Cool the Blood Rehmannia Decoction

Yanghyeoljihwang-tang

한글 양혈지황탕 · Pinyin Liang Xue Di Huang Tang

凉血地黃湯

Cut and made into one packet, decocted in water and taken. **Note on modern practice: fever after childbirth may indicate infection — endometritis, mastitis, or wound infection — and requires prompt medical evaluation.**

Composition 構成

Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

12 g
Chief 君
Jeokjakyak Chi Shao
赤芍藥 적작약 · Red Peony

6 g
Deputy 臣
Danggui Dang Gui
當歸 당귀 · Korean Angelica

6 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

6 g
Deputy 臣

Total 30 g per packet (첩) · representative dosage — verify against source texts.

Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.

Actions 效能

Cools a postpartum fever at the level of the Blood
Moves gently while it cools so nothing is left standing

Indications 主治

Pattern-based

Postpartum heat effusion (産後發熱)
Fever after birth with Blood-aspect heat
Postpartum fever without marked stasis or depletion

Biomedical correlates

Postpartum fever
Puerperal febrile presentations — historical
Fever with pelvic discomfort after birth

Source text 原文

Donguibogam 東醫寶鑑

治産後發熱. 生地黃三錢, 赤芍藥ㆍ當歸ㆍ川芎各一錢半. 右剉, 作一貼, 水煎服. 《袖珍》

Translation

Treats postpartum heat effusion. Raw rehmannia 3 don; red peony, Korean angelica, and cnidium, 1.5 don each. Cut the above, make one packet, decoct in water and take. — Sujin 袖珍 (Donguibogam · Buin)

Clinical commentary 臨床

Four herbs: the Four Substances with raw rehmannia in place of the prepared and red peony in place of the white — the smallest possible change that turns a Blood-building formula into a Blood-cooling one. That substitution is the tradition's standard maneuver, and this is its clearest demonstration, on a shelf where the alternatives run to a dozen ingredients. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.