Mudan peony bark (Mu Dan Pi) Unprepared Rehmannia (Di Huang) Goldthread rhizomes (Huang Lian) Dong quai (Dang Gui) White peony roots (Bai Shao) Szechuan lovage roots (Chuan Xiong) Safflowers (Hong Hua) Peach kernels (Tao Ren)

Qing Re Tiao Xue Tang

Chinese: 清热调血汤

Pinyin: Qīng Rè Diào Xiě Tāng

Other names: Clearing Heat and Regulating Blood Decoction

Number of ingredients: 10 herbs

Formula category: Formulas that clear Heat and expel dampness

Conditions for which it may be prescribed: Menstrual cramps

  1. Expel Dampness
  2. Relieve pain
  3. Move Qi and Blood

Source date: 1576 AD

Source book: Medical Mirror of Past and Present

Qing Re Tiao Xue Tang is a 10-ingredient Chinese Medicine formula with Mudan Peony Bark (Mu Dan Pi) and Unprepared Rehmannia (Di Huang) as principal ingredients.

Invented in 1576 AD, it belongs to the category of formulas that clear Heat and expel dampness. Its main actions are: 1) expel Dampness and 2) relieve pain.

In Chinese Medicine health conditions are thought to arise due to "disharmonies" in the body as a system. These disharmonies are called "patterns" and the very purpose of herbal formulas is to fight them in order to restore the body's harmony.

In this case Qing Re Tiao Xue Tang is used by TCM practitioners to fight patterns like Damp-Heat. From a Western Medicine standpoint, such patterns can give rise to a range of conditions such as menstrual cramps for instance.

On this page, after a detailed description of each of the ten ingredients in Qing Re Tiao Xue Tang, we review the patterns and conditions that Qing Re Tiao Xue Tang helps treat.

The ten ingredients in Qing Re Tiao Xue Tang

Mu Dan Pi is a king ingredient in Qing Re Tiao Xue Tang. Like the name indicates, it means it has more power than other ingredients in the formula.

1. Mudan Peony Bark (Mu Dan Pi)

Part used: Root barks

Nature: Cool

Taste(s): BitterPungent

Meridian affinity: HeartKidneyLiver

Category: Herbs that cool the Blood

In general Mu Dan Pi's main actions are as follows: "Cools the Blood, activates Blood circulation and resolves Blood stasis."

In the context of Qing Re Tiao Xue Tang, it is used because it clears Heat and cools Blood.

Learn more about Mudan Peony Bark (Mu Dan Pi)

Di Huang is a king ingredient in Qing Re Tiao Xue Tang. Like the name indicates, it means it has more power than other ingredients in the formula.

2. Unprepared Rehmannia (Di Huang)

Part used: Prepared dried root tuber

Nature: Cold

Taste(s): Sweet

Meridian affinity: HeartKidneyLiver

Category: Herbs that cool the Blood

In general Di Huang's main actions are as follows: "Expels Heat by Cooling Blood. Tonifies Yin by promoting Fluid production. Soothes the Heart by calming Blazing Fire. Cools and nourishes."

In the context of Qing Re Tiao Xue Tang, it is used because it clears Heat and cools Blood.

Learn more about Unprepared Rehmannia (Di Huang)

3. Goldthread Rhizomes (Huang Lian)

Part used: Dried rhizome

Nature: Cold

Taste(s): Bitter

Meridian affinity: GallbladderSpleenStomachHeartLarge intestineLiver

Category: Herbs that clear Heat and dry Dampness

In general Huang Lian's main actions are as follows: "Expels Damp-Heat especially in the Lower Burner. Eliminates Fire toxicity especially when there is associated Dampness. Acts as a sedative by eliminating Heart Fire. Eliminates Stomach Fire. Expel parasites"

In the context of Qing Re Tiao Xue Tang, it is used because it resolves Damp Heat.

Learn more about Goldthread Rhizomes (Huang Lian)

4. Dong Quai (Dang Gui)

Part used: Dried root

Nature: Warm

Taste(s): PungentSweet

Meridian affinity: SpleenHeartLiver

Category: Tonic herbs for Blood Deficiency

In general Dang Gui's main actions are as follows: "Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation."

