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Yibian
 Shen Yaozi 
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formula nameRight-Restoring Pill
sourceJingyue Quanshu
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bubble_chart Preparation and Dosage

Prepared Rehmannia Root (Radix Rehmanniae Praeparata) 240gm
Chinese Yam (Rhizoma Dioscoreae) 120gm
Barbary Wolfberry Fruit (Fructus Lycii) 120gm
Dodder Seed (Semen Cuscutae) 120gm
Eucommia Bark (Cortex Eucommiae) 120gm
Cervi Deer-Horn Glue (Cornu Cervi Pantotrichum) 120gm
Asiatic Cornelian Cherry Fruit (Fructus Corni) 90gm
Chinese Angelica (Radix Angelicae Sinensis) 90gm
Aconite Lateral Root (Radix Aconiti Lateralis Praeparata) 60gm
Cassia Bark (Cortex Cinnamomi) 60gm

Grind the above ingredients into a fine powder. First, steam the Prepared Rehmannia Root until soft, then pound it into a paste. Add refined honey to form pills the size of a bullet. Take 2-3 pills each time, swallowed with boiling water.

bubble_chart Efficacy

Warming and tonifying kidney yang, replenishing essence and tonifying blood.

bubble_chart Indications

Kidney yang deficiency, life gate fire decline. Symptoms include soreness and weakness in the lower back and knees, fear of cold and cold limbs, qi deficiency and mental fatigue, impotence and seminal emission, pale tongue, white coating, and thin pulse.

bubble_chart Formula Principles

This formula is the Cassia Bark, Aconite and Rehmannia Pill with the removal of Moutan Bark, Alisma, and Poria, and the addition of Cervi Deer-Horn Glue, Dodder Seed, Eucommia Bark, Barbary Wolfberry Fruit, and Chinese Angelica to enhance the tonifying effects on yin and yang. To effectively tonify yang, one must treat yin for yang, hence the use of Prepared Rehmannia Root, Cornus Fruit, and Chinese Yam to nourish the three yin; the use of Aconite Lateral Root, Cassia Bark, and Cervi Deer-Horn Glue to warm and tonify the primordial yang in the kidneys; Dodder Seed and Eucommia Bark to strengthen the waist and benefit essence; Chinese Angelica to nourish blood and tonify deficiency; and Barbary Wolfberry Fruit to tonify the liver and kidneys. The combination of these herbs warms yang, benefits the kidneys, replenishes essence, and tonifies blood, achieving the effect of cultivating and tonifying the primordial yang in the kidneys.

bubble_chart Syndrome Differentiation

  1. Long-term illness with yang deficiency, soreness in the waist, mental fatigue.
  2. Fear of cold, cold limbs.
  3. Impotence, spermatorrhea, or loose stool.
  4. Pale tongue with white coating.
  5. Deep and slow pulse.

bubble_chart Formula Modification

  1. For those with qi deficiency: add Ginseng, White Atractylodes Rhizome, Poria, Astragalus Root.
  2. For yang deficiency spermatorrhea or turbid discharge with loose stool: add Psoralea.
  3. For diarrhea before dawn: add Schisandra Fruit, Nutmeg.
  4. For deficiency-cold of spleen and stomach: add Dried Ginger, Evodia Fruit.
  5. For aching pain in the waist and knees: add walnut kernel.
  6. For impotence: add Morinda, Desertliving Cistanche, External Genitalia of Male Ursine Seal.

bubble_chart Cautions and Contraindications

Impotence and seminal emission due to dampness-heat pouring down or yin deficiency with effulgent fire are contraindicated.

bubble_chart Modern Application

This prescription enhances endocrine function and strengthens the heart. It is used for hyposexuality, azoospermia, male infertility, sciatica, lumbar muscle strain, asthma, bronchitis, chronic nephritis, chronic renal failure, lumbago, and senility.

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