Overview of Shi Hui Powder: a classic prescription for stopping bleeding and removing blood stasis.

Shi Hui Powder is a classic hemostatic prescription of traditional Chinese medicine. It is composed of ten kinds of charcoal medicinal materials.Cool blood to stop bleeding, remove blood stasis and astringeAs the main effect, it is suitable for vomiting blood, epistaxis, blood in the stool and other blood-heat syndromes. This article will start from four parts: composition, efficacy, clinical application and modern research, focusing on analyzing its compatibility principle and practical value, and secondly supplementing the historical origin and usage taboos to help readers systematically understand this traditional prescription.

Exquisite composition and compatibility of medicinal materials

Ten ash powder containsDaji charcoal, small thistle charcoal, madder charcoal, Platycladus arborvitae charcoal, Maogen charcoal, paeonol charcoal, palm charcoal, gardenia charcoal, lotus leaf charcoal, rhubarb charcoal, all use charcoal products as medicine. Carbonization treatment enhances the effect of astringent and hemostasis, among which Da Thistle and Little Thistle are the main medicines for cooling blood and stopping bleeding, Rubia Cortex and Paewan Barbarum promote blood circulation and prevent blood stasis, and Rhubarb Charcoal purges fire and relieves constipation, embodying the compatibility wisdom of "stopping bleeding without leaving blood stasis". This recipe originated from Ge Kejiu's "Book of Ten Medicines" in the Yuan Dynasty, and is an important legacy for the treatment of blood syndrome.

Efficacy mechanism and indications

The party passesReduce capillary permeability and promote platelet aggregationTo achieve hemostasis, modern pharmacology has confirmed that it can shorten the coagulation time (see table below). Applicable toBronchiectasis, hemoptysis, gastric ulcer bleeding, hemorrhoid bleedingFor those with blood-heat syndrome, the symptoms include bright red blood, dry mouth and tongue, and red tongue with yellow coating. However, pregnant women and those with bleeding due to cold deficiency should use it with caution to avoid aggravating cold symptoms or damaging the fetus.

Clinical application and typical cases

clinically oftenTake it as powder (3-9 grams each time) or decoction., combined with Sisheng Pills can enhance the curative effect. Zhang Xichun, a famous doctor in the Qing Dynasty, once recorded a case of treating hemoptysis due to lung heat: "The patient took the medicine for two days, and the hemoptysis stopped, and no stasis was found." The total effective rate of modern medicine for gastrointestinal bleeding can reach 85% ("Modern Research on Traditional Chinese Medicine Prescriptions"), but it should be noted that the prescription should be adjusted after the bleeding stops. Long-term use may cause constipation.

Summary and usage suggestions

As a first-aid anti-hemorrhage prescription, Shihui San embodies the traditional Chinese medicine philosophy of "treating the symptoms when emergencies occur".Synergy of charcoal and medicine, combined use of cold and warmThe characteristics are worth learning from. When using it, accurate syndrome differentiation is required, and it can only be used with blood-heat syndrome. If necessary, it should be combined with Qi-enhancing medicine to prevent injuries. Modern research provides scientific basis for its efficacy, but patients should use the medication under the guidance of a physician to avoid abuse on their own.

Quote sources:

1. Ge Kejiu's "Book of Ten Medicines" (classic medical book of the Yuan Dynasty)
2. Zhang Xichun's "Records of Chinese Medicine and Western References" (Medical Records of the Qing Dynasty)
3. "Pharmacopoeia of the People's Republic of China" 2020 edition (official efficacy certification)
4. "Modern Research on Traditional Chinese Medicine Prescriptions" (data source: Academician Wang Yongyan's team)