HERB FORMULAS

TIAN WANG BU XIN DAN - 天王補心丹 - EMPEROR OF HEAVEN'S SPECIAL PILL TO TONIFY THE HEART

English: Emperor of Heaven's Special Pill to Tonify the Heart
Also Known As: Ginseng and Zizyphus Formula
Emperor's Tea
The King's Mind Easing Tonic Pills
Celestial Emperor’s Heart Supplementing Elixir
The Heavenly King's Tonic Pills

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Rehmanniae Sheng Di Huang 1.3-30g Cools Heart Fire, clears Heat, cools the Blood and enriches Yin and Blood.
With Xuan Shen, for dry throat, irritability, a red tongue and a thready rapid pulse due to Yin Xu with Fire Flaring.
Rx. Ginseng Ren Shen 1-9g Tonifies Heart Qi and calms the Shen.
 With Fu Ling, assists Heart Qi.
With Mai Men Dong and Wu Wei Zi, for Qi and Yin Xu.
(Rx. Codonopsis) (Dang Shen) (3-27g) (Substitute for Ren Shen.)
Rx. Asparagi Tian Men Dong 1.3-15g Enriches the Yin and generates Fluids.
With Mai Men Dong, for Yin Xu with injured Fluids.
With Mai Men Dong and Xuan Shen, clears Xu Heat and nourishes Yin.
Rx. Ophiopogonis Mai Men Dong 1.3-15g Enriches the Yin and clears the Heart.
With Ren Shen and Wu Wei Zi, for exhaustion, increased Heart rate, profuse perspiration and wheezing due to severe Heart and Lung Xu.
Rx. Scrophulariae Xuan Shen 1-20g Enriches Yin and clears Heat.
Rx. Salviae Miltiorrhizae Dan Shen 1.3-20g Invigorates, cools and nourishes the Blood and clears Heat.
With Dang Gui, nourishes Blood to nourish the Heart without causing Stasis.
With Suan Zao Ren and Bai Zi Ren, for Heart Blood Xu with palpitations and insomnia.
Poria Fu Ling 1.3-15g Strengthens the Spleen and pacifies the Heart.
With Suan Zao Ren, Wu Wei Zi and Yuan Zhi, for palpitations and insomnia.
(Poria Pararadicis) (Fu Shen) (1.5-12g) (May substitute for Fu Ling.)
Rx. Polygalae Yuan Zhi 1.3-9g Calms the Shen, sedates the Heart and opens the channel between the Heart and Kidneys.
With Bai Zi Ren, calms the Shen.
With Fu Shen and Suan Zao Ren, for irritability, disorientation, palpitations, anxiety and insomnia due to Heart Blood Xu.
Rx. Angelicae Sinensis Dang Gui 1.3-9g Nourishes and invigorates Blood.
Fr. Schisandrae Wu Wei Zi 1.3-12g Tonifies Qi, tonifies Kidney Jing, nourishes the Heart, calms the Shen, generates Fluids and astringes excessive perspiration.
With Suan Zao Ren, astringes Heart Qi.
With Suan Zao Ren and Sheng Di Huang, for Heart Qi Xu with insomnia, irritability and forgetfulness.
Sm. Platycladi Bai Zi Ren 1.3-12g Nourishes the Heart and Kidneys, calms the Shen and astringes Yin Xu perspiration.
With Yuan Zhi and Suan Zao Ren, for insomnia, and palpitations due to Heart Blood Xu.
Sm. Zizyphi Spinosae Suan Zao Ren 1.3-12g Nourishes Heart Yin, augments Liver Blood, calms the Shen and astringes sweat.
With Wu Wei Zi, prevents leakage of Heart Qi.
Rx. Platycodi Jie Geng 1.3-9g Directs actions of the formula upwards.
Cinnabaris Zhu Sha 1-3g Sedates the Heart and anchors and calms the Shen.
With Suan Zao Ren, Bai Zi Ren and Dang Gui, for insomnia or palpitations with anxiety due to Blood Xu.
(Rz. Coptidis) (Huang Lian) (1.3g) (Clears Heart Fire - used in some versions.)
(Rz. Acori Tatarinowii) (Shi Chang Pu) (1.3g) (Opens Orifices and calms the Shen - used in some versions.)

