Bleeding may be caused by external
injuries or internal factors. Bleeding from external injuries are simple to
diagnose and straight-forward to treat. Bleeding from internal factors, on the
other hand, are much more complex and may involve disorders from various organs
and systems. Though the body has its own mechanism to stop bleeding, mechanical
or medicinal intervention may be required if the bleeding is profuse, prolonged
Notoginseng 9 is
designed specifically to symptomatically stop bleeding. It contains herbs to
cool the blood, disperse blood stasis, and stop bleeding in the upper, middle
and lower jiaos.
Qi (Radix et
Rhizoma Notoginseng) is one of the most important herbs to stop bleeding. It has
the dual function to activate blood circulation and stop bleeding, therefore
preventing the risk of blood stasis. Charred
Ce Bai Ye (Cacumen Platycladi) cools the blood and stops respiratory
bleeding. Qian Cao (Radix et
Rhizoma Rubiae) moves blood and stops irregular and excessive menstrual
bleeding. Charred Di Yu (Radix Sanguisorbae) clears heat and cools
the blood to stop bleeding in the gastrointestinal tract. Charred Ai Ye
(Folium Artemisiae Argyi) warms the channels and collaterals, relieves pain and
treats a variety of bleeding disorders. Xian He Cao (Herba Agrimoniae)
has a good restraining function and is commonly used to treat various bleeding
disorders. Charred Jing
Schizonepetae) also has an excellent hemostatic effect. Wu Bei Zi (Galla Chinensis) and He Zi (Fructus Chebulae) are
astringent herbs to help stabilize and consolidate the effect.
In summary, Notoginseng 9 is an
excellent formula to stop bleeding due to various causes in the upper, middle
and lower jiaos.
* Patients with profuse bleeding from
serious injuries (such as acute trauma or accidents) should be sent to the
emergency room immediately.
formula is used primarily to stop the “symptom,” not the “cause,” of bleeding.
Once bleeding stops, proper measures should be taken to identify and treat the
cause of bleeding. This formula should not to be taken long-term. See
Supplementary Formulas section for appropriate formulas to use once the cause
formula should not be used in patients who are on anticoagulant
or antiplatelet drugs, such as Coumadin
(warfarin) and Plavix
(clopidogrel), as it may counter the effectiveness of these drugs.
drugs cause bleeding and prolong bleeding, and should be avoided. These drugs
include aspirin and non-steroidal anti-inflammatory drugs, such as Motrin (ibuprofen) and Naprosyn
gastric or duodenal ulcer bleeding, combine with GI Care.
colitis or intestinal bleeding with burning diarrhea, combine with GI Care II.
bleeding from Crohn’s disease or irritable bowel syndrome (IBS), combine with GI Harmony.
bleeding due to ulcerative colitis, add GI Care (UC).
external bleeding from injuries and trauma, stop the bleeding first and then
use Flex (TMX).
cough with blood-streaked sputum, add Respitrol (CF).
hemorrhoids, add GI Care (HMR).
urinary tract infection, cystitis or abnormal uterine bleeding due to heat, add
menstrual pain, add Mense-Ease.
uterine fibroids or cysts, add Resolve (Lower).
bleeding with high fever and excess heat, add Gardenia Complex.
blood stagnation, add Circulation (SJ).
dryness and thirst, add Nourish (Fluids).
* Blood in the urine: Zhongji (CV 3), Xingjian (LR 2), Pangguangshu (BL 28), Yinlingquan (SP 9), Sanyinjiao (SP 6), Xuehai (SP 10), Shenshu (BL 23), Daling (PC 7), Shenmen (HT 7)
* Cough with blood: Xingjian (LR 2), Yuji (LU 10), Laogong (PC 8), Feishu (BL 13), Quze (PC 3), Kongzui (LU 6), Rangu (KI 2), Taixi (KI 3)
* Nosebleed: Shangxing (GV 23), Hegu (LI 4), Shaoshang (LU 11), Fengfu (GV 16), Tianfu (LU 3)
* Vomiting of blood: Shangxing (GV 23), Erjian, Zhongwan (CV 12), Yinbai (SP 1)
* Blood in the stool: Dachangshu (BL 25), Changqiang (GV 1), Pishu (BL 20), Xiajuxu (ST 39), Chengshan (BL 57)
* Bleeding from Spleen deficiency: Needle
and moxa Zhongwan (CV 12),
Zusanli (ST 36), Shenshu
(BL 23), Yinbai (SP 1), Guanyuan (CV 4), and Taibai (SP 3).
