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Yibian
 Shen Yaozi 
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formula nameHidden Tiger Pill
sourceDanxi Xinfa
smart_toy
bubble_chart Preparation and Dosage

Tortoise Carapace (Carapax et Plastrum Testudinis) 120gm
Phelloendron Bark (Cortex Phellodendri) 240gm
Anemarrhena (Rhizoma Anemarrhenae) 60gm
Prepared Rehmannia Root (Radix Rehmanniae Praeparata) 60gm
Peony Root (Radix Paeoniae Alba) 60gm
Songaria cynomorium herb (Herba Cyomorii) 45gm
Dried Tangerine Peel (Pericarpium Citri Reticulatae) 45gm
Tiger bone (Panthera tigris) 15gm
Dried Ginger (Rhizoma Zingiberis) 15gm

bubble_chart Efficacy

Nourishing yin and reducing fire, strengthening bones and tendons.

bubble_chart Indications

  1. Atrophy-flaccidity disease. Tendons and bones are weak and flaccid, with soreness and weakness in the lower back and knees, weakness in the lower limbs, difficulty walking, a red tongue with scant coating, and a thin, weak pulse.
  2. Deficiency and cold in the lower origin, depletion of essence and blood, impotence, and premature ejaculation.

bubble_chart Formula Principles

This prescription is suitable for syndromes caused by insufficient liver and kidney essence and blood, yin deficiency with internal heat, and inability to nourish the tendons and bones. In the formula, a large amount of Phelloendron Bark is used as the monarch to clear heat and purge fire; Prepared Rehmannia Root, Peony Root, Chinese Angelica to nourish yin and blood, Anemarrhena to clear deficient heat, enhancing the effects of Phelloendron Bark, and Tortoise Carapace to nourish yin and reduce fire as the ministers; songaria cynomorium herb to warm and tonify kidney yang; Achyranthes Root to tonify the kidney and strengthen the tendons and bones; Dried Ginger and Dried Tangerine Peel to warm the middle, strengthen the spleen, regulate qi, and harmonize the stomach, which can prevent the bitter cold of Phelloendron Bark and Anemarrhena from damaging the stomach, and also prevent the tonifying from being overly greasy and cloying to the stomach.

bubble_chart Pattern Identification

  1. The wilting impediment is weak.
  2. Weakness in the lower back and knees.
  3. Impotence and premature ejaculation.
  4. Red tongue with little coating.
  5. Deep, thin, and weak pulse.

bubble_chart Formula Modification

  1. Yin deficiency is evident: add Asiatic Cornelian Cherry Fruit, Chinese Yam, turtle carapace.
  2. Spleen deficiency with reduced appetite and loose stool: add Chinese Yam, Poria, White Atractylodes Rhizome.
  3. Kidney deficiency with weakness: add Eucommia Bark, Dipsacus, Desertliving Cistanche.
  4. Blood deficiency with weakness: add Sichuan Lovage Rhizome, Eucommia Bark.
  5. Seminal emission: add Fossil Bone, oyster shell.

bubble_chart Modern Application

This formula nourishes the nerves, enhances endocrine function, and strengthens the body. It is used for the sequelae of stroke, sequelae of poliomyelitis, fracture and postoperative recovery, neurasthenia, wind-dampness or rheumatoid arthritis, osteoporosis, myasthenia gravis, seminal emission, nocturnal emission, and impotence.

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