilia, and of course, in treatment of bleeding associated with fibrinolytic therapy. In most bleeding conditions, however, -aminocaproic acid therapy has not been shown to be of definitive benefit. In recent trials, tranexamic acid was found to reduce red cell transfusion better than -aminocaproic acid or placebo in patients undergoing liver transplantation (136). 

Clotting may be inhibited or disturbed in several ways. The well-known bleeding condition hemophilia is caused by the absence (or inactivity) of any one component of the thrombokinase system from blood, i.e. of some plasma factor. In classical hemophilia A it is factor VIII (antihemophilic globulin) in hemophilia B, factor IX (Christmas factor). Due to a deficiency in these factors insufficient amounts of plasma thrombokinase are formed, and consequently the transition prothrombin —> thrombin is delayed greatly or even prevented. 

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