Master Tung's Points:
Bleeding (during ovulation): Yunbai
(T 44.11), Fuke (T 11.24). Needle
everyday except the week of and the week before menstruation.
Bleeding from trauma: Liuwan (T 66.08)
Tung’s Points by Dr. Chuan-Min Wang:
* Bleeding: Liuwan (T 66.08), Huagusi
Method by Dr. Richard Tan:
side: Hegu (LI 4), Yinlingquan
the area or organ area corresponding to bleeding, in addition to Adrenal and
Medicine by Dr. Li-Chun Huang:
* Stop bleeding: Pituitary, Diaphragm,
Adrenal Gland, Spleen, corresponding point where there is bleeding
* Epistaxis: Internal Nose, Diaphragm,
Spleen, Pituitary, Lung, Adrenal Gland
an adequate amount of calcium and magnesium, which are important for blood
an adequate amount of multivitamin, especially vitamin K, as they are essential
for blood clotting. Foods rich in vitamin K include alfalfa, broccoli,
cauliflower, egg yolks, kale, spinach, and all green leafy vegetables.
Tao of Nutrition by Dr. Maoshing Ni and Cathy McNease:
* Nosebleed and hypertension: Drink lotus
root juice daily.
* Vomiting or defecating blood: Cook 1/2
cup of lotus root starch with 1/2 cup rice porridge until jelly-like
consistency and consume while lukewarm.
* Blood in the urine: Make tea of lotus
root and bamboo leaves.
* Bloody stools: Juice fresh water
chestnuts and mix with equal amount of rice wine and drink three times a day on
an empty stomach. Results should be seen within three days.
* Excess uterine bleeding: Charcoal the
water chestnuts, powder them and take with rice wine.
* Abnormal bleeding, anemia: Boil tea
from black fungus and Chinese dates.
drinking alcohol, as it irritates the stomach and may cause ulcer and bleeding.
should find out the cause of bleeding and avoid it accordingly.
a 33-year-old-female, presented with excess menstrual flow for two days,
consisting of red and slightly purple in color. Pain was also present upon
palpation of the abdomen. The TCM diagnosis was blood heat, slight blood
stagnation, and uterine hemorrhaging. Notoginseng 9 was prescribed at four
pills three times a day. The very next day the bleeding had stopped. The
patient was able to compete the following night in her sport activity after her
recovery from the help of what she described as an amazing herbal formula. Submitted
by A.I., Hilo, Hawaii.
a 45-year-old female, presented with excessive blood flow from menstruation,
not in quantity but duration. The symptoms had been present for six months,
bleeding very lightly but constantly. Doctors did not know what to do. The Western
diagnosis was metrorrhagia, and the TCM diagnosis was blood heat. After the
patient took Notoginseng 9 for 1.5 weeks, the excessive flow completely
resolved. She is now a firm believer of Chinese medicine. Since then it has not
happened again. Submitted by A.I., Hilo, Hawaii.
a 46-year-old female, presented with spotting and uterine bleeding between
menstrual cycles, which were irregular short cycles ranging from 15 to 27 days
long. She had been experiencing heavy bleeding, no clots during her cycles,
night sweats, and chronic anxiety, which was worse before her menses. Her
Western diagnosis was perimenopausal syndrome with chronic anxiety; and the TCM
diagnosis was Liver and Kidney yin deficiencies with deficiency heat, blood
stagnation, Liver qi stagnation, and shen
(spirit) disturbance. The practitioner prescribed Calm (ES), two grams
three times a day and has been taking this formula for anxiety the past two
years. In addition, she was also prescribed Nourish and Notoginseng 9, same dosage as the other formula, for six months to stop the uterine
bleeding. Notoginseng 9 successfully stopped the irregular bleeding and
night sweats, which had been gradually reduced over the six month period. Her
periods have returned to normal with light flow and her anxiety is also much
better ever since adding Nourish. The patient had excellent
wellness and lifestyle habits, including her diet and exercise, and she was
very compliant with taking her herbs. Submitted by E.Z., Portland, Oregon.
