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Yibian
 Shen Yaozi 
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formula nameEight-Ingredient Rehmannia Pill
aliasCassia Bark, Aconite and Rehmannia Pill
sourceShanghan Zabing Lun
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bubble_chart Preparation and Dosage

Prepared Rehmannia RootYellow (Radix Rehmanniae Praeparata)
Chinese Yam (Rhizoma Dioscoreae)
Alisma (Rhizoma Alismatis)
Poria (Poria)
Peony Bark (Cortex Moutan Radicis)
Cassia Bark (Cortex Cinnamomi)
CannonAconite Lateral Root (Radix Aconiti Lateralis Praeparata) prepared

bubble_chart Efficacy

Warm and nourish the lower energizer, tonify and benefit kidney yang.

bubble_chart Indications

  1. Treating life gate fire decline and kidney deficiency or minor constipation and astringency, bladder spasm leading to urinary obstruction (bladder spasm, minor constipation disease) or frequent nocturia or beriberi entering the abdomen, lower abdominal numbness (sensory paralysis), abnormal rising of qi causing rapid breathing, vomiting, spontaneous sweating, tinnitus.
  2. Treating life gate fire decline leading to inability to generate earth, resulting in deficiency-cold of spleen and stomach, reduced appetite, and unformed stools.

bubble_chart Formula Principles

In the formula, Rehmannia can strengthen, invigorate, and nourish; Asiatic Cornelian Cherry Fruit astringes essence, consolidates marrow, warms the waist and knees, and benefits the yang path; Chinese Yam nourishes essential qi, eliminates deficiency heat, and moistens blood dryness; Peony Bark disperses blood stagnation and relieves pain; Poria dredges retained water in the stomach; Alisma promotes urination and quenches thirst; Cassia Bark assists Rehmannia in enhancing blood circulation; it also cooperates with Poria to suppress the internal rising of qi from the lower abdomen; Aconite Lateral Root strengthens kidney yang, replenishes life fire, dispels cold and dampness, and has the effect of reversing functional decline. This formula is an excellent remedy for the decline of kidney, adrenal, and sexual organ functions.

bubble_chart Syndrome Differentiation

  1. Soreness and weakness in the waist and knees.
  2. Cold intolerance and chills.
  3. Thick, pale, and swollen tongue with a white coating.
  4. Deep pulse.
  5. Middle-aged and elderly people.

bubble_chart Formula Modification

  1. Lumbago and swollen feet: Add Achyranthes Root and Plantain Seed.
  2. Dizziness and dizzy vision: Add Barbary Wolfberry Fruit and Chrysanthemum Flower.
  3. Proteinuria with yang deficiency: Add Lonicera and Astragalus Root.
  4. Kidney yang deficiency toothache: Add Fortune's Drynaria Rhizome.
  5. Sexual dysfunction: Add Ginseng, Pilose Antler, and Desertliving Cistanche.

bubble_chart Cautions and Contraindications

Thirst, frequent urination, and drinking one but urinating twice should be used with caution in cases of yin deficiency.

bubble_chart Modern Application

Chronic nephritis, renal cirrhosis, kidney stones, renal subcutaneous nodules, proteinuria, anuria, urinary incontinence, nocturia, bladder stones, bladder subcutaneous nodules, prostatic hypertrophy, arteriosclerosis, hypertension, hypotension, sequelae of cerebral hemorrhage, diabetes, uremia, sciatica, intervertebral disc herniation, beriberi, lower limb paralysis, neurasthenia, forgetfulness, nocturnal emission, premature ejaculation, impotence, priapism, puerperal fever, leukorrhea, chronic gonorrhea, hemorrhoids, rectal prolapse, epistaxis, cutaneous pruritus, eczema, psoriasis, eye diseases, ear diseases, etc.

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