Jīn Guì Shèn Qì Wán

Kidney Qi Pills from the Golden Cabinet

Disclaimer    For educational purposes only.  Do not use as medical advice

AboutChinese MedicineCaution/Notes
Health Benefits
For: lower back pain, urination difficulties, incontinence, diabetes, hypothyroidism, chronic nephritis, general debility and weakness, edema, bronchial asthma
Atributes:
Products
 

Ground Up Herb

  

Tea Pills

  

Tincture

  

Capsules
Research

Category: Tonify Yang ⌕ 
Subcategory:  ⌕   Source: Jin Gui Yao Lue  
Actions: Tonify Kidney, strengthen yang
Diagnosis
Tongue: pale, swollen, white moist coat      Pulse: thin, weak    Other: 
Patterns: Kidney Qi Deficiency, Kidney Yang Deficiency, Asthma KD Yang Deficiency 
Indications: Lower jiao lack of warmth: lumbago, weak legs, lower body coldness; Fail to qi transform fluid; Damp accumulation: difficult urination, Zhuan Bao, phlegm, water retention; Fail to consolidate: large amount of urine, incontinence • Pale swollen tongue, whit coating, deep thin weak pulse [Song] • KD Yang deficiency: Cold and pain of the lower back and legs, tenseness of the lower abdomen, irritability to the point of difficulty to lie down, breathing most comfortable while leaning against something, T pale, swollen with thin, white, moist coat, P empty or weak, deep and minute at proximal position[Kim]
Contraindications: Yin deficiency heat
Description
Name Variations:Jin Gui Shen Qi Wan , 金匮肾气丸, Kidney Qi Pills from the Golden Cabinet,
Herb List: Fu Zi(K) • Gui Zhi(K) • Shu Di Huang(M) • Shan Zhu Yu(M) • Shan Yao(M) • Ze Xie(A) • Fu Ling(A) • Mu Dan Pi(A)
Commentary: Kidney essence deficiency = KD Yang Xu + KD Yin Xu; KD Qi is the substance generated from Yin Yang reactions. This formula strengthens KD Yang Qi. Fu Zi is acrid/hot and warms KD yang. Gui Zhi dredges channels. However, these two are very low dosages. The 3 KD tonifiers are also found in Liu Wei Di Huang Wan for tonifying Yin. Ze Xie, Fu Ling, and Mu Dan Pi are draining herbs to help alleviate cloying. [Song] • This is basically Liu Wei Di Huang Wan + Fu Zi + Gui Zhi. Both Fu Zi and Gui Zhi are in low dosage to just ignite the Ming Men. Simular to effects of (KD7 and Du4). [Kim]
Related Formulas: Jia Wei Shen Qi Wan (Ji Sheng Shen Qi Wan - adding Che Qian Zi and Chuan Niu Zi to reduce edema)
NCCAOM: Three NCCAOM formulas for tonifying Yang. Jīn Guì Shèn Qì Wán, Yòu Guī Wán, Yòu Guī Yǐn. Jin Gui Shen Qi Wan is for classic KD yang deficiency with cold and pain in lower back and legs, copious urine, water retention and other KD yang deficiency symptoms. You Gui Wan is for severe KD Yang and essence deficiency where the vita gate fire is weak (often exhaustion from a serious illness). Use this formula as a jump start until you get about 60% of the Yang back, then use Jin Gui Shen Qi Wan or Ba Wei Di Huang Wan for longer term. You Gui Yin is for moderate cases and is less potent than You Gui Wan.
Herbs Cat/Dosage Actions Attributes
Fu Zi • Process Aconite Daughter Root • 附子 ♠ Warm Interior Expel Cold Restore devastated yang • Warm channels • Warms interior cold • Relief pain • Strengthen Ming Men fireDao Di: Si Chuan • Herbs from the same plant: Fu Zi • Tian Xiong • Wu Tou • Chuan Wu • Cao Wu • Zhi Chuan Wu Anodyne • Analgesic • Anti-inflammatory • Antipyretic • Mild sedative
Gui Zhi • Cinnamon Twig • 桂枝 ♠ Release Exterior Wind Cold Activate yang qi, warm yang, open channels, expel Wind Cold from muscle layer • warm Middle Jiao • regulate Wei Qi • improve circulation • relieve pain • thin mucus • treat chest BiPAIRS with Shao Yao and Fu Ling diuretic, anticoagulant, vasodilation, diaphoretic, antipyretic, emmenagogue, antiparasitic, cardiotonic, antibiotic, hypoglycemic, analgesic, anti-inflammatory, antioxidant, sedative
Shu Di Huang • Rehmannia • 熟地黄 ♥ Tonify Blood Tonify blood • Nourish Yin • Tonify essence • Nourish bloodDao Di: He Nan • Cloying in nature Immunity booster • coagulant • antidiabetic • hepatoprotective • hypotensive • anti-aging • antioxidant • antihistamine • emmenagogue • adrenalcortical
Shan Zhu Yu • Cornelian Cherry • 山茱萸♥ Stabilize + Bind Tonify kidney • Tonify liver • Astringe essence • Reduce urine • Regulate menses • 5 Stops: sweating, bleeding, leukorrhea, spermatorrhea, urinebalanced and moderate herb. Anti-inflammatory • Antibiotic • Antidiabetic • Antiosteoporotic • Astringent • Diurectic • Hepatoprotective • Hypotensive • Immunomodulatory
Shan Yao • Chinese Yam • 山药♥ Tonify Qi Tonify Kidney and essence • Tonify lungs Qi and Yin • Tonify spleen Qi and Yin • Tonify stomach • Tonify all three jiaosDao Di: He Nan Antidiabetic • Antidiarrheal • Anti-inflammatory • Estrogenic • Hypotensive • Immunomodulatory
Ban Xia • Pinellia Root • 半夏 ♣ Phlegm Cold Transforms damp-phlegm • Direct stomach Qi downward• Stop cough/ wheezing • Relieve nausea & vomiting • Dissolve nodules and swellingsFan Ban Xia - deep fried with vinegar, Ming Fan, and Sheng Jiang • Jiang Ban Xia - fried with ginger juice reprotoxic, warming, drying, antitussive, antiemetic
Ze Xie • Alisma • 泽泻 ♣ Drain Dampness Drain Kidney fire, Drain dampness, Promote urination
Mu Dan Pi • Peony Bark • 牡丹皮 ♣ Clear Heat Cool Blood Cools blood • Clear yin deficient heat • Invigorate blood • Clear blood stasisThere are two different types: Mu Dan and Xiao Yao; both are peony Anti-inflammatory • Antibiotic • Anticonvulsant • Analgesic • Antipyretic • Hypotensive • Immunostimulant • Sedative
♠ King/Chief    ♥ Minister/Deputy     ♣ Assistant     ♦ Envoy
Directions:  It is balanced and can be taken long term.
Modifications For
+ Bu Gu Zhi + Du Zhong + Niu Xi + Gou Ji Lumbar soreness and cold pain, relieved when lying down 31
+ San Piao Xiao + Yi Zhi Ren + Wu Yao + Tu Si Zi Enuresis, frequent urine 31
+ Ji Sheng Shen Qi Wan Urination difficulty: promote urine 31
+ Wu Wei Zi + Lu Rong + Chai Hu + Bai Shao Black complexion 31

