HERB FORMULAS

ER ZHI WAN - 二至丸 - TWO SOLSTICE PILL

English: Two-Solstice Pill
Also Known As: Two Ultimate Pill
Two Supreme Pill

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr. Ligustri Lucidi Nu Zhen Zi 500g Nourishes and tonifies the Liver and Kidney Yin, clears Deficiency Heat and improves vision.
With Mo Han Lian, strengthens the Yin to blacken the hair.
Hb. Ecliptae Han Lian Cao 500g Nourishes and tonifies the Liver and Kidney Yin, cools the Blood and stops bleeding.
With Nu Zhen Zi, for dizziness, blurred vision, and premature graying of the hair due to severe Liver and Kidney Yin Deficiency with ascendant Yang.

FORMULA ACTIONS

  • Nourishes Kidney and Liver Yin and Blood

SYNDROMES

  • Kidney and Liver Yin Deficiency

CLINICAL MANIFESTATIONS

  • Weak and sore lower back and knees
  • Weakness and atrophy of the legs
  • Dry, parched mouth and throat
  • Dizziness
  • Blurred vision
  • Insomnia
  • Dream disturbed sleep
  • Spermatorrhea
  • Prematurely gray hair
  • Premature hair loss
  • A bitter taste in the mouth
  • Nocturnal emissions
  • Hypermenorrhea
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use with caution for those with weak digestion.
  • Contraindicated for those with atrophy caused by Damp-Heat Invasion.
HERB/DRUG INTERACTIONS

NOTES

  • This formula can replace Six Ingredient Pill with Rehmannia Liu Wei Di Huang Wan, especially when chronic bleeding is manifest.

