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 
Indications: Liver and Kidney yin deficiency: 1) Essence insufficiency: weakness in lumber 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, spermertorrhea, 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. ATTACHEMENTS: 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. •
Related Formulas: Attachments: Zhi Bai Di Huang Wan; Qi Ju Di Huang Wan; Du Qi Wan; Mai Wei Di Huang Wan
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 Immune system booster • coagulant • antidiabetic • hepatoprotective • hypotensive • anti-aging • antioxidant • antihistamine • emmenagogue
Shan Zhu Yu • Cornelian Cherry •  山茱萸 Stabilize + Bind

12g

Tonify kidney • Tonify liver • Stop bleeding • Astringe essence • Reduce urine • Regulate menses • Reduce sweating • Stop bleeding 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 stomachDao Di: He Nan Antidiabetic • Antidiarrheal • Anti-inflammatory • Estrogenic • Hypotensive • Immunomodulatory
Ze XieAlisma •  泽泻 Drain Dampness

9g

Drain Kidney fire, Drain dampness, Promote urination
Mu Dan PiPeony 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 LingPoria 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
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
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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