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Zhi Bai Di Huang Wan

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Pin Ying Name: Zhi Bai Di Huang Wan

English Name: Anemarrhena, Phellodendron & Rehmania Decoction

Chinese Name: 知柏地黃丸

Herbs & Actions
Pharmaceutical Latin Pin Yin Actions
Rx. Anemarrhenae Zhi Mu

Clears Heat, drains Fire, enriches Yin, moistens Dryness and generates Fluids.

With Huang Bai, for Yin Deficiency with Fire Flaring, Steaming Bone Disorder and Lower Jiao Damp-Heat. with Huang Bai and Shu Di Huang, for Yin Deficiency with Empty Fire.

Cx. Phellodendri Huang Bai

Drains Damp-Heat, drains Kidney Fire and relieves toxicity.

Rx. Rehmanniae Preparata Shu Di Huang

Nourishes Yin and Blood and tonifies the Kidneys.

Fr. Corni Shan Shan Zhu Yu

Nourishes Kidney Yin and Yang, astringes Yin and stops Excess perspiration.

With Shan Yao, tonifies the Liver and Spleen. With Shu Di Huang, nourishes Kidney Yin and secures Jing, while restraining urination and sweating.

Rx. Dioscoreae Shan Yao

Strengthens the Spleen, stabilizes the Kidneys and nourishes Jing.

With Shu Di Huang and Shan Zhu Yu, for Kidney Deficiency with spermatorrhea, dizziness, tinnitus, lower back pain, impotence and night sweats.

Poria Fu Ling

Strengthens the Spleen and drains Dampness.

With Ze Xie, facilitates the removal of water and leaches out Dampness to treat stagnant water and Dampness leading to edema, jaundice, diarrhea, Milky Lin, and scanty, difficult urination with abdominal distention.

Cx. Moutan Mu Dan Pi

Clears Heat, cools and invigorates the Blood, clears Deficiency Fire and dispels Blood Stasis .

Rz. Alismatis Ze Xie

Promotes urination and prevents Kidney Fire as a result of tonification.

With Mu Dan Pi, for Steaming Bone Disorder, dizziness, and vertigo. With Fu Ling, promotes urination. With Fu Ling and Mu Dan Pi, regulates the Kidneys, Liver and Spleen, drains and tonifies.

Formula Actions
  • Enriches Yin
  • Nourishes the Essence of the Liver and Kidneys
  • Reduces Deficiency Fire
  • Kidney Yin Deficiency with Fire Flaring
  • Liver and Kidney Yin Deficiency (with Fire Flaring)
  • Steaming Bone Disorder
  • Damp-Heat in the Lower Jiao with underlying Kidney Yin Deficiency
Clinical Manifestations
  • Night sweats
  • Dry mouth and tongue
  • Lower back and knee pain
  • Urinary difficulty
  • Weakness of the lower back, knees and extremities
  • Steaming bones
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole Heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Irritability
  • Dry skin
  • Deafness
  • Spontaneous and nocturnal emissions
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Swollen gums, painful and light red in color
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Scanty urination
  • Frequent, scanty, yellow urination
  • Pain at midline
  • Lower back and knee pain
  • Sore throat
  • T: Red
  • C: Little or None
  • P: Thready and rapid (large at the Kidney positions)
  • Gingivitis
  • Steaming Bone Disorder
  • Excess dreaming
  • Cystitis
  • Menopause
  • Amenorrhea
  • Neurasthenia
  • Pulmonary tuberculosis
  • Diabetes mellitus
  • Chronic nephritis
  • Hyperthyroidism
  • Chronic glomerulonephritis
  • Chronic urinary tract infection
  • Hypertension
  • Failure to thrive
  • Functional uterine bleeding
  • Optic neuritis
  • Optic nerve atrophy
  • Central retinitis
  • Male infertility
  • Nephrotic syndrome
  • Epistaxis
  • Chronic neuritis
  • Gouty arthritis
  • Chronic pharyngitis
  • Polycystic ovary syndrome
  • Vaginal itch
  • Vaginal pain
  • Infertility
  • Cataracts
  • Acne
  • Dizziness
  • Meniere's disease
  • Kidney failure
  • Polyuria
  • Prostate cancer
  • Anemia
  • Tidal fevers
  • Lupus erythematosis
  • Neurosis
  • Low back pain
  • Cushing's syndrome
  • Palpitations
  • Herpes genitalia
  • Hoarseness
  • Enuresis
  • Interstitial cystitis
  • Cervical lymphadenopathy
  • Otitis media
  • Night sweats
  • Puerperal fever
  • Premature ejaculation
  • Strangury
  • Toothache
  • Otorrhea
  • Nephroatrophy
  • Senility
  • Impotence
  • Spermatorrhea
  • Esophageal cancer
  • Chronic asthma
  • Bronchitis
  • COPD
  • Side effects of steroids
  • Allergic disorders
  • Bronchiaesthenia
  • Chronic urticaria
  • Infectious hepatitis
  • Nocturnal emissions
  • Irregular menstruation
  • Addison’s disease
  • Congestive Heart failure
  • Sore throat
  • Dry mouth
  • Retarded growth in children
  • Hemospermia
  • Tinnitus
  • Deafness
  • Geriatric dryness
  • Spontaneous perspiration
  • Eczema
  • Prostatic hypertrophy
  • Prostatitis
  • Vaginal discharge
  • Heel pain
  • Insomnia
  • Pterygium
  • Cough
  • Vertigo
  • Oliguria
  • Hematuria
  • Bladder cancer
  • Paralysis
  • Hyperglycemia
  • Constipation
  • Thrombocytopenic purpura
  • Knee pain
  • Forgetfulness
  • Chronic leukemia
  • Weakness
  • Pyelonephritis
  • Headache
  • Sciatica
  • Morning sickness
  • Facial paralysis
  • Hemilateral sweating
  • Ascites
  • Dermatitis
  • Urinary tract infection
  • Rheumatoid arthritis
  • Use caution for those with Spleen Deficiency type diarrhea and indigestion with a white greasy tongue coat.
  • Contraindicated for those with Yang Deficiency.

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