Herb Formulas Notebook

Zhi Bai Di Huang Wan

Anemarrhenae, Phellodendron and Rehmannia Pill

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Source: Craft of Medicines and Patterns for Children (1119)
Author: Qian Yi

Category: Formulas that Tonify Yin

Pattern: Kidney and Liver Yin deficiency with pronounced Empty Heat

Key Symptoms: Hot flushes, night sweats, dry mouth and tongue, 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, 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 and thin with a large pulse in the rear position
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

Shu Di Huang 24g
Shan Zhu Yu 12g
Shan Yao 12g
Fu Ling 9g
Mu Dan Pi 9g
Ze Xie 9g
Zhi Mu 3-9g
Huang Bai 3-9g

Preparation: Decoction.

Actions: Enriches Yin, nourishes the Kidneys, clears Heat

Contraindications: Spleen deficiency with white greasy tongue coating indicating difficulty digesting rich, cloying herbs, Heat patterns due to External pathogens

This is a modified form of Liu Wei Di Huang Wan.

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.