In the context of Qing Re Tiao Xue Tang, it is used because it harmonizes Blood.

Learn more about Dong Quai (Dang Gui)

5. White Peony Roots (Bai Shao)

Part used: Dried root

Nature: Neutral

Taste(s): BitterSour

Meridian affinity: SpleenLiver

Category: Tonic herbs for Blood Deficiency

In general Bai Shao's main actions are as follows: "Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain."

In the context of Qing Re Tiao Xue Tang, it is used because it harmonizes Blood.

Learn more about White Peony Roots (Bai Shao)

6. Szechuan Lovage Roots (Chuan Xiong)

Part used: Dried rhizome

Nature: Warm

Taste(s): Pungent

Meridian affinity: GallbladderLiverPericardium

Category: Herbs that invigorate the Blood

In general Chuan Xiong's main actions are as follows: "Regulates and moves the Blood. Relieves Wind-Cold and pain. Circulates the Qi in the Upper Burner, relieving headaches."

In the context of Qing Re Tiao Xue Tang, it is used because it invigorates Blood.

Learn more about Szechuan Lovage Roots (Chuan Xiong)

7. Safflowers (Hong Hua)

Part used: Dried flower

Nature: Warm

Taste(s): Pungent

Meridian affinity: HeartLiver

Category: Herbs that invigorate the Blood

In general Hong Hua's main actions are as follows: "Moves Stagnant Blood and regulates menses. Relieves pain caused by Blood Stasis."

In the context of Qing Re Tiao Xue Tang, it is used because it invigorates Blood.

Learn more about Safflowers (Hong Hua)

8. Peach Kernels (Tao Ren)

Part used: Dried ripe seed

Nature: Neutral

Taste(s): BitterSweet

Meridian affinity: HeartLarge intestineLiver

Category: Herbs that invigorate the Blood

In general Tao Ren's main actions are as follows: "Moves Blood and breaks up Stasis. Moistens the Intestines. Relieves coughing."

In the context of Qing Re Tiao Xue Tang, it is used because it invigorates Blood.

Learn more about Peach Kernels (Tao Ren)

9. Corydalis Tubers (Yan Hu Suo)

Part used: Dried tuber

Nature: Warm

Taste(s): BitterPungent

Meridian affinity: SpleenHeartLiverLung

Category: Herbs that invigorate the Blood

In general Yan Hu Suo's main actions are as follows: "Moves the Blood, breaks Blood Stagnation and reduces associated pain. Regulates Stagnant Qi and reduces associated pain."

In the context of Qing Re Tiao Xue Tang, it is used because it moves Qi, stops pain and invigorates Blood.

Learn more about Corydalis Tubers (Yan Hu Suo)

10. Coco-Grass Rhizomes (Xiang Fu)

Part used: Dried rhizome

Nature: Neutral

Taste(s): BitterPungentSweet

Meridian affinity: SpleenLiverSanjiao

Category: Herbs that regulate Qi

In general Xiang Fu's main actions are as follows: "Unblocks Stagnant Liver Qi and relieves pain. Regulates the Liver and Spleen. Assists the regulation of menses and relieves pain."

In the context of Qing Re Tiao Xue Tang, it is used because it moves Qi and stops pain.

Learn more about Coco-Grass Rhizomes (Xiang Fu)

Qing Re Tiao Xue Tang is used to treat Damp-Heat

It's important to remember that herbal formulas are meant to treat patterns, not "diseases" as understood in Western Medicine. According to Chinese Medicine patterns, which are disruptions to the body as a system, are the underlying root cause for diseases and conditions.

As such Qing Re Tiao Xue Tang is mostly used to treat the pattern "Damp-Heat" which we describe below.

But before we delve into Damp-Heat it is worth mentioning that it is often associated with the condition "menstrual cramps". Again it wouldn't be correct to say "Qing Re Tiao Xue Tang treats menstrual cramps". Rather, Qing Re Tiao Xue Tang is used to treat Damp-Heat, which is sometimes the root cause behind menstrual cramps.

Now let's look at Damp-Heat, a pattern that TCM practitioners commonly treat with Qing Re Tiao Xue Tang.

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