Huai Jiao Wan槐角丸
Sophora Fruit Pill
Ingredients6 herbs
Indications
Damp-heat with wind lodged in the Large Intestine, injuring its vessels over a long period. Repeated bleeding gradually depletes blood, so the pattern is chronic damp-heat on a thinning blood base.
Clinical Manifestations
- Repeated bleeding from haemorrhoids
- Swollen, painful or prolapsing haemorrhoids
- Chronic blood in the stool from damp-heat
- Anal swelling and burning
Health Categories
Modern Applications
Common adjustments
- Bleeding heavy during a flare — use Huai Hua San for the acute episode and return to this pill afterwards
- Marked prolapse with qi sinking — pair with Bu Zhong Yi Qi Tang to raise the sunken qi
- Marked blood deficiency with pallor and dizziness — increase Dang Gui 当归 and add Shu Di Huang 熟地黄
- Constipation making the bleeding worse — add Huo Ma Ren 火麻仁 and increase fluids
Contraindications
Not for bleeding from deficiency-cold or sinking qi without heat, and not for a patient with chronically loose stools — the cold bitter herbs will make that worse. Rectal bleeding must be examined and a diagnosis made, whatever its duration; long-standing bleeding is not evidence that it is benign.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Used with caution in pregnancy and only on a practitioner's direction. Haemorrhoids are common in pregnancy but this pill is cold and downward-draining, and Dang Gui and Zhi Ke both move — none of which suits later pregnancy. Rectal bleeding during pregnancy should be examined rather than assumed to be haemorrhoidal. Dang Gui may add modestly to the effect of anticoagulant medication.
References
Source Tai Ping Hui Min He Ji Ju Fang 《太平惠民和剂局方》 · Song
「治五种肠风泻血。」
- Classical source (public domain) — 《太平惠民和剂局方》, Song dynasty.
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
3. 《方剂学》（全国中医药行业高等教育规划教材）— listed as the 附方 appended to 槐花散.
Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.