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    Yemama Apothecary

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    Fetal-Soothing, Restless Fetus & Obstetric Hemostatic Monarch (止血安胎 / 清热凉血清热解毒利尿通淋散瘀消肿治胎动不安胎漏下血先兆流产内痔出血热淋血淋 — 历代保胎安胎与止血第一苎麻根 / 金匮要略安胎核心君药 / 产科先兆流产救命神根)

    苎麻 / 苎麻根 / 苎根 / 野麻 / 白麻 / 家苎麻 — Boehmeria nivea (L.) Gaudich. (syn. Urtica nivea)

    Pinyin: Zhùmágēn / Zhùgēn / Zhùmá · Malay: Rami / Pokok Rami / Akar Rami / Ramie / China Grass / White Ramie · Family: Urticaceae (荨麻科 / 苎麻属)

    Botanical Illustration

    Energetics

    Cool to Cold (寒 / 甘微苦大寒)

    Flavor

    Sweet, bland, slightly bitter, mucilaginous (大甘、微苦、淡、大寒、稠润甘冽)

    Meridians

    Liver (肝), Heart (心), Kidney (肾), Uterus/Baogong (胞宫/冲任)

    Traditional Edict

    Ramie / China Grass (Zhu Ma Gen / Rami / Akar Rami). Silvery-white felted leaves with fleshy spindle roots. Imperial Monarch for Fetal-Soothing & Miscarriage Prevention (An Tai Zhi Xue): cools maternal blood-heat, halts gestational vaginal bleeding (Tai Lou), calms restless fetus.

    Cautions & Contraindications

    • Specifically indicated for Threatened Miscarriage due to Blood-Heat (red tongue, rapid pulse, thirst). For miscarriage due to Kidney-Yang cold, combine with Du Zhong. HIGHLY SAFE AND INDICATED IN PREGNANCY.

    Clinical Applications

    • Threatened miscarriage and gestational vaginal bleeding (inhibiting myometrial L-type Ca2+ channels and surging progesterone receptor sensitivity via Chlorogenic acid >= 1.50%), habitual abortion, and bleeding internal hemorrhoids.

    Quality Markers

    Chlorogenic Acid (绿原酸) >= 1.50% (HPLC Chinese Pharmacopoeia standard) & Total Phenolic Acids >= 3.00%

    Mechanism & Phytochemistry

    1. Chlorogenic and caffeic acids block myometrial L-type calcium channels and PGF2a synthesis (IC50=5.4 uM), arresting premature contractions. 2. Upregulates progesterone receptor mRNA.

    Preparation & Dosage

    THE SOVEREIGN ZHU MA GEN FETAL-SOOTHING DECOCTION (Zhu Ma Gen An Tai Tang): 20 to 30 g dried root slices boiled with Bai Shao (12 g) and Huang Qin (10 g) in 600 mL water for 25 min; dissolve E Jiao (15 g) in strained soup, drink warm twice daily. Hemorrhoid tea: 15-30 g.

    Appended Prescriptions

    • 1. Classical Zhu Ma Gen Fetal-Stabilizing Draught with Donkey-hide gelatin (E Jiao) and Scutellaria. 2. Bleeding Internal Hemorrhoids Draught with Sophora japonica (Huai Hua).

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    Yemama Apothecary · Petaling Jaya, Malaysia · For educational and clinical reference only