Tiān Wáng Bǔ Xīn Dān

Heavenly Emperor Special Pill to Tonify the Heart

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

AboutChinese MedicineCaution/Notes
Health Benefits
For: Menopausal syndrome • Chronic urticaria • Aphthous ulcers • Palpitations • Insomnia • Cardiac disease • Nervous exhaustion
Atributes:
Constituents:
Products
 

Powder

 

Granules

 

Powder

 

Pills

Research

Category: Calm Shen ⌕ 
Subcategory: Nourish + Calm Shen  Source: Jiao Zhu Fu Ren Liang Fang  
Actions: Calms Shen • Nourish Yin • Nourish Blood • Clears Heart Heat
Diagnosis
Tongue: Red with little coating      Pulse: Thin, Rapid    Other: 
Patterns: Heart and Kidney Yin Deficiency • Yin Deficiency Heat • Heart and Kidney not Harmonized • Yin and Blood Deficiency 
Indications: Key symptoms: palpitation, insomnia, fever in five centers, red tongue with little coating, thin rapid pulse. Heart and Kidney yin deficiency. Deficient fire disturbance. Shen Lack of nourishment: restlessness, insomnia. Fatigue, seminal emissions during sleep, constipation. Heart body lack of nourish: palpitation. Heart fire flaming up with sores in mouth. Intestines lack of moistening: dry stools. [Song]
Contraindications: Poor appetite, loose stools
Description
Name Variations: Tian Wang Bu Xin Dan, 天王补心丹, Heavenly Emperor Special Pill to Tonify the Heart,
Herb List: Sheng Di Huang(K) • Tian Men Dong(M) • Mai Dong(M) • Xuan Shen(M) • Suan Zao Ren(A) • Bai Zi Ren(A) • Dang Gui(A) • Dan Shen(A) • Ren Shen(A) • Fu Ling(A) • Yuan Zhi(A) • Wu Wei Zi(A) • Zhu Sha(A) • Jie Geng(G/E)
Commentary: This formula is focused on Heart and Kidney functioning well together. When KD/water yin is deficient, it is not able to control Heart Fire.
Related Formulas: Ding Zhi Wan + Suan Zao Ren + Ye Jiao Teng, Long Chi, Mu Li, Zhu Sha
Herbs Cat/Dosage Actions Attributes
Sheng Di Huang • Rehmannia •  生地黄 Clear Heat Cool Blood

 

Clear heat • Cools hot blood (nosebleeds, bloody vomit, bloody urine, bloody stool) • Nourish Yin • Clears heart heat/fire • Generate fluidsDao Di: He Nan Immune system booster • coagulant • antidiabetic • hepatoprotective • hypotensive • anti-aging • antioxidant • antihistamine • emmenagogue
Tian Men DongAsparagus Tuber •  天门冬 Tonify Yin

 

Nourish Lung yin • Clear Lung heat • Generate fluids • Moisten Lungs • Nourish Kidney yin
Mai Men Dong • Ophiopogon Tuber • 麦门冬 Tonify Yin

 

Nourish Lung yin • Clear Lung heat • Nourish Stomach yin • Generate fluids • Clear Heart • Nourish Heart yin • Reduce irritabilityLilyturf Root antibiotic • increase cardiac output • sedative • reduce tachycardia
Xuan ShenFigwort Root • 玄参 Clear Heat Cool Blood

 

Nourish yin • Generate Fluids • Cool blood• Moisten dryness • Resolve heat toxins • Clear phlegm nodules Antibiotic • Antipyretic • Hypotensive • Hypoglycemic • Sedative
Suan Zao RenSour Jujube Seeds • 酸枣仁 Calm Shen

 

Calm Shen sedative • antipyretic • analgesic • anxiolytic
Bai Zi RenPlatycladus Seed • 柏⼦仁 Calm Shen

 

Dang GuiChinese Angelica • 当归 Tonify Blood

 

