Yibian
 Shen Yaozi 
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formulaLeft-Restoring Pill Zuo Gui Wan
sourceJingyue Quanshu
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bubble_chart Preparation and Dosage

Prepared Rehmannia Root (Radix Rehmanniae Praeparata) 24gm
Chinese Yam (Rhizoma Dioscoreae) 12gm
Asiatic Cornelian Cherry Fruit (Fructus Corni) 12gm
Barbary Wolfberry Fruit (Fructus Lycii) 12gm
Dodder Seed (Semen Cuscutae) 12gm
Cervi Deer-Horn Glue (Cornu Cervi Pantotrichum) 12gm
Tortoise Carapace (Carapax et Plastrum Testudinis) 12gm
Achyranthes Root (Radix Achyranthis Bidentatae) 9gm

bubble_chart Efficacy

Enriching yin, tonifying the kidneys, supplementing essence, and replenishing marrow.

bubble_chart Indications

True Yin deficiency with essence and marrow depletion syndrome. Symptoms include dizziness, blurred vision, soreness and weakness of the lower back and knees, seminal emission, diarrhea, spontaneous sweating, night sweats, tinnitus, deafness, a red tongue with scant coating, and a thin, rapid pulse.

bubble_chart Formula Principles

This formula is the Six-Ingredient Rehmannia Pill with the removal of Poria, Alisma, and Moutan Bark, and the addition of tortoise-plastron glue, Cervi Deer-Horn Glue, Barbary Wolfberry Fruit, Dodder Seed, and Achyranthes Root. In the formula, Prepared Rehmannia Root enriches yin and replenishes essence; Asiatic Cornelian Cherry Fruit enriches and tonifies liver yin, astringes essence, and stops sweating; Chinese Yam tonifies the spleen, benefits yin, nourishes the kidneys, and secures essence; Barbary Wolfberry Fruit tonifies the liver and kidneys and improves vision; Tortoise Carapace and Cervi Deer-Horn Glue are substances with a strong affinity for the flesh and blood, drastically tonifying the essence and marrow, with Tortoise Carapace leaning towards tonifying yin and Deer Horn leaning towards tonifying yang; Dodder Seed and Achyranthes Root benefit the liver and kidneys, strengthen the lower back and knees, and fortify the tendons and bones.

bubble_chart Pattern Identification

  1. True Yin deficiency.
  2. Dizziness, seminal emission, tinnitus.
  3. Spontaneous sweating, night sweat.
  4. Red tongue with little coating.
  5. Thin and rapid pulse.

bubble_chart Formula Modification

  1. Spleen and stomach transformation lack of strength: add Dried Tangerine Peel, Villous Amomum Fruit.
  2. Qi deficiency: add Tangshen, Poria, White Atractylodes Rhizome.
  3. Deficiency heat: add Unprocessed Rehmannia Root, Moutan Bark, Phellodendron Bark, Anemarrhena.
  4. Excessive sweating: add light wheat.
  5. Insomnia: combine with Celestial Emperor Heart-Tonifying Pill.

bubble_chart Modern Application

This prescription regulates water metabolism, lowers blood sugar, enhances sexual function, and nourishes nerves. It is used for chronic nephritis, chronic hepatitis, functional uterine bleeding, infertility, functional amenorrhea, aplastic anemia, neurasthenia, aging, lumbar muscle strain, lumbago, and primary osteoporosis.

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