Di Huang Yin Zi - 地黃飲子 - Rehmannia Drink

English:	Rehmannia Drink
Also Known As:	Rehmannia Decoction Decoction with Rehmannia for Aphasia and Paralysis

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Rehmanniae Preparata	Shu Di Huang	6-18g	Nourishes the Blood, nourishes Liver and Kidney Yin, strongly enriches Yin and relieves wasting and thirsting disorder, nourishes Jing and Blood and fills the Marrow. With Zhi Fu Zi and Rou Gui, for Kidney Yang Deficiency. With Shan Zhu Yu, nourishes Kidney Yin and secures Jing, while restraining urination and sweating.
Fr. Corni	Shan Zhu Yu	9-15g	Stabilizes the Kidneys, astringes Jing and Body Fluids, tonifies Liver and Kidney Yin and strengthens Kidney Yang. With Wu Wei Zi, for spermatorrhea, abnormal sweating, palpitations and shortness of breath due to Yin and Yang Deficiency of the Liver and Kidneys.
Liquor-soaked and Stone- baked Hb. Cistanches	Jiu Bei Rou Cong Rong	9-18g	Tonifies the Kidneys, strengthens the Yang and benefits Jing. With Ba Ji Tian, tonifies Yang without injuring Yin.
Hb. Morindae Officinalis	Ba Ji Tian	6-15g	Disperses Wind-Cold-Damp, Strengthens the sinews and bones, Strengthens Yang, Tonifies the Kidneys.
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	3-15g	Warms Ming Men Fire and assists Heart, Kidney and Spleen Yang. With Rou Gui, for Powerfully tonifies Kidney Yang, for Kidney Yang Deficiency with lower back pain and weakness in the legs and knees. With Fu Ling, for lower body edema and dysuria.
Cx. Cinnamomi	Rou Gui	1-15g	Warms the Kidneys, Spleen and Heart, strengthens the Yang and Ming Men Fire, d disperses deep Cold, warms and unblocks the channels and vessels and alleviates pain. With Shu Di Huang, Shan Zhu Yu and Zhi Fu Zi, for Kidney Yang Deficiency.
Rx. Ophiopogonis	Mai Men Dong	6-15g	Nourishes Lung and Stomach Yin and generates fluids.
Hb. Dendrobii	Shi Hu	6-15g	Enriches Kidney Yin, reduces Heat from Deficiency, tonifies the Kidneys, augments Jing, strengthens the tendons and bones, strengthens the low back and nourishes Stomach and Lung Yin.
Fr. Schisandrae	Wu Wei Zi	3-15g	Astringes Jing, Calms and contains Heart Qi, Quiets the Spirit, Stops diarrhea and spermatorrhea, Tonifies Qi, Tonifies the Kidneys.
Rz. Acori Tatarinowii	Shi Chang Pu	6-15g	Opens the Orifices, vaporizes Phlegm, removes filth, calms the Spirit,disperses Wind transforms turbid Dampness, harmonizes the Middle Jiao, awakens the Spleen and promotes the movement of Qi. With Yuan Zhi and Fu Ling, for forgetfulness, tinnitus, and impaired hearing.
(Rz. Anemone Altaicae)	(Jiu Jie Chang Pu)	(3-6g)	(Transforms Phlegm, opens the orifices, calms the Shen, awakens the Spleen and resolves toxicity.)(Some sources substitute this herb for Shi Chang Pu.)
Rx. Polygalae	Yuan Zhi	3-15g	Calms the Spirit, Clears the channel joining the Heart and Kidneys, Expels Phlegm and opens the Orifices, Sedates the Heart.
Poria	Fu Ling	6-15g	Promotes urination, leaches out Dampness, strengthens the Spleen, harmonizes the Middle Jiao, strengthens the Spleen and transforms Phlegm. With Zhi Fu Zi and Sheng Jiang, for edema due to Spleen and Kidney Yang Deficiency.
Hb, Menthae Haplocalycis	Bo He	2-6g	Expels turbid filth.
Rz. Zingiberis Recens	Sheng Jiang	3-6g	Warms the Middle, warms the Lungs and reduces the toxicity of other herbs. With Da Zao, prevents Phlegm accumulation and protects the Stomach Qi and reduces irritation of the gastrointestinal tract by other herbs.
Fr. Jujube	Da Zao	3-6g	Moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Enriches Kidney Yin
• Tonifies Kidney Yang
• Resolves Phlegm
• Opens the Orifices

Syndromes

• Kidney Yin Deficiency with Kidney Yang Rising
• Phlegm Obstructs the Heart Orifice: Exhaustion Syndrome
• Aphasia and paralysis due to Kidney Yin and Yang Deficiency
• Kidney Yang Deficiency with Upward Attack of Phlegm and Turbidity
• Kidney Yin/Yang deficiency with Phlegm turbidity blocking the Orifices (Secondary source)

Clinical Manifestations

Aphasia Leg paralysis A stiff tongue A dry mouth with no desire to drink

Loss of speech T: Pink or Pale C: Moist or Greasy P: Deep, thready and weak or Deep slow, thready and weak

Treats

Cerebrovascular diseases Acute transverse myelitis Dementia Itching Aphasia Sringomyelia Poliomyelitis Coronary Heart disease Obesity Hypertensive encephalopathy Secondary hypertension associated with glomerulonephritis or pyelonephritis Dysphagia Paresthesia Urinary incontinence

