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Zhi Bai Di Huang Wan

From "Zang Fu Syndromes," by McDonald and Penner

English: Anemarrhena, Phellodendron and Rehmannia Pill

Also known as: Anemarrhena, Phellodendron and Rehmannia Formula or Zhi Bai Ba Wei Wan

• Ingredients
• Actions
• Syndromes
• Clinical Manifestations
• Treats
• Modifications

Latin	Pinyin	Dosage	Actions
Rx. Anemarrhenae	Zhi Mu	2-9g	Clears Heat, drains Fire, enriches Yin, moistens Dryness and generates Fluids. With Huang Bai, for Yin Xu with Fire Flaring and Steaming Bone Disorder.
Cx. Phellodendri	Huang Bai	2-9g	Drains Damp-Heat, drains KI Fire and relieves toxicity.
Rx. Rehmanniae (baked)	Shu Di Huang	8-30g	Nourishes Yin and Blood and tonifies KI.
Fr. Corni	Shan Zhu Yu	4-20g	Nourishes KI Yin and Yang, astringes Yin and stops excess perspiration. With Shan Yao, tonifies LIV and SP.
Rx. Dioscoreae	Shan Yao	4-15g	Strengthens SP, stabilizes KI and nourishes Jing. With Shu Di Huang and Shan Zhu Yu, for KI Xu with spermatorrhea, dizziness, tinnitus, lower back pain, impotence and night sweats.
Scl. Poriae Cocos	Fu Ling	3-15g	Strengthens SP and drains Dampness.
Cx. Moutan Radicis	Mu Dan Pi	3-15g	Clears Heat and Xu Fire.
Rz. Alismatis	Ze Xie	3-15g	Promotes urination and prevents KI Fire as a result of tonification. With Mu Dan Pi, for Steaming Bone Disorder. With Fu Ling, promotes urination. With Fu Ling and Mu Dan Pi, regulates KI, LIV and SP, drains and tonifies.

Enriches Yin and Nourishes Essence of LIV and KI, and Reduces Xu Fire.

KI Yin Xu with Fire Flaring

LIV and KI Yin Xu (with Fire Flaring)

Steaming Bone Disorder Damp-Heat in LJ with underlying KI Yin Xu

Night sweats Lower back pain Weakness of the lower back, knees and extremities Light-headedness Tinnitus Five sole heat Toothache Dizziness Dry skin Spontaneous and nocturnal emissions Loose teeth Thirst Numbness and weakness at the waist and knees Sore throat

Dry mouth and tongue Urinary difficulty Steaming bones Vertigo Diminished hearing Chronic dry, sore throat Wasting and thirsting disorder (Xiao Ke) Muscular weakness Deafness Tidal fevers Dripping urine Swollen gums, painful and light red in color Heel pain Pain at midline and in lower back Urinary incontinence

T: Red
C: Little or None
P: Thready and rapid (large at KI positions)

Gingivitis Excess dreaming Menopause Neurasthenia. Diabetes millitus Hyperthyroidism Chronic urinary tract infection Failure to thrive Optic neuritis Central retinitis Senility Spermatorrhea Chronic asthma Side effects of steroids Bronchiaesthenia Infectious hepatitis Irregular menstruation Heart failure Dry mouth

Steaming Bone Disorder Cystitis Amenorrhea Pulmonary tuberculosis Chronic nephritis Chronic glomerulonephritis Hypertension Functional uterine bleeding Optic nerve atrophy Nephroatrophy Impotence Esophageal cancer Bronchitis Allergic disorders Chronic urticaria Nocturnal emissions Addison's disease Sore throat Retarded growth in children

Caution with SP Xu type diarrhea and indigestion with a white greasy tongue coat.

Yang Xu.

For leukorrhea: + Sm. Euryales Qian Shi + Fr. Rosae Laevigatae Jin Ying Zi

For vaginal itch: + Rx. Angelicae Sinensis Dang Gui + Rx. Polygoni Multiflori He Shou Wu + Cx. Dictamni Radicis Bai Xian Pi

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