Yibian
 Shen Yaozi 
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formula nameSix-Ingredient Rehmannia Pill
sourceXiao'er Yaozheng Zhijue
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bubble_chart Preparation and Dosage

Prepared Rehmannia Root (Radix Rehmanniae Praeparata) 24gm
Asiatic Cornelian Cherry Fruit (Fructus Corni) 12gm
Chinese Yam (Rhizoma Dioscoreae) 12gm
Alisma (Rhizoma Alismatis) 9gm
Poria (Poria) 9gm
Peony Bark (Cortex Moutan Radicis) 9gm

bubble_chart Efficacy

Nourishing water to moisten wood.

bubble_chart Indications

Liver-kidney yin deficiency, soreness and weakness in the lower back and knees, dizziness, blurred vision, tinnitus, deafness, night sweats, seminal emission, steaming bone fever, tidal fever, feverish sensation in the palms and soles, or consumptive thirst, or deficiency fire toothache, dry mouth and throat, red tongue with scant coating, thin and rapid pulse. Delayed closure of the fontanel in children.

bubble_chart Formula Principles

This prescription is primarily aimed at kidney yin deficiency, with deficiency fire flaming upward as a secondary condition. Therefore, the method of enriching yin and tonifying the kidney is used to treat the root cause. In the formula, Prepared Rehmannia Root nourishes kidney yin, strengthening water to control fire; Cornus Fruit nourishes the liver and tonifies the kidney, consolidating and astringing essential qi; Chinese Yam strengthens the spleen and benefits the kidney, nourishing yin and consolidating astringency; Alisma drains kidney fire and directs fire downward; Moutan Bark clears the liver and drains fire, cools the blood, and eliminates steaming bone fever; Poria invigorates the spleen and drains dampness, clearing and draining damp-heat.

bubble_chart Formula Modification

  1. Pain in the waist and knees, add Achyranthes Root, Eucommia Bark, Chinese Taxillus Herb.
  2. Frequent urination, remove Alisma, add Sharpleaf Galangal Fruit, palmleaf raspberry fruit.
  3. Liver blood deficiency, add Chinese Angelica, Peony Root.
  4. If accompanied by cough and shortness of breath, add Schisandra Fruit, Ophiopogon Tuber.

bubble_chart Cautions and Contraindications

Individuals with spleen-stomach weakness may experience gastrointestinal bloating, indigestion, and loose stools when taking it. It should be taken in conjunction with spleen and stomach tonifying formulas.

bubble_chart Modern Application

Chronic nephritis, hypertension, diabetes, neurasthenia, esophageal epithelial hyperplasia, prevention of cancer, menopausal syndrome, anti-arrhythmia, chronic prostatitis, enuresis, central retinitis and optic neuritis, lupus erythematosus, subcutaneous nodules of the lung, hyperthyroidism, etc.

bubble_chart Supplementary Formulas

  1. This formula adds one liang each of Aconite Lateral Root and Cassia Bark, named Gui Fu Ba Wei Wan [Cui's]. It treats the insufficiency of ministerial fire, deficiency and emaciation with shortage of qi. As Wang Bing said, it benefits the source of fire to eliminate yin nebula. It is suitable for those with weak chi pulse.
  2. This formula adds two liang each of Phellodendron Bark and Anemarrhena, named Zhi Bai Ba Wei Wan. It treats yin deficiency with fire movement, bone wilting, and marrow exhaustion. As Wang Bing said, it strengthens the water to control the sunlight. It is suitable for those with strong chi pulse.

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