Xiao Ji Yin Zi小蓟饮子
Cephalanoplos Drink
Ingredients10 herbs
Indications
Heat gathered in the lower burner injuring the vessels. Heat concentrates in the Bladder, damages the collaterals and forces blood into the urine, which scalds and dribbles.
Clinical Manifestations
- Blood in the urine with burning and urgency
- Bloody painful urinary dribbling
- Frequent scanty dark urine with heat
- Urinary tract infection with visible blood
Health Categories
Modern Applications
Common adjustments
- Bleeding heavy — add Bai Mao Gen 白茅根 and Xian He Cao 仙鹤草
- Marked yin deficiency after prolonged bleeding — add Zhi Mu 知母 and Huang Bai 黄柏
- Stone in the urinary tract — add Jin Qian Cao 金钱草 and Hai Jin Sha 海金沙
- Long-standing case with Spleen qi deficiency — reduce the draining herbs and pair with a qi-tonifying formula
Contraindications
Not for prolonged bloody urine from deficiency — a pale, exhausted patient with a weak pulse needs tonification, not draining. The bitter cold and diuretic herbs injure the Spleen and consume fluids, so the course is kept short. Blood in the urine always requires medical investigation: it can indicate stones, infection or malignancy. Mu Tong must be sourced as Akebiae Caulis; the aristolochic-acid-containing is nephrotoxic and prohibited.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Contraindicated in pregnancy unless a practitioner directs otherwise. Mu Tong and Hua Shi are strongly draining and classically restricted in pregnancy, and Pu Huang is listed among the herbs pregnant women should avoid because it moves blood. Blood in the urine during pregnancy needs prompt medical assessment. Pu Huang and Dang Gui may add modestly to the effect of anticoagulant medication.
References
Source 《济生方》，录自《玉机微义》 · Southern Song
「治下焦结热血淋。」
- Classical source (public domain) — 《济生方》, Southern Song, Yan Yong-he; the transmitted text is that of 《玉机微义》.
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）— 理血剂 · 止血, pattern and 配伍 analysis cross-checked.
4. Regulatory withdrawal of 关木通 (Aristolochia manshuriensis) — aristolochic acid nephropathy; Akebiae Caulis is the required species.
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.