Jia Jian Di Huang Tang - 加減地黃汤 - Modified Rehmannia Decoction

English:	Modified Rehmannia Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Rehmanniae	Sheng Di Huang	12g	Clears Heat, cools the Blood and nourishes Yin. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood. With Dang Gui, Chan Tui and Fang Feng, for skin disorders with itching due to Heat in the Blood. With Xuan Shen, for Excess or Deficiency Heat patterns. With Niu Xi, powerfully clears Deficiency Fire Blazing Upward.
Rx. Rehmanniae	Shu Di Huang	12g	Nourishes the Blood and nourishes Liver and Kidney Yin. With Dang Gui, for Blood Deficiency.
Rx,. Achyranthis Bidentatae	Niu Xi	6g	Invigorates the Blood, expels Blood Stasis and nourishes the Liver and Kidney Yin. With Sheng Di Huang, for powerfully clears Deficiency Fire Blazing Upward.
Rx. Angelicae Sinensis	Dang Gui	10g	Tonifies, invigorates, harmonizes the Blood, reduces swelling, expels pus, generates flesh and alleviates pain. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood.
Rz. et Rx. Notopterygii	Qiang Huo	10g	Releases the exterior and disperses Cold. With Fang Feng, for pain due to External Wind-Dampness.
Rz. Anemarrhenae	Zhi Mu	10g	Clears Deficiency Fire, Clears Heat, Drains Fire, Moistens Dryness, Nourishes Yin.
Rx. Saposhnikoviae	Fang Feng	10g	Releases the exterior and expels External Wind. With Qiang Huo, for Wind-Dampness.
Rx. Scrophulariae	Xuan Shen	10g	Clears Heat, Cools the Blood, Drains Fire and relieves toxicity, Nourishes Yin.
Flos Chrysanthemi	Ju Hua	6g	Disperses Wind, clears Heat, calms the Liver, clears the eyes and detoxifies. With Fang Feng, for Wind-Heat irritating the exterior with slight chills, mild fever, headache and itchy eyes. With Chan Tui, for superficial visual obstruction red, watery, swollen and painful eyes due to Liver Heat from either Wind-Heat or Liver Yang Rising.
Periostracum Cicadae	Chan Tui	6g	Disperses Wind, clears Heat, clears the eyes and removes superficial visual obstruction.

Formula Actions

• Nourishes Yin
• Dispels pathogenic factors

Syndromes

• Yin Deficiency with Retention of Pathogens

Clinical Manifestations

Prolonged course of recovery or Continual return of lesions Obvious dry and rough sensations 'of the eye Mild ciliary hyperemia or

Appearance of active lesion on the recovered scars T: Reddish C: Little P: Thready or thready and rapid

Treats

Keratitis

Contraindications And Herb/Drug Interactions

Notes

Modifications

For late-stage Qi and Yin Deficiency with fever:
+ 10g Rx. Codonopsis	Dang Shen
+ 10g Rx. Ophiopogonis	Mai Men Dong
+ 6g Fr. Schisandrae	Wu Wei Zi