Bu Shen Si Wu Tang - 補腎四物汤 - Tonify The Kidneys Four Substances Decoction

English:	Tonify the Kidneys Four Substances Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelicae Sinensis	Dang Gui	4-12g	Nourishes and activates Blood, regulates Liver and Kidneys, regulates menses and alleviates pain. With Shu Di Huang, Bai Shao and Chuan Xiong, for menstrual irregularity, amenorrhea and dysmenorrhea due to Blood Deficiency or Stasis.
Rx. Ligustici	Chuan Xiong	3-9g	Invigorates Blood, moves Qi, releases Stagnation and alleviates pain. With Dang Gui, for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses and amenorrhea.
Rx. Paeoniae Rubra	Chi Shao	4.5-15g	Invigorates the Blood, dispels Blood Stasis, relieves pain, clears Heat and cools the Blood. With Chuan Xiong and Dang Gui, for Blood-Stasis induced gynecological disorders such as immobile abdominal masses and amenorrhea with abdominal pain. With Bai Shao, for spasms and cramping pain associated with Blood Deficiency and Blood Stagnation.
Rx. Paeoniae Alba	Bai Shao	4-15g	Calms Liver Yang and alleviates pain, Nourishes Blood, Preserves Yin. With Dang Gui, nourishes Yin and Blood. With Dang Gui and Shu Di Huang, for dizziness, blurred vision and dysmenorrhea due to Blood Deficiency or Blood Stasis.
Rx. Rehmanniae	Shu Di Huang	4-21g	Strengthens the Liver and Kidneys and nourishes the Yin of the Blood. With Bai Shao, strongly nourishes Liver Blood.
Rx. Rehmanniae	Sheng Di Huang	5-30g	Clears Heat, cools the Blood, nourishes Yin and generates fluids. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood.

Formula Actions

• Nourishes the Blood
• Invigorates the Blood
• Nourishes Kidney Yin

Syndromes

• Kidney Deficiency with Blood Deficiency

Clinical Manifestations

Early or late periods Scant Blood No clots Thin vaginal discharge Late menarche Delayed period Scanty, light colored Blood Lack of sexual desire Low back and knee soreness and weakness Dizziness Palpitations

Insomnia Dry skin Dry hair Poor memory Paleness Fatigue Scanty periods T: Pale or Red C: Thin, white and dry or Little or None P: Thready and rapid or Weak or Deep and slow

Treats

Luteal phase defect Habitual miscarriage Dry hair

Threatened miscarriage Dry skin

Contraindications And Herb/Drug Interactions

Notes

• This formula treats luteal phase defect and miscarriage due to progesterone deficiency.

Modifications

For Kidney Yang Deficiency:		For Kidney Yin Deficiency:
+ Fluoritum	Zi Shi Ying	+ Fr. Ligustri Lucidi	Nu Zhen Zi
+ Rz. Curculiginis	Xian Mao	+ Hb. Ecliptae	Mo Han Lian
+ Hb. Epimedii	Yin Yang Huo	+ Fr. Lycii	Gou Qi Zi
+ Sm. Cuscutae	Tu Si Zi	+ Fr. Schisandrae	Wu Wei Zi
+ Fr. Rubi	Fu Pen Zi	+ Rx. Scrophulariae	Xuan Shen
+ Rx. Ophiopogonis	Mai Men Dong