Er Xian Tang - 二仙湯 - Two Immortals Decoction - Decoction Of Curculigo And Epimedium

English:	Two Immortals Decoction
Also Known As:	Decoction of Curculigo and Epimedium

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Curculiginis	Xian Mao	6-15g	Tonifies the Kidneys, strengthens Yang, expels Cold, eliminates Dampness and strengthens bones and sinews. With Yin Yang Huo, accentuates the effects of the herb.
Hb. Epimedii	Yin Yang Huo	9-15g	Tonifies Kidneys, strengthens Yang, dispels Wind-Cold-Damp, tonifies Yin and Yang, restrains Ascendant Liver Yang and strengthens sinews and bones.
Rx. Morindae	Ba Ji Tian	6-9g	Disperses Wind, Expels Damp-Cold, Strengthens sinews and bones, Strengthens Yang, Tonifies the Kidneys.
Rx. Angelicae Sinensis	Dang Gui	6-12g	Tonifies, invigorates and harmonizes Blood, regulates menses, disperses Cold, moistens Intestine, unblocks bowels, reduces swelling, expels pus, generates flesh and alleviates pain.
Cx. Phellodendri	Huang Bai	4-9g	Drains Damp-Heat, especially from the Lower Jiao, drains Kidney Fire, drains Fire and relieves toxicity. With Zhi Mu, for Yin Deficiency fever with steaming bones and night sweats.
Rz. Anemarrhenae	Zhi Mu	4-9g	Clears Heat, Clears Heat from the Lung and Stomach, Clears Heat from the Qi Stage, Drains Fire, Generates fluids, Moistens Dryness, Nourishes Yin.

Formula Actions

• Replenishes Kidney Yin and Yang
• Tonifies Kidney Jing
• Purges Deficiency Fire
• Regulates the Chong and Ren

Syndromes

• Kidney Yin and Yang Deficiency
• Disharmony between the Chong and Ren Channels
• Kidney Yin/Yang deficiency with Empty-Fire (Secondary source)
• Menopausal syndrome

Clinical Manifestations

Amenorrhea Irregular menstruation Hot flashes Dizziness Tinnitus Night sweats Perspiration Nervousness Muscular flaccidity Fatigue Mood swings

Cold feet Lassitude Frequent, clear urine Irritability Headache Palpitations Insomnia T: Pale C: Thin and white P: Thready and rapid Hypertension Aversion to cold Lower back pain Weakness of the legs T: Pale and swollen (Secondary source) P: Thin and weak, especially at the proximal position (Secondary source)

Treats

Hypertension Psoriasis Irregular menstruation Hyperthyroidism Hypofunction of the pituitary Menopause Chronic glomerulonephritis Nephritis Breast cancer Insomnia Amenorrhea Nephropathy Tinnitus Fatigue Hot flashes Night sweats Infertility with Candidiasis

Pyelonephritis Polycystic Kidneys Urinary tract infection Renal vascular disease Urticaria Dermatosclerosis Lupus erythematosis Perimenopause syndrome Premature ovarian failure, prevention Frequent urination Infertility Aplastic anemia Palpitations Enuresis Male menopause Perspiration

Contraindications And Herb/Drug Interactions

Notes

• A complex formula that is also used for essential hypertension and other disorders not related to menopause.