FORMULA ACTIONS

  • Enriches the Yin
  • Nourishes the Blood
  • Tonifies the Heart and Kidneys
  • Calms the Shen
  • Clears Heat

SYNDROMES

  • Heart Yin Xu
  • Heart and Kidney Yin Xu (with Fire Flaring)
  • Heart and Kidney Yin Xu with Heart Blood Xu

CLINICAL MANIFESTATIONS

  • Irritability
  • Palpitations
  • Anxiety
  • Fatigue
  • Insomnia
  • Very restless sleep
  • Inability to think or concentrate even for short periods
  • Nocturnal emissions
  • Forgetfulness
  • Dry stools
  • Mouth sores
  • Tongue sores
  • Low grade afternoon fever
  • Dream disturbed sleep
  • Night sweats
  • Constipation
  • T: Red
  • C: Little
  • P: Rapid or Thready and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Spleen and Stomach weakness with loose stools.
  • Contraindicated for those with Phlegm-Damp Stagnation.
  • Do not take long term.
  • While taking this formula, avoid cilantro, garlic, radishes seafood and liquor.
HERB/DRUG INTERACTIONS

NOTES

  • Recommended for people who do a lot of reading.
  • Good for people who have taken tranquilizers and sleeping pills for a long time and they have lost their effect.