MODIFICATIONS

For a stronger effect: For chronic nephritis due to Liver and Kidney Yin Deficiency with Heat in the Blood:
+ Fr. Mori Sang Shen
+ Lycium Fruit, Chrysanthemum and Rehmannia Pill
Qi Ju Di Huang Wan
For chronic nephritis due to Liver and Kidney Yin Deficiency with Heat in the Blood and severe Yin Deficiency:
For chronic nephritis due to Liver and Kidney Yin Deficiency with Heat in the Blood and Liver Yang Rising:
+ Lycium Fruit, Chrysanthemum and Rehmannia Pill
Qi Ju Di Huang Wan
+ Lycium Fruit, Chrysanthemum and Rehmannia Pill
Qi Ju Di Huang Wan
+ Plastrum Testudinis Gui Ban + Rx. Gentianae Long Dan Cao
+ Rx. Ophiopogonis Mai Men Dong + Sp. Prunellae Xia Ku Cao
For chronic nephritis due to Liver and Kidney Yin and Yang Deficiency with Heat in the Blood:
For aplastic anemia due to Qi and Yin Deficiency:
+ Lycium Fruit, Chrysanthemum and Rehmannia Pill
Qi Ju Di Huang Wan
+ Rx. Ginseng Ren Shen
+ Rz. Curculiginis Xian Mao + Colla Corii Asini E Jiao
+ Hb. Epimedii Yin Yang Huo + Rx. Astragali Huang Qi
For aplastic anemia due to Kidney and Liver Yin Deficiency:
For hepatitis B with Damp-Heat:
+ Rx. Rehmanniae Preparata Shu Di Huang + Hb. Artemisiae Scopariae Yin Chen Hao
+ Sm. Cuscutae Tu Si Zi + Rz. Smilacis Glabrae Tu Fu Ling
+ Rx. Angelicae Sinensis Dang Gui + Hb. Sedi Chui Pen Cao
+ Qi tonics if necessary
For hepatitis B with Heat:
For hepatitis B with a poor appetite:
+ Rx. Isatidis Ban Lan Gen
+ Processed Endothelium Corneum Gigeriae Galli Ji Nei Jin + Hb. Taraxaci Pu Gong Ying
+ Dry-Fried Fr. Oryzae Germinatus Gu Ya
For hepatitis B with constipation:
For threatened miscarriage:
+ Processed Rx. et Rz. Rhei Da Huang
+ Cx. Eucommiae Du Zhong + Rz. Polygoni Cuspidati Hu Zhang
+ Hb. Taxilli Sang Ji Sheng
For threatened miscarriage with Qi Deficiency:
+ Hb. Agastaches Huo Xiang + Cx. Eucommiae Du Zhong
+ Caul. Perillae Zi Su Geng + Hb. Taxilli Sang Ji Sheng
+ Cornu Cervi Degelatinatum Lu Jiao Shuang + Hb. Agastaches Huo Xiang
For threatened miscarriage with Yang Deficiency:
+ Caul. Perillae Zi Su Geng
+ Cx. Eucommiae Du Zhong + Cornu Cervi Degelatinatum Lu Jiao Shuang
+ Hb. Taxilli Sang Ji Sheng + Rx. Pseudostellariae Tai Zi Shen
+ Hb. Agastaches Huo Xiang + Rx. Astragali Huang Qi
+ Caul. Perillae Zi Su Geng
For threatened miscarriage with Yin Deficiency:
+ Cornu Cervi Degelatinatum Lu Jiao Shuang + Cx. Eucommiae Du Zhong
For threatened miscarriage with Blood Deficiency:
+ Hb. Taxilli Sang Ji Sheng
+ Cx. Eucommiae Du Zhong + Hb. Agastaches Huo Xiang
+ Hb. Taxilli Sang Ji Sheng + Caul. Perillae Zi Su Geng
+ Hb. Agastaches Huo Xiang + Cornu Cervi Degelatinatum Lu Jiao Shuang
+ Caul. Perillae Zi Su Geng + Rx. Rehmanniae Sheng Di Huang
+ Cornu Cervi Degelatinatum Lu Jiao Shuang + Fol. Mori Sang Ye
+ Fr. Lycii Gou Qi Zi + Rx. Scutellariae Huang Qin
+ Testa Glycinis Lu Dou Yi + Caul Bambusae in Taeniam Zhu Ru
For threatened miscarriage with Qi Stagnation:
For threatened miscarriage with profuse bleeding:
+ Cx. Eucommiae Du Zhong + Cx. Eucommiae Du Zhong
+ Hb. Taxilli Sang Ji Sheng + Hb. Taxilli Sang Ji Sheng
+ Hb. Agastaches Huo Xiang + Hb. Agastaches Huo Xiang
+ Caul. Perillae Zi Su Geng + Caul. Perillae Zi Su Geng
+ Cornu Cervi Degelatinatum Lu Jiao Shuang + Cornu Cervi Degelatinatum Lu Jiao Shuang
+ Rx. Aucklandiae Mu Xiang + Calcined Fossilia Ossis Mastodi Duan Long Gu
