Gù Jīng Wán

Question 1

Indications

Answer 1

Continuous menstruation or uterine bleeding that alternates between trickling and gushing of blood (very red, may contain dark-purple clots). Sensation of heat and irritability in the chest, abdominal pain, dark urine, a red tongue, and a rapid, wiry pulse.

Question 2

Actions

Answer 2

Enriches the yin, clears heat, stops bleeding, and stabilizes the menses

Question 3

Herbs

Answer 3

zhì guī băn
chăo bái sháo
chăo huáng qín
chūn pí
chăo huáng băi
xiāng fù

Question 4

Chief

Answer 4

guī băn: salty, sweet, cooling; tonifies yin essence and directs the fire downward
bái sháo: sour, bitter, cooling; preserves yin and nourishes blood

Question 5

Deputies

Answer 5

bitter, cooling
huáng qín: drains heat from upper burner and blood to stop the bleeding
huáng băi: drains damp-heat from the lower burner
With chiefs, control fire (yang) by directing it downward, fortifying water (yin)

Question 6

Assistants

Answer 6

xiāng fù: acrid; regulates qi and relieves Liver constraint; small amount - warming nature doesn’t add to the fire
chūn pí: bitter, astringent; binds up the blood and prevents an abandoned disorder from developing, which is otherwise likely with long-term blood loss

Question 7

Envoy

Answer 7

wine: leads other substances into the blood, prevents astringent nature of sour ingredients from causing blood stasis

Question 8

Cautions and Contraindications

Answer 8

Astringent in nature so contraindicated in patterns characterized by heat due to blood stasis.

Question 9

Diagnostic Pattern

Answer 9

Yin deficiency and constraint of the Liver giving rise to heat, which disturbs the penetrating and conception vessels, causing the blood to become hot and move recklessly.