Huang Tu Tang

Huang Tu Tang

Zao Xin Tu 3 qian, Gan Cao 1 qian, Bai Shu 3 qian, Shu Di 3 qian, Huang Qin 2 qian, A Jiao 2 qian, Fu Zi half-baked 1 qian.

Blood is governed by the spleen. When bowel movements come before blood, it means the spleen is not controlling the blood, so the qi descends and the blood follows, leading to bleeding. Therefore, Zao Tu, Cao, and Shu are used to strengthen the spleen and control the blood. When qi sinks, yang also sinks, so Fu Zi is used to revitalize yang. When blood is injured, yin becomes deficient and fire becomes active, so Huang Qin is used to clear fire. Meanwhile, A Jiao and Shu Di nourish the already deficient blood. Altogether, this formula nourishes both qi and blood, while also using warming and cooling herbs to balance them, making it the general prescription for treating heavy bleeding and collapse. Ancient texts have always regarded it as a sacred formula, forbidding any modifications. However, I believe that although sages establish laws and indicate methods, actual practice should adapt to circumstances. Therefore, for heat-related symptoms, Fu Zi can be removed and cooling herbs added; for cold-related symptoms, Huang Qin can be removed and warming herbs added.

[Note] The frequent occurrence of bowel movements before blood is often due to sinking yang qi, which cannot be lifted without Fu Zi. Fu Zi is dry in nature and easily damages yin fluids, making it unsuitable for many blood-related conditions; therefore, Huang Qin, which is bitter and cold, is added to counterbalance it.