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Liu wei di huang wan(Rehmannia Bolus with Six Herb) ---六味地黄丸

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【组成】  熟地黄(24g)  山萸肉(12g)  山药(12g)  泽泻(9g)  牡丹皮(9g)  茯苓(9g)

【功用】  滋阴补肾。

【主治】  肾阴虚证。腰膝痠软,头晕目眩耳聋耳鸣盗汗遗精消渴骨蒸潮热手足心热,舌燥咽痛,牙齿动摇,足跟作痛,小便淋漓,以及小儿囟门不合,舌红少苔,脉沉细数。
 
【歌诀】  六味地黄益肾肝,茱薯丹泽地苓专,更加知柏成八味,阴虚火旺自可煎。

Rehmannia Bolus with Six Herb   liu wei di huang wan

[SOURCE]: Key to Therapeutics of Children’s Diseases

[INGREDIENTS]: Prepared rhizome of rehmannia 24g ,  Dogwood fruit 12g ,  Dried Chinese Yam 12g,  Oriental water plantain 9g,  Poria 12g,  Moutan bank 9g

[DIRECTIONS]: Grind the herbs into fine powder and mix with honey to make boluses as big as the seed of Chinese parasol for oral administration. Take 69 grams each time with warm boiled water, 3 times a day. The herbs can also be de­cocted in water for oral administration.

[EFFECTS]: Nourishing and enriching kidney-yin.

[INDICATIONS]: Deficient syndrome of kidney-yin with symptoms of weak­ness and tireness in waist and legs, vertigo, tinnitus, deafness, night sweat seminal emission as well as indiscloure of fontanel in children. Or, the flaring up of defi­ciency-fire leading to symptoms such as bone-steaming, hectic fever, feverish sen­sation in the palms and soles, or consumptive thirst, or toothache due to deficien­cy-fire, dry mouth and throat, red tongue with little coating, and thready and rapid pulse.

[ANALYSIS OF FORMULA]: It is a representative formula to tonify the kid­ney-yin. Prepared rhizome of rehmannia as the principal herb possesses the effect of nourishing the kidney-yin and supplementing the essence to engender the blood. Dogwood fruit with sour flavor and warm property is used for nourishing the kidney, replenishing the liver, and astringing semen to prevent emission. Chi­nese yam with sweet flavor and neutral property replenishes the spleen-yin. So these three herbs create “three tonification” which are nourishing the liver-blood, replenishing the spleen-yin, tonifying the kidney-yin. However, prepared rhizome of rehmannia is sweet in flavor and warm in property and is sticky and greasy in nature. Dogwood fruit is sour in flavor and warm in property and is able to aid the liver-fire. Chinese yam is astringent in flavor. All of them have their own specific characters. They need to combine with adjuvant herbs. Oriental water plantain combines with prepared rhizome of rehmannia in clearing the kidney and excreting the turbid evils to prevent the sticky; Moutan bark combines with dogwood fruit to cool and purge liver-fire; Poria together with Chinese yam excrete the spleen- dampness. They are dispatcher herbs, known as “three purgation”. In Sum, this formula shows that the herbs work as both tonics and purgatives, supplement each other, that reducing method is contained within tonifying method, and is con­sidered to be mild tonifying formula with sweet and tasteless flavor.

This formula is used for chronic nephritis, pulmonary tuberculosis, optic neu­ritis, central retinitis, diabetes, Addisons syndrome, hyperthyroidism, hyperten­sion, anovalatory dysfunctional uterine bleeding, and inanition syndrome in infant that pertain to deficiency of the kidney-yin.

[ASSOCIATED FORMULAE]:

(1)      Anemarrhena, Phellodendron and Rehmannia Pills (zhi bai di huang wan)--知柏地黄丸

SOURCE: It also is known as Pills of Eight Herbs Including Anemarrhena, Phellodendron in the Golden Mirror of Medicine.

It is comprised of Rehmannia Bolus with Six Herbs plus Anemarrhea 6g and phellodendron 6g. The direction is similar to that or Rehmania Bolus with Six Herbs. Its effect is nourishing yin to lower the fire. It is indicated to flaming up of fire due to yin deficiency with symptoms of hectic fever including bone-steaming, deficient vexation, night sweat, pain and soreness in waist and spine, seminal emis­sion, etc.

(2)      Qi-Receiving Pills(du qi wan)---都气丸

SOURCE: Responsibility of Medicine

This is Rehmannia Bolus with Six Herbs plus Schisandra fruit 6g and is called Qi-Receiving Pills. The direction is similar to that of Rehmannia Bolus with Six Herbs. Its effect is nourishing the kidney to receive qi, and is indicated for defi­ciency of kidney-yin with asthma, cough, shortness of breath, hiccup, etc.

(3)      Ophiopogon, Schisandra and Rehmannia Pills (mai wei di huang wan),---麦味地黄丸/八仙长寿丸 (Its original name is Eight Immortal Longevity Pills.)

SOURCE: Medical Rank.

This is Rehmannia Bolus with Six Herbs plus Ophiopogon root 9g, schisandra fruit 6g. Its direction is similar to that of Rehmannia Bolus with Six Herbs. It has effects of astringing the lung to consolidate the kidney, and is used for yin defi­ciency of the lung and kidney manifested by cough, asthma, hectic fever, night sweat, etc.

(4)      Wolf berry, Chrysanthemum and Rehmania Pills (qi ju di huang wan)---杞菊地黄丸

SOURCE: Medical Rank.

Wolfberry fruit and chrysanthemum flower are added to Rehmania Bolus with Six Herbs and is called Wolfberry, Chrysanthemum and Rehmania Pills. Its direction is same as that of Rehmania Bolus with Six Herbs. It replenishes the kidney and nourishes the liver, and is indicated for yin deficiency of the liver and kidney marked by blurring of vision, poor eyesigth, or dry sensation in the eyes,epiphora induced by wind.

Notes: Anemarrhena, Phellodendron and Rehmannia Pills, Qi-Receiving Pills, Ophiopgon, Schisandra and Rehmannia Pills, and Wolfberry, Chrysanthemum and Rehmania Pills are all deriver from Rehmannia Bolus with Six Herbss, and possess effect of replenishing the kidney-yin.

The differences among them are as follows: The first one increases the effect of clearing the ministerial fire; The second lays stress on receiving qi to alleviate asthma; The third has effect of astringing the lung to cease cough, and the last one strengthens the effect of nourishing the liver to clear the vision.


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