Herb Formulas Notebook

Liu Wei Di Huang Wan

Six Ingredient Rehmannia Pill


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

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



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)



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