MODIFICATIONS

For severe palpitations, amnesia and a small and weak pulse: For severe palpitations and insomnia :
+ Arillus Longan Long Yan Rou + Arillus Longan Long Yan Rou
For Internal Wind:
 + Caulis Polygoni Multiflori Ye Jiao Teng
+ Ram. Uncariae cum Uncis Gou Teng
For Spleen Xu with loose stools:
+ Fr. Tribuli Bai Ji Li
+ Rz. Atractylodis
+ Rx. Paeoniae Alba
 + Sm. Coicis Yi Yi Ren
For Kidney Xu:
+ Rx. Dioscoreae
+ Plastrum Testudinis Gui Ban + Fr. Hordei Germinatus Mai Ya
+ Sm. Cuscutae
For low back pain with tinnitus:
For goiter due to Heart and Liver Yin Xu with Phlegm:
+ 15g Fr. Ligustri
+ Fr. Lycii Gou Qi Zi + 9g Rx. Polygoni Multiflori He Shou Wu
+ Fr. Toosendan
 + 9g Plastrum Testudinis Gui Ban
or
For mouth and tongue sores:
+ Linking Decoction
Yi Guan Jian
+ Plumula Nelumbinis Lian Zi Xin
For severe dry mouth and throat:
For nocturnal emission:
+ Hb. Dendrobii Shi Hu - Poria Fu Ling
For insomnia:
 - Rx. Polygalae Yuan Zhi
+ Caulis Polygoni Multiflori Ye Jiao Teng - Rx. Platycodi Jie Geng
+ Fr. Rosae Laevigatae Jin Ying Zi
For insomnia with pronounced Deficiency Heat::
 + Sm. Euryales Qian Shi
+ Caulis Polygoni Multiflori Ye Jiao Teng
For toothache:
+ Clear the Stomach Powder
Qing Wei San
+ Hb. Artemisiae Annuae Qing Hao
For mouth and tongue ulcerations:
+ Concha Ostreae Mu Li + Rz. Coptidis Huang Lian
For dry mouth and throat:
 + Cx. Moutan Mu Dan Pi
+ Hb. Dendrobii Shi Hu
For constipation:
+ Rz. Polygonati Odorati Yu Zhu + Cx. Magnoliae Officinalis Hou Po
For inability to concentrate and forgetfulness:
+ Rx. Polygalae Yuan Zhi + Fr. Aurantii Immaturus Zhi Shi
+ Rz. Acori Tatarinowii Shi Chang Pu
For more severe insomnia:
+ Fol. Gingko Bai Guo Ye + Fossilia Ossis Mastodi Long Gu
For spermatorrhea or nocturnal emissions:
 + Magnetitum Ci Shi
+ Fr. Rosae Laevigatae Jin Ying Zi
For dizziness and vertigo:
+ Sm. Euryales Qian Shi + Rz. Chuanxiong Chuan Xiong
+ Concha Ostreae Mu Li + Rx. Angelicae Dahuricae Bai Zhi
For over thinking and worrying:
+ Rambling Powder
Xiao Yao San
For insomnia or restless sleep:
+ Sm. Zizyphi Spinosae Suan Zao Ren
For coronary Heart disease:
For angina pectoris with severe chest oppression:
+ More Rx. Ginseng Ren Shen
For angina pectoris with severe pain:
 + Fr. Aurantii Immaturus Zhi Shi
+ Styrax Su He Xiang + Lignum Santali Albi Tan Xiang
+ Borneolum Bing Pian + Fr. Citri Sarcodactylis Fo Shou
For angina pectoris with Heart Yin Deficiency:
For angina pectoris with insomnia:
+ Rx. Codonopsis Dang Shen + Caulis Polygoni Multiflori Ye Jiao Teng
For angina pectoris with a thick, greasy tongue coat:
+ x. Albizziae He Huan Pi
+ Fr. Trichosanthis Gua Lou
For angina pectoris with an irregular heartbeat:
For viral myocarditis:
 + Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ Rx. Salviae Miltiorrhizae Dan Shen
For impotence with mouth and tongue sores and burning pain in the penis:
For impotence with premature ejaculation and seminal emission:
+ Hb. Phylostachys Nigra Zhu Ye
+ Fr. Rosae Laevigatae Jin Ying Zi
+ Sm. Euryales Qian Shi + Caulis Akebiae Mu Tong
For impotence with palpitations, fear and fright:
 + Cinnabaris Zhu Sha
+ Licorice, Wheat and Jujube Decoction
Gan Mai Da Zao Tang
For coronary Heart disease:
- Rx. Ginseng Ren Shen
For coronary Heart disease due to Heart Yin Deficiency:
 - Rx. Asparagi Tian Men Dong
- Poria Fu Ling
- Rx. Rehmanniae
- Rx. Platycodi Jie Geng
- Rx. Platycodi
- Cinnabaris Zhu Sha
- Cinnabaris
+ 12g Poria Pararadicis Fu Shen
For coronary Heart disease due to Heart Yin Deficiency with severe palpitations:
 + 6g Rx. Pseudostellariae Tai Zi Shen
- Rx. Rehmanniae
+ Rx. Glycyrrhizae Gan Cao
- Rx. Platycodi
For coronary Heart disease due to Heart Yin Deficiency with severe Yin Deficiency:
- Cinnabaris
+ 15g Magnetitum
- Rx. Platycodi
+ 15g Fossilia Ossis Mastodi
- Cinnabaris
+ 12g Rx. Paeoniae Alba Bai Shao
+ 15g Concha Ostreae
For coronary Heart disease due to Heart Yin Deficiency with dizziness, tinnitus and high blood pressure:
For coronary Heart disease due to Heart Yin Deficiency with low back pain, weakness of the lower limbs and high blood pressure:
- Rx. Rehmanniae
- Rx. Rehmanniae
- Rx. Platycodi
- Rx. Platycodi
- Cinnabaris
- Cinnabaris
+ 18g Concha Haliotidis
+ 15g Hb. Taxilli
+ 12g Ram. cum Uncis Uncariae