+ Fr. Amomi Sha Ren + Concha Ostreae Mu Li
For threatened miscarriage with constipation and dry stool:
+ Crinis Carbonisatus Xue Yu Tan
+ Cx. Eucommiae Du Zhong
For prostatitis:
+ Hb. Taxilli Sang Ji Sheng
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
+ Hb. Agastaches Huo Xiang
+ Caul. Perillae Zi Su Geng + 9g Rx. Rehmanniae Sheng Di Huang
+ Cornu Cervi Degelatinatum Lu Jiao Shuang + 9g Rz. Smilacis Glabrae Tu Fu ling
+ Rx. Scrophulariae Xuan Shen + 9g Rz. Dioscoreae Hypoglaucae Bei Xie
+ Sm. Cannabis Huo Ma Ren
+ Rx. Peucedani Qian Hu
For prostatitis with nocturia and seminal emission
For prostatitis with Qi Deficiency:
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
+ 9g Rx. Rehmanniae Sheng Di Huang + 9g Rx. Rehmanniae Sheng Di Huang
+ 9g Rz. Smilacis Glabrae Tu Fu ling + 9g Rz. Smilacis Glabrae Tu Fu ling
+ 9g Rz. Dioscoreae Hypoglaucae Bei Xie + 9g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 15g Rx. Astragali Huang Qi + 12g Fr. Rosae Laevigatae Jin Ying Zi
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu
+ 12g Sm. Euryales Qian Shi
For prostatitis with nodules on the prostate gland:
+12g Fr. Schisandrae Wu Wei Zi
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
For prostatitis with Kidney Yang Deficiency:
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
+ 9g Rx. Rehmanniae Sheng Di Huang
+ 9g Rz. Smilacis Glabrae Tu Fu ling + 9g Rx. Rehmanniae Sheng Di Huang
+ 9g Rz. Smilacis Glabrae Tu Fu ling
+ 9g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 9g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 12g Sm. Litchi Li Zhi He
+ 12g Sm. Citri Reticulatae Ju He + 1g Cx. Cinnamomi Rou Gui
+ 12g Hb. Epimedii Yin Yang Huo
+ 12g Endothelium Corneum Gigeriae Galli Ji Nei Jin +12g Hb. Morindae Officinalis Ba Ji Tian
For prostatitis with difficult urination and a burning sensation:
For prostatitis with restlessness and insomnia:
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
+ 9g Rx. Rehmanniae Sheng Di Huang + 9g Rx. Rehmanniae Sheng Di Huang
+ 9g Rz. Smilacis Glabrae Tu Fu ling + 9g Rz. Smilacis Glabrae Tu Fu ling
+ 9g Rz. Dioscoreae Hypoglaucae Bei Xie + 9g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 15g Sm. Plantaginis Che Qian Zi + 9g Rx. Rehmanniae Sheng Di Huang
For menopause syndrome due to Kidney and Liver Yin Deficiency with Liver Yang Rising:
 + 12g Rx. Polygalae Yuan Zhi
+12g Rx. Acori Tatarinowii Shi Chang Pu
+ Restore the Left (Kidney) Drink
Zuo Gui Yin
+ 12g Poria Pararadicis Fu Shen
+ 20g Concha Haliotidis Shi Jue Ming For Infertility:
+ 15g Rz. Curcumae Yu Jin + Nourishing the Essence and Growing Jade Decoction
Yang Jing Zhong Yu Tang
+ 15g Rx. Paeoniae Alba Bai Shao
For infertility due to Deficiency Fire Blazing with emaciation, five sole Heat and recurrent fever in the afternoon
For Infertility with insufficient Blood and decreased menses that are light in color:
+ Nourishing the Essence and Growing Jade Decoction
Yang Jing Zhong Yu Tang
+ Nourishing the Essence and Growing Jade Decoction
Yang Jing Zhong Yu Tang
+ 12g Cx. Moutan Mu Dan Pi + 10g Colla Cervi Cornus Lu Jiao Jiao
+ 12g Cx. Lycii Di Gu Pi + 10g Placenta Hominis Zi He Che
+ 10g Cx. Phellodendri Huang Bai
Other Blood Tonics may be added
+ 20g Plastrum Testudinis Gui Ban
For Tourette syndrome:
+ Major Arrest Wind Pearl.
Da Ding Feng Zhu
For prolonged menstruation:
+Two Di Decoction