AND CLINICAL RESEARCH
Notoginseng 9 is one
of the most effective formulas to stop bleeding, as it contains many herbs with
a fast onset of hemostatic effect. This formula has been used to treat various
types of bleeding disorders, including internal and external bleeding.
Qi (Radix et
Rhizoma Notoginseng) is one of the most useful and unique herbs to stop
bleeding, as it has an excellent effect to stop bleeding with minimal effect of
creating blood clots. Pharmacologically, it has shown a marked hemostatic
effect to decrease prothrombin time and stop bleeding.
Furthermore, the saponins of San Qi
(Radix et Rhizoma Notoginseng) have been shown to have mild antiplatelet
and anticoagulant effects, thereby minimizing the risks
of clotting disorder.,
Clinically, San Qi (Radix et Rhizoma Notoginseng)
has been used to treat various bleeding disorders, including but not limited to,
upper gastrointestinal bleeding,
stomach bleeding, hemoptysis due to bronchiectasis, pulmonary tuberculosis
or pulmonary abscess,
and hematuria. In fact, one study
reported satisfactory results for treatment of acute perforated stomach ulcer
and bleeding using 6 grams of powdered San Qi
(Radix et Rhizoma Notoginseng) and 20 grams of powdered Bai Ji (Rhizoma
Bletillae) with acupuncture on Tianzhu (BL 10), Zhongwan (CV
12), and Zusanli (ST 36).
In addition to San Qi (Radix et Rhizoma Notoginseng),
Xian He Cao (Herba Agrimoniae) has also
demonstrated a remarkable hemostatic effect, with its mechanism of action
attributed to an increase in platelets and a reduction in bleeding time.
Clinical research has confirmed its effect to treat hemoptysis (coughing of blood), upper gastrointestinal bleeding and menstrual
Di Yu (Radix Sanguisorbae) also has a good
hemostatic effect, and has been shown in animal studies to reduce bleeding time
by 31.9 to 45.5%. In humans, Di Yu (Radix Sanguisorbae) is most
effective for hemoptysis (coughing of
blood), hematochezia (blood in the stools),
upper gastrointestinal bleeding, and profuse menstrual bleeding., Ce Bai Ye (Cacumen Platycladi) has
demonstrated marked influence to shorten bleeding time,
and has been used effectively to treat bleeding ulcers in 100 patients and
bleeding hemorrhoids in 8 patients.,
Administration of Qian Cao (Radix et Rhizoma Rubiae) shows marked effectiveness in reducing bleeding
According to one study, it effectively stops profuse bleeding after
tooth extraction in 41 patients within one to two minutes.
Lastly, Jing Jie (Herba Schizonepetae) and Ai Ye (Folium Artemisiae Argyi),
in either fresh or charred form, have demonstrated a marked hemostatic effect
to stop bleeding.,
While the main priority to treat
bleeding disorders is to stop bleeding, it is also important to facilitate
wound healing and promote recovery. He Zi (Fructus
Chebulae) is a unique herb that has been shown to accelerate dermal wound
healing, as indicated by improved rates of contraction and a decreased period
of epithelialization. From a biochemical perspective, use of He Zi (Fructus Chebulae) is
associated with a significant increase in total protein, DNA, and collagen
contents in the granulation tissues of treated wounds.
is an excellent formula to treat bleeding disorders as it contains herbs with
remarkable hemostatic effects to stop bleeding without creating blood stasis,
as well as an herb to facilitate wound healing and promote recovery. It may be
used to treat all types of bleeding, including but not limited to upper
gastrointestinal bleeding, stomach bleeding, duodenal bleeding, hemoptysis,
hematuria, menstrual bleeding, and bleeding
due to various external and traumatic injuries.
is a very common condition that may be caused by external or internal injuries.
Because of the wide variety of etiologies, each condition is managed
differently. For example, according to Western medicine, treatments are
different for uterine bleeding, gastrointestinal bleeding, bleeding from trauma,
and bleeding from overdose of Coumadin (warfarin).
identifies the causes of bleeding and treat them differently. However, in
addition to specific treatments (which requires time to diagnose and prepare
treatment), general treatment is also available to immediately stop bleeding. Notoginseng 9 is a formula that is designed to symptomatically stop bleeding.
Once bleeding stops, it is then necessary to identify the cause and treat