+ 15g Rx. Achyranthis Bidentatae
+ 24g Flos Chrysanthemi
+ 12g Cx. Eucommiae Du Zhong
For coronary Heart disease due to Heart Yin Deficiency with easy anger, a red face and severe restlessness:
For coronary Heart disease due to Heart Yin Deficiency with night sweats and hot flashes in the face:
- Rx. Rehmanniae
- Rx. Rehmanniae
- Rx. Platycodi
- Rx. Platycodi
- Cinnabaris
- Cinnabaris
+ 9g Spica Prunellae Xia Ku Cao + 12g Cx. Lycii Di Gu Pi
+ 9g Fr. Gardeniae Zhi Zi + 12g Cx. Moutan Mu Dan Pi
+ 9g Cx. Moutan Mu Dan Pi + 12g Rz. Anemarrhenae Zhi Mu
For coronary Heart disease due to Heart Yin Deficiency with a dry mouth, profuse drinking and hyperglycemia:
For coronary Heart disease due to Heart Yin Deficiency with Phlegm-Heat:
- Rx. Rehmanniae
- Rx. Rehmanniae
- Rx. Platycodi
- Rx. Platycodi
- Cinnabaris
- Cinnabaris
+ 24g Rx. Trichosanthis Tian Hua Fen + 12g Per. Trichosanthis Gua Lou Pi
+ 30g Rz. Dioscoreae Shan Yao + 9g Rz. Pinelliae Preparatum Zhi Ban Xia
For hypertension:
- Fr. Schisandrae Wu Wei Zi + 9g Rx. Scutellariae Huang Qin
- Cinnabaris Zhu Sha For hypertension with severe dizziness and numbness of the limbs:
+ 30g Concha Ostreae Mu Li
+ 30g Fossilia Ossis Mastodi Long Gu - Fr. Schisandrae Wu Wei Zi
- Cinnabaris Zhu Sha
+ 3g Rz. Coptidis Huang Lian + 30g Concha Ostreae Mu Li
For hypertension with dry, bound stools: + 30g Fossilia Ossis Mastodi Long Gu
- Fr. Schisandrae Wu Wei Zi
- Cinnabaris Zhu Sha + 3g Rz. Coptidis Huang Lian
+ 30g Concha Ostreae Mu Li + 12g Ram. cum Uncis Uncariae Gou Teng
+ 30g Fossilia Ossis Mastodi Long Gu
+ 12g Pheretima Di Long
+ 3g Rz. Coptidis Huang Lian + 12g Rz. Gastrodiae Tian Ma
+ 15g Sm. Sesame Nigrum Hei Zhi Ma For hypertension with Liver Qi Stagnations:
- Fr. Schisandrae Wu Wei Zi
+ 15g Sm. Platycladi Bai Zi Ren - Cinnabaris Zhu Sha
For hypertension with Blood Stasis: + 30g Concha Ostreae Mu Li
- Fr. Schisandrae Wu Wei Zi + 30g Fossilia Ossis Mastodi Long Gu
- Cinnabaris Zhu Sha
+ 30g Concha Ostreae Mu Li + 3g Rz. Coptidis Huang Lian
+ 30g Fossilia Ossis Mastodi Long Gu + 12g Fr. Toosendan Chuan Lian Zi
For hyperthyroidism with low back pain:
+ 3g Rz. Coptidis Huang Lian
+ Linking Decoction
Yi Guan Jian
+ 12g Rx. Salviae Miltiorrhizae Dan Shen
+ 15g Rx. Ligustri Lucidi Nu Zhen Zi
+ 12g Rx. Angelicae Sinensis Dang Gui + 9g. Rx. Polygoni Multiflori He Shou Wu
+ 9g Plastrum Testudinis Gui Ban
For hyperthyroidism with a flushed face and slight trembling of the fingers:
+ Linking Decoction
Yi Guan Jian
For insomnia:
- Rx. Platycodi Jie Geng
+ 30g Concha Margaritaferae Zhen Zhu Mu - Cinnabaris Zhu Sha
For insomnia with severe palpitations:
+ 9g Ram. cum Uncis Uncariae Gou Teng - Rx. Platycodi Jie Geng
- Cinnabaris Zhu Sha
+ 15g Concha Ostreae Mu Li + 15g calcined Dens Draconis Duan Long Chi
For insomnia with night sweats:
- Rx. Platycodi Jie Geng
or
- Cinnabaris Zhu Sha + 12g calcined Fossilia Ossis Mastodi Duan Long Gu
+ 15g calcined Fossilia Ossis Mastodi Duan Long Gu
+ 12g calcined Concha Ostreae Duan Mu Li
+ 10g Rx. Paeoniae Alba Bai Shao
For menopause with dizziness and tinnitus:
For palpitations with a hectic fever and night sweats:
+ Fr. Gardeniae Zhi Zi
+ Fr. Corni Shan Zhu Yu + 9g Rz. Anemarrhenae Zhi Mu
+ Flos Chrysanthemi Ju Hua + 9g Rz. et Rx. Notopterygii Qiang Huo
+ Concha Haliotidis Shi Jue Ming
For palpitations with night sweats:
+ 15g Fossilia Ossis Mastodi Long Gu
+ 9g Sm. Tritici Levis Fu Xiao Mai
+ 9g Rx. Paeoniae Alba Bai Shao + 15g Concha Ostreae Mu Li
For menopause with profuse sweating:
For insomnia with mouth and tongue ulcers:
+ Concha Ostreae Mu Li - Rx. Platycodi Jie Geng
+ Fr. Oryzae Geng Mi - Cinnabaris Zhu Sha
For palpitations with Five Sole Heat and a dry mouth with a bitter taste:
+ 6g Hb. Lophatheri Dan Zhu Ye
+ 6g Rz. Coptidis Huang Lian
+ 3g Rz. Coptidis Huang Lian
For post-menopausal uterine bleeding with insomnia and much dreaming:
+ 9g Rx. Dioscoreae Shan Yao
For post-menopausal uterine bleeding with emotional instability:
 + Cx. Albizziae He Huan Pi
For post-menopausal uterine bleeding with palpitations:
+ Fr. Tritici Levis Fu Xiao Mai
+ Flos Carthami Hong Hua + Magnetitum Ci Shi
For insomnia associated with AIDS/HIV:
   
- Rx. Angelicae Sinensis Dang Gui    
- Rx. Platycodi Jie Geng