Tao hua tang
chi shi zhi 48 geng mi 24 gan jiang 3
When in shao yin disease, there is diarrhea with pus and blood, tao hua tang governs.
When in shao yin disease that has lasted up to five days, there is abdominal pain, inhibited urination, and incessant diarrhea with pus and blood in the stool, tao hua tang governs.
Diarrhea with pus and blood in the stool generally appears during the initial stage of diarrhea associated with patterns of excess heat. However, in chronic diarrhea attributed to deficiency cold, visceral qi also fails to secure qi and blood. According to the formula, this is a case of deficiency cold diarrhea, so the discharged blood should be dark purple in color. Other signs and symptoms include fatigue, mild abdominal pain, a liking for warmth, absence of thirst, and fine weak pulses.
In this formula, warm sweet and astringent chi shi zhi acts to astringe the intestines and consolidate desertion. Gan jiang warms middle burner yang to dissipate cold, and geng mi supplements and harmonizes the middle.
Chi shi zhi, Halloysitum rubrum is sweet tonifying and nourishing of the stomach domian, spleen, liver, and heart. It is sour and astringing collecting of fluids into the stomach domain, spleen, liver, and heart.
Sour, sweet and astringent, it collects fluids and so prevents fluid loss. Used to stop diarrhea.
Geng mi, nonglutinous rice is sweet nourishing and warm. It adds material to anchor yang and support nutritive in blood.
Gan jiang, Zingiberis rhizoma, dried is warm (or hot) pungent and astringent. Gan jiang is the main herb to warm the tai yin level and treat excessive dampness by introducing yang ming dryness in tai yin dampness. Warms the interior and especially tai yin. It warms the fluids in the lungs and spleen, while assisting in dispersing cold from the body surface.
The difference with huang tu tang is that in huang tu tang there is blood deficiency.
If rectal bleeding is pronounced than consider using pao jiang which is more astringent than gan jiang and better at stopping bleeding due to cold and deficiency.