Author: Tai Yi Ju (Imperial Medical Bureau), 太醫局
Year: 1107
Source: Formulary of the Pharmacy Service for Benefiting the People of the Taiping Era (Tai Ping Hui Min He Ji Ju Fang, 太平惠民和劑局方)
Category: Formulas that Tonify Yang
Pattern: Severe lower back pain from Kidney Yang deficiency with damage from Wind-Cold-Damp or due to injury from trauma
Key Symptoms: Severe and continuous lower back pain that makes it hard to stand up from a seated position, difficult to bend forward and impossible to rotate the trunk, weakness of the legs and extreme exhaustion. All symptoms improve with bed rest.
Secondary Symptoms: Dizziness, earache, dribbling urination or vaginal discharge, cold extremities, pale and shiny complexion
Tongue: Pale
Pulse: Submerged and thin
Abdomen: Tense
Ingredients
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Du Zhong
| 48g | | (fried in ginger juice)
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Pinyin: Du Zhong
Chinese: 杜仲
Pharmaceutical: Cortex Eucommiae
Taxonomy: Eucommia ulmoides
English: Hardy Rubber Tree / Chinese Rubber Tree |
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Tastes: Sweet, warm
Meridians Entered: Kidney and Liver |
Actions & Indications:
- Tonifies the Kidneys and Liver and strengthens the sinews and bones
Kidney and Liver Deficiency with a weak, sore or painful lower back and knees, fatigue and urinary frequency
Weakness of sinews and bones
- Aids the smooth flow of Qi and Blood
Promotes circulation for weak sinews and bones
- Calms the fetus
Deficiency Cold patterns with bleeding during pregnancy
Prevents miscarriage when the fetus is agitated or restless and when a pregnant woman has significant back pain or presents with a deficient condition
Threatened abortion
- Lowers blood pressure
Hypertension with dizziness and light-headedness due to Liver Yang Rising
- Tonifies Kidney Yang
Reproductive and urinary disorders such as impotence and incontinence
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light and slow ageing. 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: 10-15g in decoction.
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Bu Gu Zhi
| 24g | | (wine fried)
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Pinyin: Bu Gu Zhi
Chinese: 補骨脂
Pharmaceutical: Fructus Psoraleae
Taxonomy: Psoralea cordyfolia
English: Psoralea Fruit / Scurf Pea Berry / Po Gu Zhi 破故紙 |
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Tastes: Sweet, bitter, astringent, warm
Meridians Entered: Kidney, Spleen, Lung, Pericardium |
Actions & Indications:
- Tonifies the Kidneys, strengthens Yang, stabilizes Jing and astringes urine
Impotence, premature ejaculation, enuresis, urinary frequency, a cold and painful lower back and extremities
Wheezing and shortness of breath due to Kidneys not grasping the Lung Qi
Weakening of Ming Men Fire
- Tonifies and warms Spleen and Kidney Yang to stop diarrhoea
Diarrhoea with borborygmus and abdominal pain
Cock-crow diarrhoea
Most appropriate for those with both Spleen and Kidney Yang Deficiency
- Warms the skin and regulates the blood (soaked in wine and applied topically)
Cold-type psoriasis, vitiligo and eczema
Hyperpigmentation
Dry, dull or loose skin with fine lines or rough texture
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Standard Dosage: 5-15g in decoction.
Cautions: Contraindicated in cases of Yin deficiency with effulgent Fire and constipation.
Due to the psoralen content which increases the response to UV light, patients should be advised to avoid excessive exposure to the sun or discontinue taking if traveling to a hot climate. |
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He Tao Ren
| 15g | |
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Pinyin: Hu Tao Ren
Chinese: 胡桃仁
Pharmaceutical: Semen Juglandis
Taxonomy: Juglans regia
English: Walnut |
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Tastes: Sweet, warm
Meridians Entered: Kidney, Liver and Large Intestine |
Actions & Indications:
- Tonifies the Kidneys, replenishes Jing and strengthens the back and knees
Kidney Yang Deficiency with a Cold and painful back and knees and urinary frequency
Kidney Jing Deficiency
- Warms and astringes the Lungs, resolves cold Phlegm, arrests wheezing and helps the Kidneys grasp Qi
Lung and Kidney Deficiencies with chronic cough and wheezing that worsens with any exertion
Kidney unable to grasp Lung Qi
- Moistens the Intestines and unblocks the bowels
Constipation from Deficient Fluids and Blood Constipation in the elderly Constipation due to injured Fluids following a febrile disorder
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Standard Dosage: 10-30g in decoction, or eaten as food.
Cautions: It is contraindicated in cases of yin deficiency with effulgent fire, cough and loose stool due to phlegm-heat. |
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Da Suan
| 12g | | |
Pinyin: Da Suan
Chinese: 大蒜
Pharmaceutical: Bulbus Allii sativi
Taxonomy: Allium sativum
English: Garlic |
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Tastes: Pungent, warm
Meridians Entered: Spleen, Stomach, Lung and Large Intestine |
Actions & Indications:
- Kills Parasites and Expels Demons
Hookworms and pinworms and, with appropriate herbs for other types of intestinal parasites
Tinea of the scalp
Single-clove purple garlic from Sichuan, is often recommended as the most effective single remedy for Gu Sydnrome (Fruehauf, 1998) as the Gu-snakes greatly fear garlic Qi
Chronic inflammatory disease (Fruehauf, 2015)
- Disperses abscesses and reduces swellings
Primarily for early stages of abscesses and sores (internally and topically)
- Resolves toxicity
Tinea and other pruritic rashes (primarily topically)
- Warms the Stomach, strengthens the Spleen, promotes the movement of Qi, reduces Stagnation and resolves toxicity
Diarrhoea and dysenteric disorders due to epidemic toxins or Food Stagnation (can be used as a stand-alone herb for mild cases of Food Stagnation)
- Prevents influenza and treats shellfish poisoning
Bacterial and viral epidemics Shellfish poisoning
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Standard Dosage: 5-10g eaten raw or made into syrup.
Cautions: It is contraindicated for oral taking in case of yin deficiency with effulgent fire and people with eye disease or tooth disease or tongue disease or throat disease.
Its potential to increase antiplatelet activity means it can enhance the effects of anticoagulants, NSAIDs and acetylsalicylic acid (aspirin). |
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Preparation: Da Suan (garlic) is crushed into a paste and combined with the other three powdered ingredients and formed into pills. Taken in 3g doses on an empty stomach with warm wine.
Actions: Tonifies the Kidneys, strengthens the lower back alleviates lower back pain
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.