Indication
This is a modern formulation that was originally developed to treat low back pain, sciatica and other forms of arthritis of the lower body in elderly patients with Kidney deficiency. It was noted to have some beneficial side effects, i.e. restoring sexual function in both male and female patients.
The formula is now widely prescribed for male sexual dysfunction and female infertility. The formula combines herbs that tonify the Kidney Yang with herbs that nourish the Kidney Yin and enrich the Kidney Essence. In addition there are herbs that nourish the Blood. The beauty of this formula is that several of the Kidney Yang tonifying and Essence enriching herbs also have the action of dispelling Wind-Damp and are effective in Wind-Cold-Damp painful obstruction (bi syndrome).
The supporting herbs, which nourish the Blood, thus serve a dual purpose. The first is to assist in dispelling Wind: because Wind may damage the Blood and also because Blood deficiency predisposes to invasion by Wind. Secondly, because the Blood provides a substrate for the Kidney Essence, they support the formula’s action of enriching the Kidney Essence.
Another important use for this formula is in the treatment of chronic allergic disorders (e.g. allergic rhinitis, atopic asthma, atopic eczema) during the remission phase. The aim of treatment in these cases is to warm-tonify the Kidney Yang and enrich the Kidney Essence in order to strengthen the defensive Qi (which is produced jointly by the Yang Qi of the Kidney together with the Lung Qi).
The synergistic actions of the ingredients are as follows:
Rehmannia root (shu di huang), Morinda root (ba ji tian), Epimedium herb (yin yang huo), Lycium fruit (gou qi zi), Eucommia stem bark (du zhong), Dipsacus root (xu duan), Cuscuta seed (tu si zi): enrich the Kidney Essence
Morinda root (ba ji tian), Epimedium herb (yin yang huo), Eucommia stem bark (du zhong), Dipsacus root (xu duan), Cuscuta seed (tu si zi), Cinnamomum stem bark (rou gui): warm tonify the Kidney Yang
Dioscorea root (huai shan yao), Rehmannia root (shu di huang), Cornus fruit (shan zhu yu), Lycium fruit (gou qi zi): nourish the Kidney Yin (to support the Kidney Yang)
Dioscorea root (huai shan yao), Cornus fruit (shan zhu yu), Nelumbium seed (lian zi), Rosa fruit (jin ying zi), Cuscuta seed (tu si zi): astringe the Kidney Essence (to allow the Kidney Essence to be built up without leakage)
Paeonia root (bai shao), Angelica root (dang-gui): nourish the Blood (to support the Kidney Essence and assist in dispelling Wind)
Morinda root (ba ji tian), Epimedium herb (yin yang huo), Eucommia stem bark (du zhong), Dipsacus root (xu duan): dispel Wind-Cold-Damp and strengthen the sinews and bones.
Signs & Symptoms:
Allergies (remission stage)
Cystitis, chronic recurrent
Erectile dysfunction
Essential tremor
Nocturia
Premature ejaculation
Sciatica
Pain and weakness in lower back
Allergies
Diarrhea, early morning
Inflammatory Bowel Disease
Sexual hypofunction, male
Sexual hypofunction, female
Combinations –
Age related low libido, cognitive decline and severe fatigue:
ZUO GUI WAN
ZHUANG YANG YI JING WAN
QI BAO MEI RAN DAN (Jia Wei)
Essential tremor elderly patient:
XUE FU ZHU YU TANG
QI BAO MEI RAN DAN (Jia Wei)
Intolerance of cold with cold with cold hands and feet:
YOU GUI WAN
Low back pain or sciatica:
DU HUO JI SHENG WAN
HUO LUO XIAO LING DAN
TCM Syndromes:
Kidney Yang deficiency
Kidney Essence deficiency
Insecurity of the Kidney Essence
Wind-Cold-Damp Bi (painful obstruction)
TCM Actions: Tonifies the Kidney Yang, enriches and astringes the Kidney Essence, nourishes the Blood, dispels Wind-Cold-Damp to unblock the Channels and Collaterals
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