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formula nameAnemarrhena, Phelloendron and Rehmannia Pill
aliasAnemarrhena and Phelloendron Eight-Ingredient Pill
sourceBi Hua Medical Mirror
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bubble_chart Preparation and Dosage

Prepared Rehmannia RootYellow (Radix Rehmanniae Praeparata) 8 liǎng
Asiatic Cornelian Cherry Fruit (Fructus Corni) liquor 4 liǎng
Chinese Yam (Rhizoma Dioscoreae) 4 liǎng
Poria (Poria) mix milk 3 liǎng
Tanpi (Cortex Moutan Radicis) 3 liǎng
Alisma (Rhizoma Alismatis) 3 liǎng
Anemarrhena (Rhizoma Anemarrhenae) 2 liǎng
Phellodendron bark (Cortex Phellodendri) 2 liǎng

bubble_chart Efficacy

Nourishing yin and reducing fire.

bubble_chart Indications

The syndrome/pattern of yin deficiency and effulgent fire, steaming bone fever, tidal fever, vexing heat, night sweats, aching pain in the lower back and spine, seminal emission, dry mouth, slight sore throat, reddish tongue, fine and rapid pulse, and a strong pulse at the chi position.

bubble_chart Formula Principles

This formula is the Six-Ingredient Rehmannia Pill, with the addition of Phelloendron Bark and Anemarrhena. In addition to its function of tonifying the liver and kidney, it also has the effect of purging fire. In the formula, the Six-Ingredient Rehmannia Pill has three tonifying and three purging actions, primarily tonifying, with a focus on the liver, spleen, and kidney, mainly tonifying kidney yin, and includes purging within tonification, making it suitable for long-term use. Phelloendron Bark and Anemarrhena nourish kidney water and reduce deficient fire. The combination of these herbs can tonify the deficiency of kidney yin and reduce the rising deficient fire.

bubble_chart Syndrome Differentiation

  1. Liver-kidney yin deficiency accompanied by steaming bone fever and tidal fever.
  2. Dry mouth and sore throat.
  3. Red tongue.
  4. Night sweats and nocturnal emission.
  5. Thin and rapid pulse with strong chi pulse.

bubble_chart Formula Modification

  1. qi deficiency: add Ginseng, Astragalus Root.
  2. dry mouth and sore throat: add Scrophularia Root, Platycodon Root.
  3. back pain and soreness: add Achyranthes Root, Eucommia Bark.
  4. blood stasis: add motherwort herb, Salvia, Red Peony Root.
  5. night sweat: add light wheat, Chinese Angelica, Unprocessed Rehmannia Root.
  6. insomnia, palpitation due to fright: combine with Celestial Emperor Heart-Tonifying Pill.
  7. hemoptysis (lung subcutaneous node): add lalang grass rhizome, hairyvein agrimonia herb.

bubble_chart Cautions and Contraindications

Liver kidney yang deficiency without fire should be avoided. Those with spleen-stomach weakness may experience gastrointestinal bloating, indigestion, and loose stools when taking it, and should be taken with spleen-stomach strengthening formulas.

bubble_chart Modern Application

Chronic nephritis, diabetes, subcutaneous lung nodules, hypertension, seminal emission, chronic urethritis, cystitis, prostatitis, night sweats, tinnitus, etc., which belong to the syndrome/pattern of yin deficiency and effulgent fire.

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