Author: Qian Yi, 錢乙
Year: 1119
Source: Craft of Medicines and Patterns for Children (Xiao Er Yao Zheng Zhen Jue, 小兒藥證真訣)
Category: Formulas that Tonify Yin
Pattern: Kidney and Liver Yin deficiency; deficiency of the Ren Mai and Chong Mai; Xia Xiao 下消, Xiao Ke due to Kidney 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
Ingredients
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Shu Di Huang
| 24g | |
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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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Shan Zhu Yu
| 12g | |
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Pinyin: Shan Zhu Yu / Shan Yu Rou
Chinese: 山茱萸 / 山萸肉
Pharmaceutical: Fructus Corni
Taxonomy: Cornus officinalis
English: Dogwood Fruit |
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Tastes: Sour, slightly warm
Meridians Entered: Liver and Kidney |
Actions & Indications:
- Stabilizes the Kidneys and astringes Jing and Body Fluids
Leakage of fluids due to weak Jing with urinary frequency, incontinence, spermatorrhea and excessive sweating
- Stops excessive sweating and supports that which has collapsed
Collapse of Qi with excessive sweating and shock
Devastated Yang with excessive sweating and shock
Sweating mistakenly induced as a treatment
- Tonifies Liver and Kidney Yin and strengthens Kidney Yang
Lightheadedness, dizziness, soreness and weakness of the lower back and knees or impotence due to Kidney and Liver Yin Deficiency and Kidney Yang Deficiency
- Stabilizes the menses and stops bleeding
Excessive uterine bleeding and prolonged menstruation due to Deficiency (weak effect)
- Expels Cold-Dampness and Evil Qi
The Shen Nong Ben Cao Jing places this in the middle class of woods and says it treats "evil qi below the heart and cold and heat. It warms the centre and expels Cold-Damp Bi."
- Aids fasting
The Shen Nong Ben Cao Jing says this herb can, with protracted taking, make the body light. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
- Removes the Three Worms
The Shen Nong Ben Cao Jing also says that it removes the Three Worms. These may refer to difficult to treat metabolic disorders caused by overindulgence and should be accompanied by fasting, meditation and exercise regimes.
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Standard Dosage: 5-10g in decoction.
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Shan Yao
| 12g | |
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Pinyin: Shan Yao
Chinese: 山药
Pharmaceutical: Rhizoma Dioscoreae
Taxonomy: Dioscorea polystachya syn. batatas
English: Chinese Yam / Shu Yu |
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Tastes: Sweet, neutral
Meridians Entered: Spleen, Lung and Kidney |
Actions & Indications:
- Tonifies the Spleen, nourishes Stomach Yin and stops diarrhoea
Spleen or Stomach Deficiency with diarrhoea, fatigue, spontaneous sweating and anorexia
- Tonifies Lung Qi and nourishes Lung Yin
Lung Qi and/or Yin Deficiency with chronic cough
- Tonifies Kidney Yin and astringes Jing
Kidney Qi Deficiency with spermatorrhea, urinary frequency and vaginal discharge
消渴 Xiao Ke due to Qi and Yin Deficiency
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, sharpen the ears and eyes, make the body light, make one free from hunger and prolong life. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生). Despite being a starchy vegetable, this may still have been an appropriate addition to a ketogenic diet as the starches are mostly resistant and many of its other compounds have been shown to have blood glucose reducing effects, making it a potential important source of this essential nutrient group while engaging in a low carbohydrate diet.
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Standard Dosage: 5-30g in decoction. Very large doses, up to 500g have been used in trials for diabetes management.
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Fu Ling
| 9g | |
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Pinyin: Fu Ling
Chinese: 茯苓
Pharmaceutical: Poria
Taxonomy: Poria cocos syn. Wolfiporia extensa
English: China-Root / Hoelen / Tuckahoe / Indian Bread |
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Tastes: Sweet, bland, neutral
Meridians Entered: Heart, Spleen, and Kidney |
Actions & Indications:
- Strengthens the Spleen and harmonizes the Middle Jiao
Spleen Deficiency Dampness with anorexia, diarrhoea and epigastric distention
- Strengthens the Spleen
Phlegm Dampness due to Spleen Deficiency with thin mucus in which Phlegm moves upward manifesting as palpitations, headache, dizziness and a thick, greasy tongue coat
- Promotes urination and leaches out Dampness
Urinary difficulty, diarrhoea or oedema due to Stagnation of Fluids or Dampness
- Quiets the Heart, calms the Spirit and soothes the nerves
Palpitations, insomnia or forgetfulness due to either Spleen and Heart Insufficiency or Internal Obstruction of Turbid Phlegm
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, quiet the Hun, nourish the Shen, make one free from hunger and prolong life. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 9-15g in decoction.
