Herb

Xiao Ji

Field thistle herb | 小蓟

Also known as:

Ci Er Cai (刺儿菜)

Properties

Hemostatic herbs (止血药) · Cool

Parts Used

Whole plant / Aerial parts (全草 quán cǎo)

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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About This Herb*

Traditional Chinese Medicine background and properties

Herb Description*

Field thistle is a cooling herb used primarily to stop bleeding caused by excess internal heat, especially blood in the urine, nosebleeds, and heavy menstrual bleeding. It also helps clear infections and reduce swollen, painful sores. Among the Blood-cooling hemostatic herbs, it is considered especially well suited for urinary bleeding and urinary tract complaints.

Herb Category*

Main Actions*

  • Cools the Blood and Stops Bleeding
  • Invigorates Blood and Reduces Swelling
  • Resolves Toxicity and Expels Pus
  • Promotes Urination and Relieves Stranguria

How These Actions Work*

'Cools Blood and stops bleeding' means Xiǎo Jì clears heat from the Blood level, calming down the reckless movement of Blood caused by excessive internal heat. When heat forces Blood out of the vessels, it can show up as nosebleeds, coughing up blood, blood in the urine, bloody stool, or heavy uterine bleeding with bright red blood. Xiǎo Jì's cool nature and its affinity for the Heart and Liver channels (both closely involved with Blood) allow it to target this heat directly. It is especially valued for blood in the urine (hematuria) and painful, bloody urination, making it a first-choice herb for these complaints.

'Disperses Blood Stasis and reduces swelling' means the herb does not simply plug up bleeding; it also moves old, stagnant Blood so that stopped bleeding does not turn into new blockages. This is an important quality: it stops bleeding without trapping stale Blood in the body, which could cause further problems like pain or masses.

'Resolves toxicity and treats abscesses' refers to the herb's ability to address hot, swollen, painful sores and boils (called 'heat toxin' in TCM). It can be taken internally or the fresh herb can be crushed and applied directly to the affected area.

'Promotes urination and relieves painful urinary dysfunction' means Xiǎo Jì helps open the urinary passages, reducing burning, frequency, and difficulty when urinating. This action, combined with its Blood-cooling effect, makes it particularly well suited for cases where blood appears in the urine along with painful, difficult urination, a condition TCM calls 'Blood painful urinary dysfunction' (血淋 xuè lín).

Patterns Addressed*

In TCM, symptoms cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Xiao Ji is traditionally associated with these specific patterns.

The following describes this herb's classification within Traditional Chinese Medicine theory and is provided for educational purposes only.

Why Xiao Ji addresses this pattern

When internal heat enters the Blood level, it forces Blood out of the vessels, causing various bleeding symptoms with bright red blood. Xiǎo Jì is cool in nature, sweet and bitter in taste, and enters the Heart and Liver channels, both of which govern Blood. Its cooling action directly targets Blood-level heat, calming the reckless movement of Blood and stopping hemorrhage. Crucially, it disperses stasis at the same time, so the bleeding stops without trapping old Blood in the body.

A practitioner would look for one or more of these signs

Nosebleeds

Bright red nosebleeds from Blood Heat

Blood in Urine

Hematuria, the hallmark indication for this herb

Dark Blood In Stool

Bloody stool with bright red blood

Vomiting Blood

Hematemesis due to heat forcing Blood upward

TCM Properties*

Temperature

Cool

Taste

Sweet (甘 gān), Bitter (苦 kǔ)

Channels Entered
Heart Liver
Parts Used

Whole plant / Aerial parts (全草 quán cǎo)

This is partial information on the herb's TCM properties. More detailed information is available on the herb's dedicated page

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Product Details

Manufacturing, supplier, and product specifications

Product Type

Granules

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Treasure of the East

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Usage & Safety

How to use this herb and important safety information

Important Medical Disclaimer

The information provided here is for educational purposes only and is not intended as medical advice or to replace consultation with a qualified healthcare professional. This herb is a dietary supplement and has not been evaluated by the FDA. It is not intended to diagnose, treat, cure, or prevent any disease.

Always consult with a qualified healthcare provider, particularly if you are pregnant, nursing, have a medical condition, or are taking other medications. Discontinue use and consult your healthcare provider if you experience any adverse reactions.

Recommended Dosage

Instructions for safe storage and consumption

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Processing Methods

Processing method

The clean, cut herb segments are stir-fried over high heat (武火) until approximately 70% has turned black, but the herb must retain its essential character (存性 cún xìng, meaning it is charred but not reduced to pure ash). The charred herb is then passed through a wire sieve, sprinkled with clean water, and dried.

How it changes properties

Charring enhances the herb's astringent hemostatic action by adding a carbon-based adsorptive quality that helps form clots and shorten bleeding time. The herb's cool nature and heat-clearing ability become somewhat reduced, while its ability to physically stop bleeding is significantly strengthened. The stasis-dispersing action is also reduced compared to the raw form.

When to use this form

Use the charred form when the primary goal is purely to stop active bleeding and the heat component is less prominent. The charred form is preferred when bleeding is the urgent concern and the raw form's cooling and stasis-dispersing qualities are less needed. It is the form used in Shí Huī Sǎn (Ten Charred Substances Powder).

Special Populations

Pregnancy

Use with caution during pregnancy. Pharmacological studies have shown that Xiao Ji decoction has excitatory effects on the uterus in rabbit models, meaning it may stimulate uterine contractions. This raises the risk of threatened miscarriage or premature labour. Classical sources do record its use for post-miscarriage bleeding (suggesting it was used after pregnancy loss, not during a viable pregnancy). Pregnant women should avoid Xiao Ji unless specifically prescribed by a qualified practitioner for an acute situation where the benefit clearly outweighs the risk.

Breastfeeding

No specific classical or modern contraindication for breastfeeding has been documented. Xiao Ji is traditionally considered non-toxic and has a long history of food use (as a vegetable). However, its cool nature means that prolonged use at high doses could theoretically affect the Spleen and Stomach of both mother and infant. Use at standard doses for short durations under practitioner guidance is generally considered acceptable during breastfeeding.

Pediatric Use

Classical sources provide limited specific guidance for paediatric use. In clinical reports on treating hepatitis with Xiao Ji root decoction, children ages 1-3 received one-quarter of the adult dose, ages 4-7 received one-third, and ages 8-12 received one-half. Infants were excluded. Xiao Ji's cool nature means it should be used cautiously in young children, who tend toward Spleen deficiency. Short-term use at reduced doses under practitioner supervision is generally appropriate for children with clear blood-heat presentations.

Dietary Advice

While taking Xiao Ji for blood-heat conditions, avoid hot, spicy, and greasy foods (chilli, deep-fried foods, alcohol, lamb) that could generate further heat in the blood and counteract the herb's cooling effect. Cold and raw foods should also be consumed in moderation if there is any underlying Spleen weakness, as the herb is already cool in nature. Light, bland foods that support the Spleen and do not irritate the digestive system are ideal during treatment.

Cautions & Warnings

Although this formula is typically safe for most individuals, it may cause side effects in some people. Pregnant women, nursing mothers, postpartum women, and those with liver disease should use the formula with caution.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified TCM practitioner before beginning treatment.