Herb Formulas Notebook


Hu Qian Wan

Hidden Tiger Pill

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Source: Medical Formulas Collected and Analysed (1682)
Author: Wang Ang / Ren-An



Category: Formulas that Tonify Yin

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

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

Tongue: Red with little coating
Pulse: Thin and frail



Ingredients
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
Dang Gui 45g
Niu Xi 45g

Subsitutions:
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: Cook with mutton and wine and form into pills

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

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



Notes:
This is the same as Dan-Xi's Hu Qian Wan with the addition of Dang Gui and Niu Xi for more severe presentations.



Research Links:
Pubmed
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.