HERB FORMULAS

ZHI BAI DI HUANG WAN

English: Anemarrhena, Phellodendron and Rehmannia Pill
Also Known As: Anemarrhena, Phellodendron and Rehmannia Formula
Zhi Bai Ba Wei Wan

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Anemarrhenae Zhi Mu 2-9g 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 2-9g Drains Damp-Heat, drains Kidney Fire and relieves toxicity.
Rx. Rehmanniae Preparata Shu Di Huang 8-30g Nourishes Yin and Blood and tonifies the Kidneys.
Fr. Corni Shan Shan Zhu Yu 4-20g 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 4-15g 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 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 and invigorates the Blood, clears Deficiency Fire and dispels Blood Stasis .
Rz. Alismatis Ze Xie 3-15g 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 and Nourishes the Essence of the Liver and Kidneys
  • Reduces Deficiency Fire

SYNDROMES

  • 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
  • Urinary incontinence
  • Pain at midline and in lower back
  • Sore throat
  • T: Red
  • C: Little or None
  • P: Thready and rapid (large at the Kidney positions)

TREATS

  • 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
  • Nephroatrophy
  • Senility
  • Impotence
  • Spermatorrhea
  • Esophageal cancer
  • Chronic asthma
  • Bronchitis
  • Side effects of steroids
  • Allergic disorders
  • Bronchiaesthenia
  • Chronic urticaria
  • Infectious hepatitis
  • Nocturnal emissions
  • Irregular menstruation
  • Addison's disease
  • Heart failure
  • Sore throat
  • Dry mouth
  • Retarded growth in children
  • Hemospermia
  • Tinnitus
  • Geriatric dryness
  • Spontaneous perspiration
  • Prostatic hypertrophy

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use caution for those with Spleen Deficiency type diarrhea and indigestion with a white greasy tongue coat.
  • Contraindicated for those with Yang Deficiency.
HERB/DRUG INTERACTIONS
  • Administration of this formula showed effectiveness in treating streptomycin-induced toxicities.

NOTES

MODIFICATIONS

For leukorrhea: For vaginal itch:
+ Sm. Euryales Qian Shi + Rx. Angelicae Sinensis Dang Gui
+ Fr. Rosae Laevigatae Jin Ying Zi + Rx. Polygoni Multiflori He Shou Wu
For dry mouth:
 + Cx. Dictamni Bai Xian Pi
+ Rx. Scrophulariae Xuan Shen
For thirst and irritability:
+ Rx. Platycodi Jie Gen + Rx. Astragali Huang Qi
For more lower back soreness:
+ Rx. Ginseng Ren Shen
+ Rx. Achyranthis Bidentatae Niu Xi
For prostatitis with lower back pain:
+ Cx. Eucommiae Du Zhong + Rx. Dipsaci Xu Duan
For nourishing the Kidneys and Liver:
 + Rz. Cibotii Gou Ji
+ Hb. Taxilli Sang Ji Sheng + Cx. Eucommiae Du Zhong
For prostatitis with spermatorrhea and premature ejaculations:
   
+ Endoconcha Sepiae Hai Piao Xiao    
+ Fossilia Ossis Mastodi Long Gu    
+ Concha Ostreae Mu Li