Dà Bǔ Yīn Wán

Great Tonify the Yin Pill

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Category: Tonify Yin ⌕ 
Subcategory:   Source: Dan Xi Xin Fa  
Actions: Nourish Yin, drain fire
Diagnosis
Tongue: red, dry, little coating      Pulse: rapid, forceful, full in proximal position    Other: 
Patterns: Liver Yin Deficiency, Kidney Yin Deficiency, Essence Deficiency, Empty Heat 
Indications: SEVERE Yin deficiency fire, Liver and Kidney yin deficiency, with heat generation: steaming bones, tidal fever, night sweating, spermatorrhea, painful knees; Deficient fire up flaming: Burn LU—cough with blood; disturb Heart: restlessness, irritability; Red tongue with little coating, Chi pulse is rapid and forceful [Song] • Severe KD/LV Yin/Essence deficiency with Empty Heat: Afternoon tidal fever, night sweats, spontaneous emission, irritability, sensation of heat and pain in the knees and legs sometimes accompanied by weakness, soreness and weakness of the lower back, T red, dry P rapid and full in the proximal position [Kim]
Contraindications: 
Description
Name Variations: Da Bu Yin Wan , 大补阴丸, Six Ingredient Pill with Rehmannia,
Herb List: Shu Di Huang(K) • Gui Ban(K) • Huang Bai(M) • Zhi Mu(M) • Zhu Ji Sui(A) • Feng Mi(A/E)
Commentary: Zhu Ji Sui (猪脊髓)= pork bone broth. A very strong formula aimed to extinguish fire and nourish Yin. [Song] • Focuses more on descending deficiency Fire, less on tonifying.[Kim]
Related Formulas:
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

 

 

 Tonify blood • Nourish Liver and Kidney Yin • Tonify EssenceDao 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 urination frequency • Regulate menses • Astringe genital discharges and leakagesbalanced 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 Middle Jiao Qi and Yin • Tonify all three JiaosDao Di: He Nan Antidiabetic • Antidiarrheal • Anti-inflammatory • Estrogenic • Hypotensive • Immunomodulatory
Ze Xie • Alisma •  泽泻 ♣ Drain Dampness Sedate Kidney deficiency fire, Drain dampness, Strongly 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
Fu Ling • Poria Mushroom •  茯苓 ♣ Drain Dampness 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
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Modifications For
+  Y
+  S
+  X
+  H
+ A
+ M
+ S

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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