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

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 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 Rehmannia 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.

Rehmannia Bolus with Six Herb   liu wei di huang wan---六味地黄丸

【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。

[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.



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