For prevention of premature ovarian failure due to Kidney and Heart Failure to Communicate :
For alopecia:
+ Coptis and Ass-Hide Gelatin Decoction
Huang Lian E Jiao Tang
+ Restore the Left (Kidney) Drink
Zuo Gui Yin
+ Restore the Kidneys Pill
Gui Shen Wan
+ Rx. 30g Polygoni Multiflori Preparata Zhi He Shou Wu
For coronary Heart disease due to Heart and Kidney Yin Deficiency:
+ 30g Placenta Hominis Zi He Che
+ Linking Decoction
Yi Guan Jian
+ 30g Colla Corii Asini E Jiao
For coronary Heart disease due to Heart and Kidney Yin Deficiency with severe pain:
 + 12g Rx. Salviae Miltiorrhizae Dan Shen
+ Linking Decoction
Yi Guan Jian
 + 9g Cx. Moutan Mu Dan Pi
9g Rx. Cyathulae Chuan Niu Xi
+ 12g Rx. Salviae Miltiorrhizae Dan Shen + 15g Concha Ostreae Mu Li
For coronary Heart disease due to Heart and Kidney Yin Deficiency with severe night sweats:
+ 9g Cx. Moutan Mu Dan Pi
+ Linking Decoction
Yi Guan Jian
9g Rx. Cyathulae Chuan Niu Xi
+ 15g Concha Ostreae Mu Li + 12g Rx. Salviae Miltiorrhizae Dan Shen
+ 6g Lignum Aquilariae Resinatum Chen Xiang
+ 9g Cx. Moutan Mu Dan Pi
+ 9g Rz. Chuanxiong Chuan Xiong 9g Rx. Cyathulae Chuan Niu Xi
For coronary Heart disease due to Heart and Kidney Yin Deficiency with severe palpitations and insomnia:
+ 15g Concha Ostreae Mu Li
+9g Rz. Anemarrhenae Zhi Mu
+ Linking Decoction
Yi Guan Jian
 + 9g Cx. Phellodendri Huang Bai
+ 9g Cx. Lycii Di Gu Pi
+ 12g Rx. Salviae Miltiorrhizae Dan Shen
For coronary Heart disease due to Heart and Kidney Yin Deficiency with high-pitched tinnitus:
+ 9g Cx. Moutan Mu Dan Pi
+ Linking Decoction
Yi Guan Jian
9g Rx. Cyathulae Chuan Niu Xi
+ 15g Concha Ostreae Mu Li + 12g Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Sm. Zizyphi Spinosae Suan Zao Ren
+ 9g Cx. Moutan Mu Dan Pi
+ 9g Sm. Platycladi Bai Zi Ren 9g Rx. Cyathulae Chuan Niu Xi
For coronary Heart disease due to Heart and Kidney Yin Deficiency with high-pitched tinnitus:
+ 15g Concha Ostreae Mu Li
+ 15g Concha Haliotidis Shi Jue Ming
+ Linking Decoction
Yi Guan Jian
 + 9g Ram. cum Uncis Uncariae Gou Teng
+ 12g Rx. Salviae Miltiorrhizae Dan Shen
For fibrocystic breast disease due to Disharmony between the Chong and Ren:
+ Rambling Powder
Xiao Yao San
+ 9g Cx. Moutan Mu Dan Pi
9g Rx. Cyathulae Chuan Niu Xi
+ 15g Concha Ostreae Mu Li
+ Two Immortals Decoction
Er Xian Tang
+ 9g Rx. Codonopsis Dang Shen
+ 6g Rx. Glycyrrhizae Preparata Zhi Gan Cao
For fibrocystic breast disease due to Disharmony between the Chong and Ren with hard nodules:
For fibrocystic breast disease due to Disharmony between the Chong and Ren with nipple discharge:
+ Rambling Powder
Xiao Yao San
+ Two Immortals Decoction
Er Xian Tang
+ Rambling Powder
Xiao Yao San
+ Rz. Curcumae Yu Jin
+ Two Immortals Decoction
Er Xian Tang
 + Rz. Sparganii E Zhu
+ Sargassum Hai Zao
+ Cx. Moutan Mu Dan Pi
For post-menopausal uterine bleeding with anxiety, a quick temper, hypochondriac pain, a bitter taste, a red face, fever, perspiration and emotional changes:
+ Fr. Gardeniae Zhi Zi
+ Hb. Ecliptae Han Lian Cao
For post-menopausal uterine bleeding due to Kidney Yin and Yang Deficiency:
 + Plastrum Testudinis Gui Ban
+ Rx. Curcumae Yu Jin
+ Restore the Left Drink
Zuo Gui Yin
For post-menopausal uterine bleeding due to Kidney Yin and Yang Deficiency with insomnia:
+ Rx. Rehmanniae Preparata Shu Di Huang
+ Restore the Left Drink
Zuo Gui Yin
For post-menopausal uterine bleeding due to Kidney Yin and Yang Deficiency with lumbar pain:
 + Rx. Rehmanniae Preparata Shu Di Huang
+ Restore the Left Drink
Zuo Gui Yin
 + Caulis Polygoni Multiflori Ye Jiao Teng
+ Rx. Rehmanniae Preparata Shu Di Huang + Margarita Zhen Zhu
   
+ Rx. Dipsaci Xu Duan    
+ Fr. Psoraliae Bu Gu Zhi