HERB FORMULAS

LIU WEI DI HUANG WAN

English: Six Ingredient Pill with Rehmannia
Also Known As: Rehmannia Six Formula
Six-Flavor Rehmannia Pill
Rehmannia Bolus with Six Herbs
Rehmannia Six Pill

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Rehmanniae Preparata Shu Di Huang 8-30g Tonifies the Kidneys and nourishes Jing, Yin and Blood.
With Shan Zhu Yu, nourishes Kidney Yin and secures Jing, while restraining urination and sweating .
Fr. Corni Shan Zhu Yu 4-20g Nourishes Kidney Yin and Yang, astringes Jing and Yin and stops perspiration.
With Shan Yao, tonifies the Liver and Spleen.
With Shu Di Huang and Shan Yao, for urinary frequency (day or night), dizziness, tinnitus and lower back pain due to Kidney Deficiency.
Rx. Dioscoreae Shan Yao 4-15g Strengthens the Spleen , stabilizes the Kidneys and astringes 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 3-15g 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 3-15g Clears Heat, cools the Blood clears and Deficiency Fire.
Rz. Alismatis Ze Xie 3-15g Promotes urination and prevents Kidney Fire as a result of tonification.
With Fu Ling and Mu Dan Pi, regulates the Kidneys, Liver and Spleen, drains and tonifies.
With Fu Ling, promotes urination.
With Mu Dan Pi, for steaming bone disorder, dizziness, and vertigo.

FORMULA ACTIONS

  • Enriches Yin
  • Nourishes the Essence of the Liver and Kidney

SYNDROMES

  • Kidney Yin Deficiency
  • Heart and Kidney Yin Deficiency
  • Liver and Kidney Yin Deficiency

CLINICAL MANIFESTATIONS

  • Low back, knees and legs painful and weak
  • Foot pain
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole Heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Dry skin
  • Deafness
  • Steaming bones
  • Delayed closing or unclosed fontanel in infants
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Dry tongue
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Dry mouth
  • Dry throat
  • Blurred vision
  • Urinary incontinence
  • Spontaneous and nocturnal emissions
  • Night sweats
  • T: Red
  • C: Little or None
  • P: Thready and rapid

TREATS

  • 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
  • Nephroatrophy
  • Senility
  • Impotence
  • Spermatorrhea
  • Esophageal cancer
  • Chronic asthma
  • Bronchitis
  • Side effects of steroids
  • Thyroid adenoma
  • Nephrotic syndrome
  • Periodic paralysis
  • Stroke sequelae
  • Side effects of chemotherapy
  • Retarded growth in children
  • Prostate cancer
  • Late menstruation
  • Allergic disorders
  • Bronchiaesthenia
  • Chronic urticaria
  • Hepatitis
  • Nocturnal emissions
  • Irregular menstruation
  • Addison's Disease
  • Heart failure
  • Sore throat
  • Dry mouth
  • Retarded growth in children
  • Toothache
  • Vegetative nerve functional disturbance
  • Arteriosclerosis
  • Amenorrhea
  • Scanty menstruation Infantile displasia
  • Infantile malnutrition
  • Menopause
  • Neurasthenia
  • Coronary heart disease
  • Atrophic gastritis
  • Esophagitis
  • Chronic renal failure
  • Miscarriage
  • Chronic prostatitis
  • Galacturia
  • Heel pain
  • Glaucoma
  • Panarthralgia

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use caution for those with Spleen Deficiency type diarrhea and indigestion with a white greasy tongue coat.
  • Use caution in areas where diseases are predominantly caused by Dampness.
  • Contraindicated for those with Yang Deficiency.
HERB/DRUG INTERACTIONS
  • This formula has shown to induce marked improvement in patients who are undergoing chemotherapy.

