Di Long Tang - 地龙汤 - Pheretima Decoction

English:	Pheretima Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Pheretima	Di Long	10g	Clears Heat, unblocks and promotes movement in the channels and collaterals, promotes urination and anchors Liver Yang.
Rx. Dioscoreae	Shan Yao	10g	Tonifies Kidney Yin and astringes Jing. With Shu Di Huang and Shan Zhu Yu, for Kidney Deficiency with spermatorrhea and night sweats.
Fr. Corni	Shan Zhu Yu	10g	Stabilizes the Kidneys, astringes Jing and Body Fluids, tonifies Liver and Kidney Yin and strengthens Kidney Yang. With Shu Di Huang, nourishes Kidney Yin and secures Jing, while restraining urination and sweating.
Sm. Cuscutae	Tu Si Zi	10g	Strengthens Yang, nourishes Yin, astringes Jing and urine, benefits the marrow, tonifies the Kidneys and Liver and improves vision.
Rx. Asparagi	Tian Men Dong	10g	Clears Lung Heat, Generates fluids, Nourishes Kidney Yin, Sedates Fire.
Fr. Lycii	Gou Qi Zi	10g	Nourishes and tonifies Liver and Kidney Blood and Yin, benefits Jing and brightens the eyes. With Shu Di Huang, for Liver and Kidney Deficiency. With Shu Di Huang, Shan Yao, Shan Zhu Yu and Gui Ban Jiao, for severe Yin Deficiency with lower back pain, spermatorrhea, sweating and diminished visual and aural acuity.
Colla Plastrum Testudinis	Gui Ban Jiao	10g	Tonifies Yin and nourishes the Blood. With Shu Di Huang, Shan Yao and Shan Zhu Yu, for vertigo, tinnitus, a sore and weak lower back and legs and night sweats from severe Kidney Deficiency.
Rx. Rehmanniae Preparata	Shu Di Huang	12g	Nourishes Liver and Kidney Yin and nourishes Jing and Blood and fills the Marrow. With Gui Ban Jiao, for dizziness, insomnia, tinnitus, forgetfulness, afternoon fevers and night sweats due Yin Deficiency with Yang Rising.
Concha Ostreae	Mu Li	12g	Calms the Liver, benefits Yin and anchors Floating Yang. With Shan Zhu Yu, for sweating.
Cx. Moutan	Mu Dan Pi	6g	Clears Deficiency Fire, Clears Heat, Cools and harmonizes the Blood, Dispels Blood Stasis, Invigorates the Blood.

Formula Actions

• Nourishes the Kidneys
• Enriches Yin
• Anchors Yang
• Generates Fluids

Syndromes

• Kidney Yin Deficiency

Clinical Manifestations

Impotence or Premature ejaculation The symptoms are worse when the patient is stressed or fatigued Maybe a frequent desire for sex but an inability to initiate or maintain an erection Maybe erotic dreams with spontaneous emission Maybe increased numbers of abnormal sperm Maybe a low sperm count Scanty ejaculate Dizziness more noticeable after sex Tinnitus or deafness more noticeable after sex Aching, soreness or weakness of low back and knees which is exacerbated with sex

Poor memory A dry mouth and throat Insomnia Excess dreams Restlessness Facial flushing Malar flush Night sweats Five Sole Heat Spermatorrhea Aching in bones Aching in leg and heel A tendency to dry stools or constipation T: Red C: Little or None P: Thready and rapid

Treats

Impotence Nocturnal emissions

Spermatorrhea

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Deficiency Fire Rising:		For Liver Qi Stagnation:
- Rx. Rehmanniae Preparata	Shu Di Huang	+ Cx. Albizziae	He Huan Pi
For Shen disturbance:
- Fr. Lycii	Gou Qi Zi	+ Sm. Zizyphi Spinosae	Suan Zao Ren
- Sm. Cuscutae	Tu Si Zi	+ Rx. Polygalae	Yuan Zhi
+ Rx. Rehmanniae	Sheng Di Huang	For Damp-Heat:
+ Rz. Anemarrhenae	Zhi Mu	+ Rz. Dioscoreae Hypoglaucae	Bei Xie
+ Cx. Phellodendri	Huang Bai
For spermatorrhea:		+ Sm. Plantaginis	Che Qian Zi
+ Stamen Nelumbinis	Lian Xu
+ Fr. Rosae Laevigatae	Jin Ying Zi