Liu Wei Di Huang Wan

Liù Wèi Dì Huáng Wán

Six Ingredient Pill with Rehmannia

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

AboutChinese MedicineCaution/Notes

Health Benefits

For:

Atributes: Basic formula for KD/LV Yin Xu

Constituents:

Products
Powder	Granules	Powder	Pills

Research

Category: Tonify Yin ⌕

Subcategory: Source: Xiao Er Yao Zheng Zhi Jue

Actions: nourish Liver and Kidney Yin

Diagnosis

Tongue: red with little coating Pulse: rapid, thin Other:

Patterns: Liver Yin Deficiency, Kidney Yin Deficiency, Diabetes Xia Xiao Kidney Yin Deficiency, Blocked Menses LV & KD Xu

Indications: Liver and Kidney yin deficiency: 1) Essence insufficiency: weakness in lumbar and knees, dizzy, tinnitus, deaf, painful heel bones, loosen teeth, pediatric late fontanel closure 2) Deficient heat disturbance: fever in five centers, dryness in throat and mouth, steaming bone, tidal fever, night sweating, spermatorrhea, toothache, thirst 3) Red tongue with little coating, thin rapid pulse. [Song] • Wasting and Thirsting disorder[Kim]

Contraindications:

Description

Name Variations: Liu Wei Di Huang Wan , 六味地黄丸, Six Ingredient Pill with Rehmannia,

Herb List: Shu Di Huang(K) • Shan Zhu Yu(M) • Shan Yao(M) • Ze Xie(A) • Mu Dan Pi(A) • Fu Ling(A)

Commentary: This formula is balanced with 3 Tonify: Shu Di Huang, Shan Zhu Yu, Shan Yao and 3 sedating: Ze Xie, Mu Dan Pi, Fu Ling. This formula was originally designed for young children with KD yin xu with delayed development, including tooth, fontanelle, language, and mobility delays. ATTACHMENTS: 1)Zhi Bai Di Huang Wan (Liu Wei Di Huang Wan + Zhi Mu Huang Bai): nourish yin and extinguish fire, indicated for yin deficiency with fire, steaming bone, night sweats, tidal fever, night sweating, soreness pain in lumbar and knees, spermatorrhea. 2)Qi Ju Di Huang Wan (Liu Wei Di Huang Wan + Gou Qi Zi, Ju Hua): nourish Liver and Kidney , brighten eyes, indicated for Liver and Kidney yin deficiency with blurred eyes, or dry eyes, tears due to wind blowing. 3) Du Qi Wan (Liu Wei Di Huang Wan + Wu Wei Zi): nourish Kidney to absorb Qi, indicated for wheezing or retching due to K deficiency. 4)Mai Wei Di Huang Wan/ Ba Xian Chang Shou Wan (Liu Wei Di Huang Wan + Mai Dong , Wu Wei Zi): nourish Lung and Kidney, indicated for cough or wheezing due to LU KD yin deficiency. • Do not take if there is something acute going on. Have short intervals of stopping in between to detoxify.

Related Formulas: Attachments: Zhi Bai Di Huang Wan; Qi Ju Di Huang Wan; Du Qi Wan; Mai Wei Di Huang Wan

NCCAOM: There are 10 NCCAOM formulas for Yin Deficiency. They are Liù Wèi Dì Huáng Wán, Dū Qì Wán, Qǐ Jú Dì Huáng Wán, Zhī Bǎi Dì Huáng Wán, Zuǒ Guī Wán, Zuǒ Guī Yǐn, Dà Bǔ Yīn Wán, Yī Guàn Jiān, Èr Zhì Wán, and Bǎi Hé Gù Jīn Tāng. • Liu Wei Di Huang Wan is for Kidney and Liver Yin Deficiency, essence insufficiency, and yin deficiency heat. Particularly useful for Diabetes (Xia Xiao). • Du Qi Wan = Liu Wei Di Huang Wan + Wu Wei Zi. It's the KD/LV Yin deficiency + Lung Yin deficiency, leading to cough/wheezing. • Zhi Bai Di Huang Wan = Liu Wei Di Huang Wan + Zhi Mu + Huang Bai. It’s focused KD/LV deficiency + Yin deficiency fire. • Qi Ju Di Huang Wan = Liu Wei Di Huang Wan + Gou Qi Zi + Ju Hua. LV/KD Yin deficiency + Eye disorders. • Zuo Gui Wan is for severe KD Yin/ Essence deficiency. It is for short term use since it can cause Spleen deficiency and should transition to Liu Wei Di Huang Wan for long term use. • Zuo Gui Yin is less potent form of Zuo Gui Wan. • Da Bu Yin Wan is for severe LV/KD Yin deficiency fire. • Yi Guan Jian is for LV/KD Yin deficiency + mild Liver Qi Stagnation. • Er Zhi Wan is for LV/KD Yin deficiency – particularly with premature graying of hair and insomnia with dream disturbed sleep. It’s made up of two herbs (Nu Zhen Zi, Han Lian Cao). • Bai He Gu Jin Tang is for Kidney and Lung Yin deficiency fire with cough, dry throat, blood laced sputum, internal dryness.

Herbs	Cat/Dosage	Actions	Attributes
Shu Di Huang • Rehmannia • 熟地黄 ♠	Tonify Blood 24g	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 12g	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 12g	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
Ze Xie • Alisma • 泽泻 ♣	Drain Dampness 9g	Drain Kidney fire, Drain dampness, Promote urination
Mu Dan Pi • Peony Bark • 牡丹皮 ♣	Clear Heat Cool Blood 9g	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
Fu Ling • Poria Mushroom • 茯苓 ♣	Drain Dampness 9g	Dry dampness • Tonify spleen • Calm spirit • Relief edema • Detox food poisoning • Promote urination Dao Di: Yun Nan	Diuretic • Antibacterial • Anti-inflammatory • Anti-allergic • Hypoglycemic • Antacid • Sedative • Immunity booster
♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy
Directions: May take months for this formula to show significant effect. For long term use of LV/KD deficiency.

Modifications		For
+ Zhi Mu + Huang Bai + Xuan Shen		Yin deficiency fire
+ Bai Zhu + Sha Ren + Chen Pi		Spleen/Stomach Qi Stagnation
+ Yu Zhu + Ge Gen + Zhi Mu + Qi herbs + blood movers		Xiao Ke (diabetes)
+ He Shou Wu + Gou Teng + Tian Ma + Ju Hua		Hypertension
+ Dan Shen + Ge Gen		Atherosclerosis
+ Gui Ban + Lu Jiao Jiao + blood movers, open orifices, channel dredging herbs		Memory degradation
+ Zhi Mu + Huang Bai + Qian Shi + Mu Li + Jin Ying Zi		Spermatorrhea

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
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
Ze Xie: Spermatorrhea, Vaginal secretion, Kidney yang deficiency, Kidney dysfunction, Damp cold
Mu Dan Pi: Deficiency cold • Pregnancy • Excessive menstruation • Food: garlic
Fu Ling: Foods: Vinegar, pickled food

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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