Herb Formulas Notebook

Hu Qian Wan

(Hidden Tiger Pill)

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Source: Essential Teachings of Dan-Xi (1481)
Author: Zhu Dan-Xi

Category: Formulas that Tonify Yin

Pattern: Atrophy disorder due to Liver and Kidney deficiency with Empty Heat

Key Symptoms: Weakness of the lower back and knees, deterioration of the sinews and bones with general reduction in function, wasting of the muscles of the legs and feet, difficulty in walking
Secondary Symptoms: Dizziness, tinnitus, spontaneous emissions and urinary incontinence

Tongue: Red with little coating
Pulse: Thin and frail

Huang Bai 240g (wine fried)
Zhi Mu 30g (wine fried)
Shu Di Huang 120g
Gui Ban 120g (wine fried)
Bai Shao 60g
Hu Gu 60g
Suo Yang 45g
Gan Jiang 15g
Chen Pi 60g

Hu Gu (tiger bone) is not permitted for use and should be substituted. Usually this is replaced with cat or dog bone but in the UK must be replaced with herbs such as Pu Gong Ying for anti-inflammatory actions along with Gu Sui Bu for its bone healing functions or Wei Ling Xian, both of which affect the Du Mai. Calcium supplementation may also be an option.
Gui Ban is usually substituted with Mo Han Lian and Nu Zhen Zi or Xuan Shen.

Preparation: The source text advises to grind all the herbs into powder and form into pills with wine. Today it is usually made into 9g pills with honey with one taken every morning and evening. It may also be prepared as a decoction with an appropriate reduction in dosage.

Actions: Enriches the Yin, directs Fire downwards, strengthens the sinews and bones

Contraindications: Atrophy disorder due to Spleen and Stomach deficiency or Damp-Heat

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.