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Home > Education > Zang Fu Formulas > Zhi Bai Di Huang Wan

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

    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.

Actions

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

Syndromes

    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

Clinical Manifestations

    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)

Treats

    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

Contraindications

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

    Yang Xu.

Modifications

    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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