Knowledge Base/Formulas/Tao Hua Tang
Educational and cultural reference only — not medical advice. We do not diagnose, do not prescribe, do not recommend medicines or doses, and make no claim to treat or cure any condition. Nothing here should delay you from seeking care. If you have a health concern, consult a licensed healthcare professional.
《金匮要略》呕吐哕下利病脉证治篇:「下利便脓血者,桃花汤主之。」本批唯一一首主治画面含出血者。 · Recorded in the 呕吐哕下利 chapter for diarrhoea with pus and blood — 下利便脓血者,桃花汤主之 — the one formula in this batch whose indication is bleeding.

Tao Hua Tang (Peach Blossom Decoction) táo huā tāng · 桃花汤

Composition 组成

  • Halloysite / red clay mineral (chi shi zhi)
  • dried ginger rhizome (gan jiang)
  • and polished non-glutinous rice (jing mi). Three ingredients. Quantities
  • preparation and method of taking are deliberately not listed here.

组成

  • 赤石脂、干姜、粳米。共三味。本库不列用量
  • 也不列制法与服法。
Source 出处 · Jingui Yaolüe · Doses are not given here: they are set by a licensed practitioner for the individual.
Safety. Three ingredients: 赤石脂 (halloysite, a red clay mineral), 干姜 (dried ginger rhizome), and 粳米 (polished non-glutinous rice). Quantities, preparation and method of taking are deliberately not listed here. The line is blunt — 下利便脓血者,桃花汤主之 — for diarrhoea with pus and blood in the stool, this formula governs. This library’s position on blood in the stool is one sentence and it does not bend: **it offers no plan for bleeding**. Not a modified plan, not a gentle one. Blood and pus in the stool in the present day carries a differential that includes inflammatory bowel disease, infectious colitis (Shigella, Campylobacter, Clostridioides difficile among them), ischaemic colitis, and colorectal cancer — and that list is separated by examination, endoscopy and microbiology, not by pattern differentiation. A reader who arrives at this page because they have blood in their stool has arrived at a page about a text from the Han dynasty, and the most useful thing that page can do is say so and step aside. 赤石脂 is why the entry is worth writing anyway: it is one of the very few mineral drugs in this library, and two things follow from that. The first is the impurity question a plant does not carry to the same degree — heavy metals, arsenic and lead in mineral traditional medicines are documented often enough that several pharmacopoeias set limits for them. This library records that such limits exist; it does not pretend to quantify any particular sample. The second is adsorption: clay minerals bind whatever they are mixed with. An adsorbent taken by mouth will bind other medicines taken alongside it and reduce their absorption — the same reason ordinary kaolin-type products carry a separation interval in their labelling. 干姜 is dried ginger: not the fresh 生姜 of the kitchen, and not treated as interchangeable with it in classical thinking. 粳米 is rice — a real carbohydrate load, and a known dietary source of inorganic arsenic, which is why several regulators set limits specifically for rice-based foods for infants and young children. The classical texts also direct a divided use of 赤石脂 in this formula, part decocted and part taken as powder; this library notes that the direction exists and does not reproduce the preparation. Chinese-language clinical literature on 桃花汤 in chronic diarrhoea and in colitis pictures exists and is small and methodologically limited. Recorded as existing; not recorded as established.

三味:赤石脂、干姜、粳米。共三味。本库不列用量,也不列制法与服法。 条文很硬 ——「下利便脓血者,桃花汤主之」。 **本库对出血的立场只有一句,且不让半分:不提供任何方案。** 不是「温和一点的方案」,不是「仅供参考的方案」。便脓血在今天的鉴别清单里包含炎症性肠病、感染性结肠炎(志贺菌、弯曲杆菌、艰难拟梭菌等)、缺血性肠病与结直肠癌 —— 而**这张清单是靠查体、内镜与微生物学分开的,不是靠辨证**。一位因为自己便血而翻到这一页的读者,翻到的是一页关于汉代文献的文字;这页能做的最有用的事,就是说清楚这一点,然后让开。 赤石脂是这一条仍然值得写的理由:它是本库**极少数矿物药**之一,由此带出两件事。第一件是植物药不那么突出的问题 —— **杂质**:矿物类传统药中重金属、砷、铅的检出记录足够多,多国药典因此对其设限。本库记「**有此监管**」,不装作能给某个具体样品定量。第二件是**吸附**:黏土矿物会吸附与它混在一起的东西,口服吸附剂会降低同服药物的吸收 —— 这也正是普通白陶土类产品在使用说明里要求与药物错开时间的原因。 **干姜是干姜,不是厨房里的生姜**,古典不作互换。**粳米就是大米** —— 真实的碳水负荷,且是已知的无机砷膳食来源,多国因此专门对婴幼儿米制品设限。古典对赤石脂在本方中另有「一半入煎、一半为末」的分用法,本库记下「有此用法」而不复述制法。 中文文献里关于桃花汤在慢性腹泻、结肠炎一类画面的临床观察是存在的,规模小、方法学有限。**记「研究存在」,不记「疗效已被确立」。**

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