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Classical formula · Nourish Yin

Zhī Bǎi Dì Huáng Wán

Zhī Bǎi Dì Huáng Wán (知柏地黄丸, “Anemarrhena, Phellodendron and Rehmannia Pill”) comes from Yi Fang Kao (1584 CE). Nourishes Kidney Yin and eliminates empty heat.

知柏地黄丸 · Anemarrhena, Phellodendron and Rehmannia PillUpdated on
Zhī Bǎi Dì Huáng Wán

Main action

Nourishes Kidney Yin and eliminates empty heat

Liu Wei Di Huang Wan reinforced with Zhi Mu and Huang Bai to put out the virtual Kidney fire. Indicated when empty heat is the dominant symptom.

Indications

  • Intense vacuum heat
  • Profuse night sweats
  • nocturnal emissions
  • Dark painful urination
  • Low back pain with sensation of heat
Tongue
Red, without coating or with a thin yellow coating
Pulse
Fast and fine

Composition

HerbRoleDoseFunction
Shú Dì Huáng 熟地黄Emperor (君 jūn)24gNourishes Yin and Kidney Blood
Shān Yào 山药Minister (臣 chén)12gTones Spleen and Kidney
Shān Zhū Yú 山茱萸Minister (臣 chén)12gNourishes Liver and Kidney
Fú Líng 茯苓Assistant (佐 zuǒ)9gStrengthens Spleen
Zé Xiè 泽泻Assistant (佐 zuǒ)9gDrains heat and humidity
Mǔ Dān Pí 牡丹皮Assistant (佐 zuǒ)9gCools Blood, drains heat void
Zhī Mǔ 知母Minister (臣 chén)9gCools heat, nourishes Yin, eliminates empty heat
Huáng Bǎi 黄柏Minister (臣 chén)9gDrains Kidney fire, eliminates damp heat

The emperor–minister–assistant–envoy hierarchy (君臣佐使) describes the role of each herb in the formula.

Preparation

Pill: 8-9g, 2-3 times/day. Decoction: boil 40 min

Current uses being studied

  • Menopause with intense hot flashes
  • Tuberculosis with night sweats
  • Hyperthyroidism
  • Recurrent urinary tract infections

Precautions

  • Huang Bai can damage the Spleen: add Chen Pi or Sha Ren
  • Do not use in Yang deficiency
  • Avoid in diarrhea

Formulas must be prescribed by qualified professionals; they can interact with medications.

Profile

Chinese name
知柏地黄丸
English name
Anemarrhena, Phellodendron and Rehmannia Pill
Source
Yi Fang Kao (1584 CE)
Dynasty
Ming
Category
Nourish Yin
Constitutions
Yin Deficiency Constitution

Health notice. Educational and study content. It describes concepts of Traditional Chinese Medicine and does not replace diagnosis or treatment by a healthcare professional. Needling, medicinal herbs and invasive techniques must be applied by trained professionals. Safety guide.