Zi Shen Tong Er Wan
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Zi Shen Tong Er Wan #2207

Pin Ying Name: Zi Shen Tong Er Wan

English Name: Scute Decoction

Chinese Name: 滋腎通耳丸

Herbs & Actions
Pharmaceutical Latin Pin Yin Dosage Actions
Rx. Rehmanniae Sheng Di Huang 5-30g

Clears Heat, cools the Blood, nourishes Yin and generates fluids.

With Bai Shao, for Blood Deficiency Heat.

Rx. Angelicae Sinensis Dang Gui 3-15g

Tonifies, activates and harmonizes the Blood.

With Bai Shao, for Blood Deficiency Heat. with Chai Hu and Bai Xiao, for Liver Qi Stagnation and Blood Deficiency. With Chuan Xiong, harmonizes, nourishes and activates the Blood and disperses Blood Stasis.

Rz. Chuanxiong Chuan Xiong 3-10g

Activates the Blood and promotes the movement of Qi.

With Sheng Di Huang, Bai Shao and Dang Gui, for headaches due to Blood Deficiency.

Rx. Paeoniae Alba Bai Shao

Nourishes the Blood, astringes Yin and calms Liver Yang and Liver Wind.

With Chai Hu, for flank pain due to Liver Qi Stagnation. With Dang Gui, nourishes Yin and Blood.

Rx. Angelicae Dahuricae Bai Zhi 6-12g

Expels Wind, eliminates Dampness and alleviates pain.

With Chuan Xiong, for headaches. With Huang Qin, for Wind-Heat headaches.

Dry-fried (with liquor) Rz. Anemarrhenae Chao Zhi Mu 3-12g

Clears Heat, drains Fire, nourishes Yin, moistens Dryness, generates Fluids and clears Deficiency Fire.

With Huang Bai, clears Heat and Drains Fire for Yin Deficiency Fire.

Dry-fried (with liquor) Cx. Phellodendri Chao Huang Bai 6-15g

Drains Damp-Heat especially from the Lower Jiao and drains Kidney Fire.

Rz. Cyperi Xiang Fu 3-12g

Spreads and regulates Liver Qi.

With Chai Hu, for Qi Stagnation and menstrual irregularity. With Chai Hu and Bai Shao, for pain and distention in the chest and flanks. With Dang Gui, tonifies the Blood and moves Qi. With Chuan Xiong, for Qi Stagnation combined with Blood Stasis.

Rx. Bupleuri Chai Hu 3-18g

Spreads Liver Qi and relieves Stagnation.

With Huang Qin, restores the normal functioning of the Liver and Gallbladder. With Bai Shao, for vertigo, dizziness and thoracic and costal pain due to Liver Qi Stagnation.

Dry-fried (with liquor) Rx. Scutellariae Chao Huang Qin

Clears Heat, dries Dampness, drains Fire, detoxifies and calms ascending Liver Yang.

Formula Actions
  • Nourishes Yin and Blood of the Liver and Kidneys
  • Improves hearing
  • Clears Heat
  • Hearing disorders due to deficient Blood and Yin of the Kidney and Liver with Liver Fire.
Clinical Manifestations
  • Deafness
  • Tinnitus that worsen at night
  • Dizziness
  • Hypoacusis (elderly people)
  • Blurred vision
  • Fever
  • Insomnia
  • Irritability
  • Hard of hearing
  • Ocular pain
  • Red eyes
  • Thirst
  • Auditory depression
  • Poor hearing
  • T: Red
  • C: Yellow
  • P: Weak, thready and rapid
  • Deafness
  • Tinnitus
  • Insomnia
  • Dizziness
  • Blurred vision
  • Typanitis
  • Auditory depression
  • Ménière's disease
  • Otitis media
  • Fever
  • Eye pain
  • Weakness