NOTES

MODIFICATIONS

For severe depletion of fluids with Heat signs: For diabetes:
- Rx. Rehmanniae Preparata Shu Di Huang - Rz. Alismatis Ze Xie
+ Rx. Rehmanniae Sheng Di Huang + 30g Rx. Trichosanthis Tian Hua Fen
For childhood nutritional impairment with abdominal distention and loose watery stools:
For sore back and weak knees:
- Rx. Rehmanniae Preparata Shu Di Huang + Rx. Achyranthis Bidentatae Niu Xi
+ Rz. Atractylodis Bai Zhu + Cx. Eucommiae Du Zhong
+ End. Corni Gigeriae Galli Ji Nei Jin
For extreme thirst:
+ Fr. Amomi Sha Ren + Gypsum Fibrosum Shi Gao
For ascites:
 + Hb. Dendrobii Shi Hu
+ Rx. Polygoni Multiflori He Shou Wu
For Excess urination:
+ Rx. Salviae Miltiorrhizae Dan Shen - Rz. Alismatis Ze Xie
+ Caul. Spatholobi Ji Xue Teng + Fr. Alpineae Yi Zhi Ren
+ Rx. Scrophulariae Xuan Shen
For miscarriage due to Blood Deficiency:
+ Hb. Dendrobii Shi Hu + Cx. Eucommiae Du Zhong
For severe Yin Deficiency:
 + Fr. Schisandrae Wu Wei Zi
+ Rx. Asparagi Tian Men Dong + Colla Corii Asini E Jiao
+ Rx. Ophiopogonis Mai Men Dong + Rx. Dipsaci Xu Duan
+ Rx. Scrophulariae Xuan Shen
For optic neuritis, optic nerve atrophy or central retinitis:
For Yang Deficiency:
+ Rx. Bupleuri Chai Hu
+Cx. Cinnamomi Rou Gui + Rx. Angelicae Sinensis Dang Gui
+ Rx. Lateralis Aconiti Preparata Zhi Fu Zi + Fr. Schisandrae Wu Wei Zi
For severe dizziness, blurred vision, and dry eyes:
For severe afternoon fever, night sweats, nocturnal emissions, yellow urine and a forceful, rapid pulse:
+ Fr. Lycii Gou Qi Zi + Rz. Anemarrhenae Zhi Mu
+ Flos Chrysanthemi Ju Hua + Cx. Phellodendri Huang Bai
For severe tinnitus, and deafness:
For Spleen Qi Deficiency with Qi Stagnation:
+ Fr. Schisandrae Wu Wei Zi + Dry-fried Rz. Atractylodis Macrocephalae Chao Bai Zhu
+ Rx. Acori Tatarinowii Shi Chang Pu + Fr. Amomi Sha Ren
+ Magnetitum Ci Shi + Per. Citri Reticulatae Chen Pi
For hypertension:
For chronic nephritis:
+ Fol. Mori Sang Ye + Hb. Leonuri Yi Mu Cao
+ Pheretima Di Long + Rx. Trichosanthis Tian Hua Fen
+ Rx. Achyranthis Bidentatae Niu Xi + Hb. Lophatheri Dan Zhu Ye
For irregular menstruation:
For insomnia:
+ Rz. Cyperi Xiang Fu + Sm. Zizyphi Spinosae Suan Zao Ren
+ Fol. Artemisiae Argyi Ai Ye + Sm Platycladi Bai Zi Ren
For nocturnal emissions:
For tuberculosis of the Kidneys:
+ Metal Lock Pill to Stabilize the Essence
Jin Suo Gu Jing Wan
+ Rz. Bletillae Bai Ji
For fibromyalgia due to Spleen and Kidney Deficiency:
 + Rx. Notoginseng San Qi
+ Enrich the Kidneys and Improve Vision Decoction
Zi Shen Ming Mu Tang
For miscarriage:
+ Cx. Eucommiae Du Zhong
For prostate cancer in the elderly due to Kidney Qi Deficiency:
 + Fr. Schisandrae Wu Wei Zi
+ Rz. Curculiginis Xian Mao + Colla Corii Asini E Jiao
+ Hb. Epimedii Yin Yang Huo + Rx. Dipsaci Xu Duan
+ Cornu Cervi Pantotrichum Lu Rong
For prostate cancer due to Kidney Deficiency with Blood Stasis:
For Yin Deficient Bi:
 + Squama Manitis Chuan Shan Jia
+ Rx. Angelicae Sinensis Dang Gui + Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ Rx. Paeoniae Alba Bai Shao + Corium Erinacei Ci Wei Pi
Additional herbs may be added to nourish Kidneys and Liver, strengthen sinews and bones, anchor rising Yang, calm Liver Wind, and reduce joint pain.
For panarthralgia
+ Four Things Decoction
Si Wu Tang
For panarthralgia with Internal Heat:
+ Four Things Decoction
Si Wu Tang
For panarthralgia with impaired movement:
+ Four Things Decoction
Si Wu Tang
+ Cx. Phellodendri
+ Rz. Anemarrhenae
+ Rx. Achyranthis Bidentatae Niu Xi
For panarthralgia with weakness and pain in the low back and legs:
+ Ram. Mori Sang Zhi
+ Four Things Decoction
Si Wu Tang
+Hb. Lycopodii Shen Jin Cao
+ Hb. Siegesbeckiae Xi Xian Cao
+ Sm. Cuscutae
+ Pheretima Di Long
+ Cx. Eucommiae
 + Bombyx Batryticatus Jiang Can
+ Rx. Dipsaci
For panarthralgia with pain, worse at night:
+ Cx. Lycii
+ Four Things Decoction
Si Wu Tang
   
    + Rx. PAeoniae Rubra Chi Shao
    + Sm. Persicae Tao Ren
    + Flos Carthami Hong Hua
    + Rx. Angelicae Sinensis Dang Gui