GUI LU BU SHEN TANG - 龟鹿補參湯 - TORTOISE PLASTRON GLUE AND DEER ANTLER GLUE TONIFY THE KIDNEYS DECOCTION

English:	Tortoise Plastron Glue and Deer Antler Glue Tonify the Kidneys Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Colla Cornu Cervi	Lu Jiao Jiao	12g	Tonifies the Kidneys, strengthens Yang, and tonifies and nourishes Qi and Blood. With Gui Ban Jiao, tonifies Yin and Yang. With Shu Di Huang, for impotence and spermatorrhea (men) and infertility and thin vaginal discharge (women) due to Kidney Deficiency Cold.
Colla Plastrum Testudinis	Gui Ban Jiao	12g	Tonifies Yin and nourishes Blood.
Fr. Lycii	Gou Qi Zi	12g	Nourishes and tonifies Liver and Kidney Blood and Yin and benefits Jing. With Shu Di Huang, for Liver and Kidney Deficiency.
Hb. Cistanches	Rou Cong Rong	12g	Tonifies the Kidneys, strengthens the Yang, Benefits Jing and marrow and warms the Womb. With Ba Ji Tian, tonifies Yang without injuring Yin. With Yin Yang Huo, for decreased sexual desire.
Rx. Astragali Preparata	Zhi Huang Qi	18g	Tonifies Qi and Blood.
Rx. Rehmanniae Preparata	Shu Di Huang	20g	Nourishes Jing and Blood, fills the Marrow and nourishes Liver and Kidney Yin.
Hb. Epimedii	Yin Yang Huo	9g	Tonifies the Kidneys, strengthens Yang and increases the libido.
Fr. Alpiniae Oxyphyllae	Yi Zhi Ren	9g	Warms the Kidneys and astringes Jing and urine.
Rx. Morindae Officinalis	Ba Ji Tian	15g	Tonifies the Kidneys and strengthens Yang.
(Actinolitum)	(Yang Qi Shi)	(20g)	(Warms the Kidneys and the Lower Jiao, warms the Ming Men and fortifies the Yang. Not included in some versions.)

Formula Actions

• Tonifies the Kidneys
• Warms Yang
• Benefits Jing

Syndromes

• Kidney Yang Deficiency

Clinical Manifestations

Low back and knees feel cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale or waxy pale complexion Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Maybe incontinence The urge to urinate may increase with exposure to Cold The urge to urinate is worse with prolonged standing and lifting Lower abdominal distention Lassitude Listlessness Fatigue Cold feet

Withdrawn, subdued behavior A partial erection Lack of erection on waking Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools or Constipation Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen or Pale, moist and swollen C: Thin and white P: Deep and thready - maybe slow or Slow and weak

Treats

Polyuria Lumbago Spermatorrhea Fatigue Constipation

Impotence Premature ejaculation Knee pain Edema Urinary incontinence

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe Cold:		For spermatorrhea and premature ejaculation:
+ Cx. Cinnamomi	Rou Gui	+ Fr. Rosae Laevigatae	Jin Ying Zi
+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ Ootheca Mantidis	Sang Piao Xiao