Modifications

For psoriasis:		For menstruation with dark blood:
+ Rx. Paeoniae Rubra	Chi Shao	+ Flos Carthami	Hong Hua
+ Rx. Rehmanniae	Shu Di Huang	+ Sm. Persicae	Tao Ren
+ Fr. Ligustri Lucidi	Nu Zhen Zi	+ Flos Campsis	Ling Xiao Hua
+ Hb. Ecliptae	Mo Han Lian	For menstruation with abdominal pain:
Or		+ Rx. Paeoniae Alba	Bai Shao
+ 12g Cx. Moutan Radicis	Mu Dan Pi	+ Rz. Corydalis	Yan Hu Suo
+ 12g Hb. Cistanches	Rou Cong Rong	+ Rx. Linderae	Wu Yao
+ 10g Poria	Fu Ling	For lumbar and knee pain:
+ 10g Sm. Cuscutae	Tu Si Zi	+ Cx. Eucommiae	Du Zhong
+ 15g Rx. Polygoni Multiflori	He Shou Wu	+ Rx. Achyranthis Bidentatae	Niu Xi
+ 15g Rx. Salviae Miltiorrhizae	Dan Shen	For abdominal Cold and pain:
+ Rz. Cibotii	Gou Ji	+ Rz. Cyperi	Xiang Fu
Or		+ Excr. Trogopterori	Wu Ling Zhi
+ 15g Rx. Rehmanniae	Shu Di Huang	+ Pollen Typhae	Pu Huang
+ 12g Rx. Paeoniae Rubra	Chi Shao	For menopause syndrome:
+ Two ultimate Pill Er Zhi Wan
+ 12g Rx. Paeoniae Alba	Bai Shao
Or
+ 12g Hb. Leonuri	Yi Mu Cao	+ Nourish the Left Pill Zuo Gui Wan
+ 15g Rx. Polygoni Multiflori	He Shou Wu
For prevention of premature ovarian failure due to Kidney Yin and Yang Deficiency:
+ 15g Rz. Polygonati	Yu Zhu
+ 12g Sm. Cuscutae	Tu Si Zi	+ Restore the Kidneys Pill Gui Shen Wan
+ 9g. Fr. Xanthii	Cang Er Zi
+ Four Things Decoction Si Wu Tang		For insomnia:
+ Rx. Polygalae	Yuan Zhi
For hot flashes:		+ Sm. Zizyphi Spinosae	Suan Zao Ren
+ Rx. Stellariae	Yin Chai Hu	For fibrocystic breast disease due to Disharmony between the Chong and Ren:
+ Rx. Picrorhizae	Hu Huang Lian
For nephropathy:		+ Two-Solstice Pill Er Zhi Wan
- Rx. Morindae Officinalis	Ba Ji Tian
- Cx. Phellodendri	Huang Bai	+ Rambling Powder Xiao Yao San
= Rz. Anemarrhenae	Zhi Mu
+ 10g Rz. Atractylodis Macrocephalae	Bai Zhu	For fibrocystic breast disease due to Disharmony between the Chong and Ren with hard nodules:
+ 6g Fr. Psoraliae	Bu Gu Zhi	+ Rambling Powder Xiao Yao San
+ 6g Rx. Astragali	Huang Qi
+ 6g Hb. Cistanches	Rou Cong Rong	+ Two-Solstice Pill Er Zhi Wan
+ 6g Rx. Salviae Miltiorrhizae	Dan Shen
+ Rz. Curcumae	Yu Jin
+ 6g Rx. Saposhnikoviae	Fang Feng	+ Rz. Sparganii	E Zhu
For fibrocystic breast disease due to Disharmony between the Chong and Ren with nipple discharge:		+ Sargassum	Hai Zao
For Cushing's syndrome:
+ Rambling Powder Xiao Yao San		- Rx. Morindae	Ba Ji Tian
+ 18g Rx. Paeoniae Alba	Bai Shao
+ Two-Solstice Pill Er Zhi Wan		+ 12g Rx. Rehmanniae	Sheng Di Huang
+ Cx. Moutan	Mu Dan Pi	For Cushing's syndrome with marked Qi Deficiency:
+ Fr. Gardeniae	Zhi Zi	- Rx. Morindae	Ba Ji Tian
+ Hb. Ecliptae	Mo Han Lian	+ 18g Rx. Paeoniae Alba	Bai Shao
For Cushing's syndrome with marked Dampness:		+ 12g Rx. Rehmanniae	Sheng Di Huang
- Rx. Morindae	Ba Ji Tian	+ 15g Rx. Astragali	Huang Qi
+ 18g Rx. Paeoniae Alba	Bai Shao	+ 9g Rx. Codonopsis	Dang Shen
+ 12g Rx. Rehmanniae	Sheng Di Huang	For hypertension during menopause:
+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu	+ Cx. Eucommiae	Du Zhong
Or
+ 9g Poria	Fu Ling	+ 12g Cx. Eucommiae	Du Zhong
+ 9g Rz. Alismatis	Ze Xie	+ 12g Rx. Achyranthis Bidentatae	Niu Xi
For hypertension during menopause with Qi Deficiency:
For hypertension during menopause with night sweats and hot flashes:
+ 12g Cx. Eucommiae	Du Zhong
+ 12g Rx. Achyranthis Bidentatae	Niu Xi	+ 12g Cx. Eucommiae	Du Zhong
+ 12g Rx. Achyranthis Bidentatae	Niu Xi
+ 15g Rx. Astragali	Huang Qi
+9g Rx. Codonopsis	Dang Shen	+ 21g Fr. Tritici Levis	Fu Xiao Mai
For hypertension during menopause with Spleen Deficiency with loose stools:		+ 12g Concha Ostreae	Mu Li
For hypertension during menopause with Blood Stasis:
+ 12g Cx. Eucommiae	Du Zhong
+ 12g Rx. Achyranthis Bidentatae	Niu Xi	+ 12g Cx. Eucommiae	Du Zhong
+ 12g Rx. Achyranthis Bidentatae	Niu Xi
+ 9g Poria	Fu Ling
+ 9g Rx. Dioscoreae	Shan Yao	+ 9g Sm. Persicae	Tao Ren
For hypertension during menopause with Liver Qi Stagnation:		+ 9g Flos Carthami	Hong Hua
For hypertension with a dry mouth and throat:
+ 12g Cx. Eucommiae	Du Zhong	+ 15g Hb. Dendrobii	Shi Hu
+ 12g Rx. Achyranthis Bidentatae	Niu Xi	+ 9g Plastrum Testudinis	Gui Ban
+ 9g Fr. Toosendan	Chuan Lian Zi	For hypertension with chills and cold limbs:
For hot flashes:		+ 9g Cornu Cervi Pantotrichum	Lu Jiao
- Fr. Aurantii Immaturus	Zhi Shi
+ 9g Fossilia Ossis Mastodi	Long Gu	+ 9g Cx. Eucommiae	Du Zhong
For infertility due to Spleen and Kidney Yang Deficiency:
+ 9g Concha Ostreae	Mu Li
For infertility with candidiasis with Damp-Heat:		- Cx. Phellodendri	Huang Bai
- Rx. Angelicae Sinensis	Dang Gui	- Rz. Anemarrhenae	Zhi Mu
+ Rx. Astragali	Huang Qi
+ Rz./ Atractylodis Macrocephalae	Bai Zhu
+ Fr. Corni	Shan Zhu Yu
+ Concha Ostreae	Mu Li