Herb Formulas Notebook

Liu Wei Di Huang Wan

Six Ingredient Rehmannia Pill

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Source: Craft of Medicines and Patterns for Children (1119)
Author: Qian Yi

Category: Formulas that Tonify Yin

Pattern: Kidney and Liver Yin deficiency

Key Symptoms: Soreness and weakness in the lower back and knees, hot palms and soles, lightheadedness, dizziness, difficulty concentrating
Secondary Symptoms: Impaired hearing, tinnitus, chronic dry and sore throat, toothache, spontaneous or nocturnal emissions, night sweats, nocturea, difficult or excessive urination, hard stools, reduced menstrual flow, loss of libido, impotence, premature ejaculation

Tongue: Red with scanty coating, dry, maybe cracked
Pulse: Rapid, thin
Abdomen: Hypertonicity of rectus abdominis muscle below the umbilicus together with weakness or numbness of the centre of the lower abdomen, pencil-line tightness of linea alba below umbilicus, palpable pulsations between umbilicus and pubic bone

Shu Di Huang 24g
Shan Zhu Yu 12g
Shan Yao 12g
Fu Ling 9g
Mu Dan Pi 9g
Ze Xie 9g

Preparation: Originally ground into powder and formed into small pills with 9g taken three times daily. Can also be prepared as a decoction.

Actions: Enriches Yin, nourishes the Kidneys

Contraindications: Spleen deficiency with white greasy tongue coating indicating difficulty digesting rich, cloying herbs, Heat patterns due to External pathogens

Can be easily modified into several other formulae such as:
Du Qi Wan: Add Wu Wei Zi for Lung and Kidney Yin deficiency causing wheezing on little exertion.
Qi Ju Di Huang Wan: Add Ju Hua and Gou Qi Zi for Liver and Kidney Yin deficiency causing dry eyes or visual difficulties.
Zhi Bai Di Haung Wan: Add of Zhi Mu and Huang Bai for pronounced signs of Empty Heat
Ba Xian Chang Shou Wan: Add Mai Men Dong and Wu Wei Zi for Lung and Kidney Yin deficiency with consumptive cough, tidal fevers and night sweats.
Jia Wei Liu Wei Di Huang Wan: Add Lu Rong, Wu Jia Pi and She Xiang for a variety of developmental disorders with fatigue.
Er Long Zuo Ci Wan: Add Ci Shi, Shi Chang Pu and Wu Wei Zi for tinntus and hearing loss.
Ba Wei Di Huang Wan: Add Wu Wei Zi and Zhi Huang Qi for postpartum continuous sweating from deficiency.
Ming Mu Di Huang Wan: replace Fu Ling with Fu Shen and add Sheng Di Huang, Wu Wei Zi, Dang Gui and Chai Hu for eye disorders.


Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:

Herba Equiseti(Horsetail)6g(Emperor)
Herba Galeopsidis(Hempnettle)8g(Minister)
Fructus Cardui mariae(Milk Thistle)5g(Minister)
Flos Trifolii pratense (Red Clover)4g(Minister)
Herba et Radix Taraxaci(Dandelion)2g(Assistant)
Herba Millefolii(Yarrow)2g(Assistant)
Pericarpium Citri ret.(Orange peel)5g(Assistant)

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.