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Formula理血剂· 止血

四生丸

Sì Shēng Wán

Four Fresh Pill

A celebrated formula for hematemesis and epistaxis from Blood heat with reckless movement. Characterized by the use of fresh herbs (hence 'Four Fresh'). All four ingredients cool Blood and stop bleeding — simple, focused, and the foundational formula for cooling Blood to arrest hemorrhage.

Source《妇人大全良方》卷七

Treatment Principle

凉血止血

Cool the Blood and stop bleeding

Composition · 组成

Herb	Role	Dosage	Notes
生地黄Shēng Dì Huáng	君Sovereign	30g	凉血止血，养阴生津
侧柏叶Cè Bǎi Yè	臣Minister	30g	凉血止血，为止血之要药
荷叶Hé Yè	佐Assistant	15g	清热散瘀止血
艾叶Ài Yè	佐Assistant	10g	温经止血，引血归经

Modifications · 加减

吐血量多
+ 白茅根、大蓟
血热妄行
兼气虚
+ 人参、黄芪
气不摄血

Preparation · 煎服法

上药用鲜品捣烂为丸，或水煎服。

Editor-reviewed· 2026-04-16

PractitionerPatientDate

四生丸Sì Shēng Wán

Four Fresh Pill

Herb	Pinyin	Role	Dose
生地黄	Shēng Dì Huáng	Jun (Sovereign)	30g
侧柏叶	Cè Bǎi Yè	Chen (Minister)	30g
荷叶	Hé Yè	Zuo (Assistant)	15g
艾叶	Ài Yè	Zuo (Assistant)	10g

Preparation: 上药用鲜品捣烂为丸，或水煎服。

This prescription is provided only by the dispensing TCM practitioner. Take as directed; do not modify the dose or share it. If you experience any adverse effect, stop immediately and contact your practitioner. The content of this platform is educational reference, not medical advice.
Bencao Dian · https://bencaodian.org · CC BY-SA 4.0

Permalink · CC BY-SA 4.0

Cite this entry

@misc{bencaodian-si-sheng-wan,
  author       = {{Bencaodian Editorial}},
  title        = {Sì Shēng Wán 四生丸 (Four Fresh Pill)},
  year         = {2026},
  howpublished = {Bencao Dian: A Bilingual Knowledge Graph of Traditional Chinese Medicine},
  url          = {https://bencaodian.org/en/formulas/si-sheng-wan},
  urldate      = {2026-04-17},
  note         = {CC BY-SA 4.0}
}

Permalink is fixed

Herb

Role

Dosage

Notes

生地黄Shēng Dì Huáng

君Sovereign

30g

凉血止血，养阴生津

侧柏叶Cè Bǎi Yè

臣Minister

30g

凉血止血，为止血之要药

荷叶Hé Yè

佐Assistant

15g

清热散瘀止血

艾叶Ài Yè

佐Assistant

10g

温经止血，引血归经

Herb

Pinyin

Role

Dose

生地黄

Shēng Dì Huáng

Jun (Sovereign)

30g

侧柏叶

Cè Bǎi Yè

Chen (Minister)

30g

荷叶

Hé Yè

Zuo (Assistant)

15g

艾叶

Ài Yè

Zuo (Assistant)

10g

@misc{bencaodian-si-sheng-wan, author = {{Bencaodian Editorial}}, title = {Sì Shēng Wán 四生丸 (Four Fresh Pill)}, year = {2026}, howpublished = {Bencao Dian: A Bilingual Knowledge Graph of Traditional Chinese Medicine}, url = {https://bencaodian.org/en/formulas/si-sheng-wan}, urldate = {2026-04-17}, note = {CC BY-SA 4.0} }