Bu Shen Di Huang Wan - 補腎地黄丸 - Rehmanniae Pill For Tonifying The Kidneys

English:	Rehmanniae Pill for Tonifying the Kidneys
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Rehmanniae Preparata	Shu Di Huang	10g	Nourishes Liver and Kidney Yin, nourishes Jing and Blood and fills the Marrow. With Dang Gui, for Blood Deficiency marked by dizziness, palpitations, insomnia and menstrual dysfunction. With Shan Yao and Ze Xie, for ascendant Fire due to exhaustion of Kidney Yin.
Rz. Dioscoreae	Shan Yao	10g	Tonifies Kidney Yin and astringes Jing.
Fr. Corni	Shan Zhu Yu	10g	Stabilizes the Kidneys and astringes Jing and Body Fluids Tonifies Liver and Kidney Yin and strengthens Kidney Yang. With Dang Gui and Shu Di Huang, for night sweats due to Yin Deficiency. With Shu Di Huang, nourishes Kidney Yin and secures Jing, while restraining urination and sweating. With Shu Di Huang and Shan Yao, a basic combination to tonify the Kidneys. With Shu Di Huang, Shan Yao, Fu Ling, Mu Dan Pi and Zi Xie, for Kidney and Liver Yin Deficiency.
Poria	Fu Ling	10g	Promotes urination and leaches out Dampness and strengthens the Spleen. With Ze Xie, facilitates the removal of water and leaches out Dampness to treat stagnant water and Dampness leading to edema.
Rz. Alismatis	Ze Xie	10g	Promotes urination and leaches out Dampness.
Cx. Moutan	Mu Dan Pi	10g	Clears Heat, cools, invigorates and harmonizes the Blood, dispels Blood Stasis, clears Deficiency Fire and reduces swelling.
Rx. Achyranthis Bidentatae	Niu Xi	6g	Invigorates the Blood, expels Blood Stasis and nourishes Liver and Kidney Yin.
Colla Cornus Cervi	Lu Jiao Jiao	6g	Tonifies the Kidneys, strengthens Yang and nourishes and tonifies Qi and Blood.
Rx. Angelicae Sinensis	Dang Gui	6g	Tonifies, invigorates and harmonizes the Blood, reduces swelling and alleviates pain. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood.

Formula Actions

• Promotes urination
• Leaches out Dampness
• Tonifies Liver and Kidney Yin
• Strengthens Kidney Yang
• Tonifies, invigorates and harmonizes the Blood
• Dispels Blood Stasis

Syndromes

• Kidney Qi Deficiency

Clinical Manifestations

Marked enlargement of the skull Widened fontanel with separation of sutures Sluggish expression Dimness in the eyes Dropping eyeballs like "the setting sun" A large anteverted head with a thin neck Strabismus Vomiting

Convulsions in severe cases A whitish complexion Poor appetite Loose stools T: Pale C: Little or None P: Weak with a bluish superficial venule on the index finger.

Treats

Hydrocephalus

Contraindications And Herb/Drug Interactions

Notes

Modifications

For patients with concurrent talantropia, strabismus or blurred vision:
+ 10g Fr. Lycii	Gou Qi Zi
+ 8g Sm. Cuscutae	Tu Si Zi
+ 10g Sm. Cassiae	Jue Ming Zi
+ 10g Flos Chrysanthemi	Ju Hua