Hysteria Post-stroke sequelae Diabetes mellitus Myelanalosis Paralysis of the legs Primary scoliosis of the lateral cord Guillain-Barre syndrome Hyperglycemia Arteriosclerosis Stroke Cerebral arteriosclerosis Amyotrophic lateral sclerosis Numbness Schizophrenia

Contraindications And Herb/Drug Interactions

Notes

Modifications

For a hot sensation in the joints caused by Kidney Yin Deficiency:		For Kidney Yang Deficiency with coldness and pain in the back and knees:
- Cx. Cinnamomi	Rou Gui	+ Hb. Epimedii	Yin Yang Huo
- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ Rx. Curculiginis	Xian Mao
For Qi Deficiency:
+ Ram. Mori	Sang Zhi	+ Rx. Astragali	Huang Qi
+ Cx. Lycii	Di Gu Pi	+ Rx. Ginseng	Ren Shen
+ Carapax Trionycis	Bie Jia	For no aphasia:
For myelanalosis:		- Rz. Acori Tatarinowii	Shi Chang Pu
+ Cornu Cervi Degelatinum	Lu Jiao Shuang	- Rz. Polygalae	Yuan Zhi
- Hb. Menthae	Bo He
+ Gelatinum Plastrum Testudinis	Gui Ban Jiao	For paralysis of the legs and a feverish sensation in the joints due to Kidney Yin Deficiency:
+ Fr. Lycii	Gou Qi Zi	- Hb. Menthae	Bo He
+ Hb. Cynomorii	Suo Yang	- Fr. Jujube	Da Zao
+ Rz. Gastrodiae	Tian Ma	+ Carapax Trionycis	Bie Jia
For Kidney Yin Deficiency:		+ Ram. Mori	Sang Zhi
+ Cx. Lycii	Di Gu Pi	For paralysis of the lower legs with irritated, hot joints associated with Yin Deficiency:
+ Carapax Trionycis	Bie Jia
Or		+ Hb. Taxilli	Sang Ji Sheng
- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ Cx. Lycii	Di Gu Pi
+ Carapax Trionycis	Bie Jia
- Cx. Cinnamomi	Rou Gui	For Kidney Yin Deficiency with Phlegm-Fire:
+ Rx. Curculiginis	Xian Mao	- Cx. Cinnamomi	Rou Gui
+ Hb. Epimedii	Yin Yang Huo	- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
For dysphagia without Yang Deficiency:
- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ Bul. Fritillariae Cirrhosae	Chuan Bei Mu
- Cx. Cinnamomi	Rou Gui	+ Succus Bambusae	Zhu Li
For dysphagia with predominant Yang Deficiency:		+ Arisaemae cum Bile	Dan Nan Xing
+ Rz. Arisaematis Preparatum	Zhi Tian Nan Xing
+ Hb. Epimedii	Yin Yang Huo
+ Rz. Curculiginis	Xian Mao	For severe dysphagia:
For stroke, hemiplegia and aphasia:		+ Sm. Oroxyli	Mu Hu Die
- Hb, Menthae	Bo He	+ Rx. Platycodi	Jie Geng
+ 6g Rz. Acori Tatarinowii	Shi Chang Pu	For ALS with Qi Deficiency:
+ Rx. Astragali	Huang Qi
+ 0g Caulis Trachelospermi	Luo Shi Teng	+ Rx. Ginseng	Ren Shen
For ALS with Yin Deficiency:
For ALS with Phlegm-Fire:		+ Rx. Rehmanniae	Sheng Di Huang
- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ Fr. Ligustri Lucidi	Nu Zhen Zi
+ Hb Ecliptae	Han Lian Cao
- Cx. Cinnamomi	Rou Gui	For ALS with Heart Blood Deficiency:
+ Concretio Bambusae Silicea	Tian Zhu Huang	+ Sm. Zizyphi Spinosae	Suan Zao Ren
+ Caulis Polygoni Multiflori	Ye Jiao Teng
+ Succus Bambusae	Zhu Li
+ Arisaemae cum Bile	Dan Nan Xing	For ALS with constipation:
For ALS with obvious muscular twitching:		+ Rz. Anemarrhenae	Zhi Mu
+ Bombyx Batryticatus	Jiang Can	+ Sm. Trichosanthis	Gua Lou Ren
+ Periostracum Cicadae	Chan Tui	+ Rx. Polygoni Multiflori	He Shou Wu
+ Pheretima	Di Long	+ Sm. Persicae	Tao Ren
+ Scolopendra	Wu Gong	+ Sm. Cannabis	Huo Ma Ren
For ALS with cervicomuscular weakness:		+ Rx. Angelicae Sinensis	Dang Gui
+ Rx. Puerariae	Ge Gen	+ Rx. Puerariae	Ge Gen
+ Colla Cornu Cervi	Lu Jiao Jiao	+ Sm. Pruni	Yu Li Ren
For ALS with pain in the limbs:		+ Hb. Cynomorii	Suo Yang
+ Rx. Paeoniae Alba	Bai Shao
+ Fr. Chaenomelis	Mu Gua
+ Hb. Siegesbeckiae	Xi Xian Cao