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:

Fu Zi: Soy sauce • Millet • Pregnancy • False cold, true heat • Incompatible with: Bai Ji, Bai Lian, Ban Xia, Chuan Bei Mu, Gua Lou Pi, Gua Lou Ren, Gua Lou Shi, Tian Hua Fen, Zhe Bei Mu • Cao Wu is antagonized by Xi Jiao
Gui Zhi: Pregnancy, Liver Wind, hyperactive Yang from Yin xu, Wind Heat, blood heat, heavy menses, measles, open skin sores
Shu Di Huang: Cloying • Pregnancy • Spleen and/or Stomach deficiency • Stagnant phlegm • Stagnant qi • food: onion, garlic, radishes
Shan Zhu Yu: Damp heat • Urinary tract infection • Shan Zhu Yu antagonizes Han Fang Ji, Jie Geng, Fang Feng
Shan Yao: Yam allergies; Shan Yao antagonizes Gui Sui
Ban Xia: Yin deficiency cough • Bleeding • Dehydration • Heat • Pregnancy • Incompatible with Wu Tou and Fu Zi • Antidepressant drugs • Blood pressure medication • Terfenadine (antihistamine) • Foods: lamb, goat
Ze Xie: Spermatorrhea, Vaginal secretion, Kidney yang deficiency, Kidney dysfunction, Damp cold
Mu Dan Pi: Deficiency cold • Pregnancy • Excessive menstruation • Food: garlic
Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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