Author: Zhu Dan-Xi, 朱丹溪
Year: 1732
Source: Essential Teachings of Dan-Xi (Dan Xi Xin Fa, 丹溪心法)
Category: Formulas that Tonify Yin
Pattern: Yin deficiency with flourishing internally generated Heat; deficiency of the Ren Mai and Chong Mai.
Key Symptoms: Steaming Bone Disorder with afternoon tidal fever, night sweats, spontaneous emissions, irritability, sensation of heat and pain in the knees and legs that is sometimes accompanied by weakness
Tongue: Red with little coating
Pulse: Rapid and forceful in rear position
Ingredients
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Shu Di Huang
| 18g | |
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Pinyin: Shu Di Huang
Chinese: 熟地黄
Pharmaceutical: Radix Rehmanniae Preparata
Taxonomy: Rehmannia glutinosa
English: Prepared Chinese Foxglove Root |
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Tastes: Sweet, slightly warm
Meridians Entered: Kidney and Liver |
Actions & Indications:
- Nourishes the Blood
Blood Deficiency with facial pallor, dizziness, palpitations, insomnia, irregular menstruation, uterine bleeding and postpartum bleeding
- Nourishes Liver and Kidney Yin
Kidney and Liver Yin Deficiency with a weak low back and limbs, dizziness, tinnitus, tidal fevers, night sweats and nocturnal emissions
- Strongly enriches Yin and relieves wasting and thirsting disorder
Lower Jiao wasting (it can be used as a stand-alone herb for this)
- Nourishes Jing and Blood and fills the Marrow
Exhausted Jing and Blood problems such as delayed development during childhood, blunted affect, premature aging, diminished mental acuity, graying of hair, impotence and memory loss
- Arrests coughing and wheezing
Kidney Deficient coughing, wheezing and asthma, such as inability of the Kidneys to grasp Qi
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Standard Dosage: 10-30g in decoction.
Cautions: It should be used with cautions for spleen and stomach deficiency, loose stool due to fullness in abdomen and qi stagnation with excessive phlegm because it is greasy and will produce indigestion. |
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Su Gui Ban
| 18g | |
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Pinyin: Gui Ban
Chinese: 龟板
Pharmaceutical: Carapax et Plastrum Testudinis
English: Fresh-Water Turtle Plastron |
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Tastes: Sweet, salty, cold
Meridians Entered: Liver and Kidney |
Actions & Indications:
- Nourishes Yin and anchors Yang
Yin Deficiency with Yang Rising with fever, night sweats, dizziness, tinnitus and steaming bone disorder
Kidney and Liver Yin Deficiencies generating Internal Wind with facial spasms and tremors of the hands and feet
- Benefits the Kidneys and strengthens the bones
Kidney Yin Deficiency with soreness of the lower back, weakness in the legs, retarded skeletal development in children or failure of the fontanel to close
- Nourishes the Blood, enriches Yin and stabilizes the Chong and Ren channels
Red and white vaginal discharge or uterine bleeding
- Cools the Blood and stops uterine bleeding
Blood Heat causing excessive menstruation or uterine bleeding
- Nourishes the Blood and tonifies the Heart
Heart Yin and/or Blood Deficiencies with anxiety, insomnia and forgetfulness
- Treats non-healing sores and ulcerations
Non-healing sores and ulcerations
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Standard Dosage: 10-15g in decoction.
Cautions: Animal products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only. It is generally substituted with Mo Han Lian and Nu Zhen Zi or Xuan Shen.
Turtles may also act as viral reservoirs and have been proposed as the potential intermediate host for coronavirus between bats and humans (Liu et al., 2020). |
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Huang Bai
| 12g | | (dry fried)
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Pinyin: Huang Bai
Chinese: 黄柏
Pharmaceutical: Cortex Phellodendri
Taxonomy: Phellodendron amurense seu chinense
English: Amur Corktree Bark |
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Tastes: Bitter, cold
Meridians Entered: Liver, Gallbladder, Large Intestine, Kidney and Bladder |
Actions & Indications:
- Drains Damp-Heat especially from the Lower Jiao
Thick, yellow vaginal discharge, foul smelling diarrhoea or dysenteric disorder
Damp-Heat in the Lower Jiao
Hot Leg Qi with red, swollen, painful knees, legs or feet
Damp-Heat jaundice
- Drains Kidney Fire (False Heat, Deficiency Heat)
Kidney Yin Deficiency with Empty Fire Rising (steaming bone disorder, night sweats, afternoon fevers and sweating, occasionally with nocturnal emissions and spermatorrhea)
- Drains Fire and relieves Fire toxicity
Toxic sores and Damp-skin lesions (internally and topically)
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Standard Dosage: 6-10g in decoction.
Cautions: It is contraindicated for deficiency-cold syndrome. Overdosage and long-time taking will impair spleen and stomach. |
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Zhi Mu
| 12g | | (wine fried) |
Pinyin: Zhi Mu
Chinese: 知母
Pharmaceutical: Rhizoma Anemarrhenae
Taxonomy: Anemarrhena asphodeloides
English: Anemarrhena Rhizome |
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Tastes: Bitter, sweet, cold
Meridians Entered: Lung, Stomach and Kidney |
Actions & Indications:
- Clears Heat and drains Fire (Clears Heat from the Qi Stage, from the Lungs and from the Stomach)
Heat in the Qi Stage with high fever, irritability, restlessness, thirst and a rapid, flooding pulse.
Lung Heat and Dryness with cough and expectoration of thick, yellow Phlegm
Yang Ming Heat
Stomach Heat
- Nourishes Yin and moistens Dryness
Lung and Kidney Yin Deficiency with night sweats, steaming bone disorder, irritability, afternoon or low grade fever, Five Sole Heat and bleeding gums
(Stomach Yin Deficiency)
Kidney Heat with spermatorrhea, nocturnal emissions and an abnormally elevated sex drive
- Generates Fluids, clears Deficiency Fire and quenches thirst
Oral ulcers and inflammation, steaming bones and Xiao Ke (diabetes) due to Yin Deficiency
- Ameliorates the Dryness of tonifying or warming herbs
For use with herbs such as Rx. Astragali Huang Qi, Ram. Cinnamomi Gui Zhi, Rx. Aconiti Lateralis Preparata Zhi Fu Zi when there is concern that these herbs may be too drying
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Standard Dosage: 5-15g in decoction.
Cautions: It is not suitable for deficiency cold syndrome. Being cold and moist in property, it is prohibited to be used for those who have a spleen-deficiency diarrhea. |
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Subsitutions:
In the UK Gui Ban must be substituted with Han Lian Cao and Nu Zhen Zi.
Preparation: Decoction.
Actions: Enriches the Yin, directs Fire downward
Contraindications: Fire from Excess. Caution in Spleen deficiency with poor appetite and loose stools.
Notes:
Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:
| Strobulus Lupuli | (Hops) | 2g | (Emperor) |
| Herba Equiseti | (Horsetail) | 10g | (Minister) |
| Herba Stellariae media | (Chickweed) | 5g | (Minister) |
| Herba Galeopsidis | (Hempnettle) | 5g | (Minister) |
| Herba Agrimoniae | (Agrimony) | 3g | (Assistant) |
| Folium Melissae | (Lemon Balm) | 3g | (Assistant) |
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.