Tonify blood • Move Blood and Qi • Regulate menses • Invigorate blood • Dispel cold • Unblock bowels • Reduce abscess swelling • Alleviate pain • Clear pus • Generate flesh • Moisten intestines Dang Gui Shen (body) - tonify blood • Quan Dang Gui - harmonize blood (tonify and invigorate) • Dang Gui Wei (tail) - invigorate blood • According to the Board Exams, this herb does not affect estrogen because it has not yet been determined in which way it does affect it. However, there are numerous research articles on Dang Gui and estrogen. phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost
Dan ShenSalvia Root • 丹参 Invigorate Blood

 

Invigorate, nourish, and cool blood • Regulate menses • Clear Heat • Break stasis • Calm spirit • Soothe heart • Reduce abscess swelling • Cat: Invigorate Blood - Regulate Menses anticoagulant, antibiotic, anti-ischemia, anti-thrombosis, anti-inflammatory, anticancer, antiplatelet, sedative, hepatoprotective
Ren ShenGinseng • 人参 Tonify Qi

 

Tonify yuan qi • Tonify lung qi • Tonify heart qi • Calms Shen • Stop thirst • Helps impotence • Treats qi collapse • Tonify Spleen • Generate fluid • Stop thirst • Strengthen anti-pathogenic qi • Can go to all 5 zang organsUnlike Huang Qi, Ren Shen is adaptogenic and may be used by people with autoimmune disorders. adaptogen • anti-aging • anticoagulant • antiplatelet • antioxidant • antiplatelet • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant
Fu LingPoria 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
Yuan ZhiSiberian Milk-Wort Root • 元 志 Calm Shen

 

Calms Shen • Calms heart • Reduce swelling and abscesses • Clear phlegm from heart and lung Honey fried (zhi yuan zhi) is more effective for insomnia and can be used as a single herb. Diuretic • antibiotic • Expectorant • CNS suppressant • Sedative • Uterine stimulant
Wu Wei ZiSchisandra Fruit • 五味⼦ Stabilize + Bind

 

Generate fluid • Tonify Kidney to grasp Qi • Tonify Lung Qi • Binds essence • Nourish heart • Calm Shen • Stop sweating • Stop diarrhea antibiotic • gastrointestinal • hypotensive or hypertensive • immunostimulant • hepatoprotective • CNS stimulant
Zhu ShaCinnabar • 硃砂 Calm Shen

 

Anchors and calms Shen • Clear heat • Resolve toxicityIllegal in the United States
Jie Geng  • Platycodon Root • 桔梗 ♦  Phlegm Cold

 

Disperse Lung qi • Expel mucus • Soothe sore throat • Guide other herbs to upper body • Treat abscesses • Move Qi upward • Guide herbs upward Expectorant • Hypoglycemic • Anticholesterol • Antifungal
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: 
Modifications For
+ Long Gu + Ci Shi Severe insomnia 31
+ Long Yan Rou + Ye Jiao Teng Severe palpitation 31
+ Mu Li + Jin Ying Zi Spermatorrhea 31

Caution
  • Do not use if pregnant

ALERT: Contraindications of each herb - use with caution under these conditions:
Sheng Di Huang: Yang deficiency • Blood deficiency • Spleen deficiency • Stomach deficiency • Can be sticky and cloying, careful with digestive disorders
Tian Men Dong: Deficiency cold diarrhea
Mai Men Dong: Diarrhea from middle jiao cold and deficiency • sedatives • cough from wind cold or damp phlegm
Xuan Shen: Li Lu • Spleen and stomach damp cold
Suan Zao Ren: Drowsiness • Insomnia from hot phlegm or excess heat • Pregnancy -uterine stimulant • Diarrhea
Bai Zi Ren:
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Dan Shen: pregnancy • incompatible with Li Lu • excessive menses • hematuria • hemoptysis • bleeding disorders
Ren Shen: Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat
Fu Ling: Foods: Vinegar, pickled food
Yuan Zhi: Drying • caution with heat or hot phlegm, gastritis, or peptic ulcers • Pregnancy
Wu Wei Zi: exterior pathogen presence, interior excess heat, early stage rash
Zhu Sha: Pregnancy • Long term use • Can cause mercury poisoning if used inappropriately
Jie Geng : Blood-stained mucus • Hypoglycemia • Tuberculosis • Anti-diabetic drugs

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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