Cautions: It is contraindicated for spermatorrhea due to deficiency-cold. |
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Mu Dan Pi
| 9g | |
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Pinyin: Mu Dan Pi
Chinese: 牡丹皮
Pharmaceutical: Cortex radicis Moutan
Taxonomy: Paeonia suffruticosa
English: Tree Peony Root Bark / Moutan Peony Root Bark |
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Tastes: Bitter, pungent, light cold
Meridians Entered: Heart, Liver and Kidney |
Actions & Indications:
- Clears Heat and cools (and harmonizes) the Blood
Xue Stage Heat with epistaxis, hemoptysis, hematemesis or subcutaneous bleeding
Menorrhagia due to Blood Heat
- Clears Deficiency Fire
Yin Deficiency Heat signs especially in the aftermath of Warm Febrile Disease with fever at night and coolness in the morning (most appropriate when the is no sweating)
- Invigorates the Blood and dispels Blood Stasis
Blood Stasis with amenorrhea, abdominal masses, lumps or bruises due to trauma
Liver Blood Stagnation
- Clears Liver Fire
Liver Fire with headache, eye pain, flank pain, flushing and dysmenorrhea
- Drains pus and reduces swelling
Non-draining sores (topical)
Intestinal abscesses (internal)
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Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of profuse menstruation and pregnant women. |
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Ze Xie
| 9g | | |
Pinyin: Ze Xie
Chinese: 澤瀉
Pharmaceutical: Rhizoma Alismatis
Taxonomy: Alisma plantago-aquatica seu orientale
English: Water Plantain Rhizome |
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Tastes: Sweet, bland, cold
Meridians Entered: Kidney and Bladder |
Actions & Indications:
- Promotes urination and leaches out Dampness
Stagnation due to Dampness with urinary difficulty, painful urinary dysfunction, diarrhoea and dizziness
Especially useful for Damp-Heat in the Lower Jiao
- Settles Ministerial Fire in the Kidneys by draining Damp-Heat from the lower Jiao
Spermatorrhea due to Damp-Heat in the Lower Jiao disturbing the ministerial Fire of the Kidneys
- Drains Kidney Fire
Kidney Yin Deficiency with Fire Rising
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, sharpen the ears and eyes, make one free from hunger, prolong life, make the body light, render the face brilliant, and enable one to walk over water. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 4.5-15g in decoction. Sometimes up to 30g in extreme cases.
Cautions: Overdose, extended use or combination with diuretic drugs could cause electrolyte imbalance due to diuretic effect. |
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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
Notes:
Can be easily modified into several other formulae such as:
Shen Qi Wan: add Gui Zhi and Fu Zi for Shaoyin disorders with Kidney Yang deficiency and insufficient Ming Men Fire
Ji Sheng Shen Qi Wan: Add Rou Gui, Bao Fu Zi, Chuan Niu Xi and Che Qian Zi for Kidney Yang deficiency with accumulation of water
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.
Shi Bu Wan: Add Lu Rong, Rou Gui, Bao Fu Zi and Wu Wei Zi for Kidney Yang deficiency.
Zi Shui Qing Gan Yin: Add Chai Hu, Bai Shao, Zhi Zi, Suan Zao Ren and Dang Gui for Kidney Yin deficiency with Liver constraint turning into Fire.
Shen Qi Di Huang Tang: Add Dang Shen and Huang Qi and for Wasting and Thirsting Xiao Ke due to Spleen Qi and Kidney Yin deficiency.
Bu Shen Zhi Chan Tang: Reduce Shu Di Huang to 12g and replace Fu Ling, Mu Dan Pi and Ze Xie with He Shou Wu (3g) and Rou Cong Rong (9g) for symptoms of Parkinson's disease.
Gu Chi Wan: Add Mai Men Dong and Shi Hu for periodontal disease.
Bu Shen Gu Chi Wan: Uses Liu Wei Di Huang Wan for a base and adds another 12 herbs for regulating and cooling the Blood, nourishing Jing and clearing Heat, also for periodontal disease.
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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:
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.