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Liu Wei Di Huang Wan 六味地黄丸
Rehmannia Six Pills
Rehmannia Six Pills
Tradition:
TCM
Source / Author:
Craft of Medicines and Patterns for Children; 1119
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Herb Name
Shu Di Huang 生地黄 (Rehmannia)
Shan Zhu Yu 山茱萸 (Cornus fruit) Shan Yao 山药 (Chinese yam) Fu Ling 茯苓 (Poria) Mu Dan Pi 牡丹皮 (Tree peony root) Ze Xie 泽泻 (Water Plantain root) |
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Preparation:
Powder and form small pills with Honey. It can be prepared as a decoction using half or one-third of the above doses.
Function:
Nourish the Yin of the Liver and Kidneys
Use:
In all cases, there will be a dry, reddish and /or cracked Tongue with little coating; pulse is rapid and thin, with signs of dryness.
1. Lower back pain, knee weakness
2. Dizziness, Vertigo, Tinnitus
3. Night sweats
4. Tidal (Hectic) Fever; Restless legs at night; Heat in the palms and soles at night
5. Tuberculosis, Consumption, Wasting
6. Chronic Urinary diseases: chronic UTI, glomerulonephritis, nephiritis
7. Hyperthyroidism, Diabetes, Addison’s disease
8. Functional Uterine Bleeding,
9. Menopausal Night sweats, Hot Flushes
10. Optic Neuritis, Optic Nerve Atrophy, Retinitis
11. Failure to Thrive in Children; failure of the Fontanel to close
Dose:
9 grams of the pills, three times daily
Cautions:
None noted
Modifications:
1. If there is signs of Heat (Yin-deficient Fire), use Rehmannia Sheng Di (raw root) instead of Rehmannia Shu Di (prepared root).
2. Childhood nutritional impairment, omit Rehmannia Shu Di and add Atracylodes Bai Zhu and Amomum Sha Ren.
3. Yin deficient Fire (Yin deficient with Heat signs, especially at night), add Anemarrhena Zhi Mu and Phellodendron Huang Bai. This makes Zhi Bai Di Huang Wan, Rehmannia Six Pill with Anemarrhena and Phellodendron, a main medicine for Yin- deficient Heat.
4. When Cinnamon (either twig, Gui Zhi, or bark, Rou Gui) and prepared Aconitum Zhi Fu Zi are added, it makes Jin Gui Shen Qi Wan, a principle Yang tonic formula in TCM.
5. Yin deficiency with Heat in the head, and for weak eyes with blurred vision, poor eyesight, dry or itchy eyes, Cataracts, Glaucoma, Macular degeneration, add Chrysanthemum Ju Hua and Lycium Gou Qi Zi (‘Goji berry’). This is called Qi Ju Di Huang Wan.
6. When Fu Shen (Poria sclerotium) replaces Poria Fu Ling, and Rehmannia Sheng Di Huang, Bupleurum Chai Hu, Angelica Dang Gui and Schisandra Wu Wei Zi are added, it forms Ming Mu Di Huang Wan. This is used for blurry and failing vision due to Liver and Kidney weakness.
This is the foundation formula for Yin deficiency of the Liver and Kidneys in TCM. Whole texts have been written about this formula and the elegant way it is constructed.
In brief, the last three herbs are used to correct the first three medicines which are the primary Yin tonics. They prevent the Damp which can build up during Yin tonification; they keep the blood active which is liable to stagnate with rich, cloying, yin tonics; and they support the Spleen and Liver to enable them to support formation of Kidney Yin.
In brief, the last three herbs are used to correct the first three medicines which are the primary Yin tonics. They prevent the Damp which can build up during Yin tonification; they keep the blood active which is liable to stagnate with rich, cloying, yin tonics; and they support the Spleen and Liver to enable them to support formation of Kidney Yin.
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