Liang Di Tang - 两地汤 - Two Di Decoction

English:	Two Di Decoction
Also Known As:	Decoction of Rehmannia and Lycii Radicis

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Rehmanniae	Sheng Di Huang	30g	Clears Heat, Cools the Blood, Nourishes Yin and generates fluids. With E Jiao, for uterine hemorrhage due to Deficiency Heat. With Xuan Shen, for Yin Deficiency Fire. With Bai Shao, for Heat due to Blood Deficiency.
Cx. Lycii	Di Gu Pi	9g	Clears Deficiency Heat and cools the Blood.
Rx. Scrophulariae	Xuan Shen	15g	Clears Heat, cools the Blood and nourishes Yin. With Mai Men Dong, clears Deficiency Heat and nourishes Yin. With Sheng Di Huang, for Yin Deficiency Fire.
Rx. Ophiopogonis	Mai Men Dong	9g	Nourishes Yin. With Xuan Shen, Clears Deficiency Heat and nourishes Yin.
Rx. Paeoniae Alba	Bai Shao	15g	Astringes the Blood and Yin, nourishes the Blood and regulates the menses. With Sheng Di Huang, for Heat due to Blood Deficiency.
Colla Corii Asini	E Jiao	12g	Nourishes Blood, nourishes Yin and stops bleeding. With Sheng Di Huang, for uterine hemorrhage due to Deficiency Heat.

Formula Actions

• Nourishes the Blood
• Nourishes Kidney Yin
• Clears Deficiency Heat
• Cools the Blood
• Stops bleeding

Syndromes

• Deficiency Heat in the Blood
• Kidney Yin Deficiency with Empty Fire Rising
• Kidney Yin deficiency with Empty Fire rising (Secondary source)

Clinical Manifestations

Early menstrual period (short cycle) Discharge of a small amount of thick, bright red Blood Heavy flow Mid cycle bleeding (spotting) Bloody vaginal discharge Discharge begins with scant light-colored Blood Dizziness Blurred vision Hectic fever Flaccidity of the lower limbs

Flushed cheeks Sore throat Tinnitus Heartburn Thirst Five sole Heat Night sweats Lack of skin luster T: Red or Crimson C: Little or None P: Thready and rapid or Deep, small and weak

Treats

Early menstruation (short cycle) Menorrhagia Irregular menstruation Vaginal discharge Menorrhagia Dysmenorrhea

Metrorrhagia Consumptive diseases Prolonged menstruation Night sweats Infertility Prolonged menstruation

Contraindications And Herb/Drug Interactions

Notes

• For infertility, take this after menstruation and take Modified Cool the Bones and Nourish the Kidneys Decoction Qing Gu Zi Shen Tang Jia Wei premenstrually.

Modifications

For metrorrhagia:		For decreased menses:
+ Fr. Ligustri Lucidi	Nu Zhen Zi	+ 15g Rz. Dioscoreae	Shan Yao
+ Hb. Ecliptae	Han Lian Cao	+ 12g Fr. Lycii	Gou Qi Zi
+ Sm. Cuscutae	Tu Si Zi	+ 15g Rx. Polygoni Multiflori	He Shou Wu
+ Rx. Dipsaci	Xu Duan	For Five Sole Heat:
For prolonged menstruation:		+ 12g Rx. Cynanchi Atrati	Bai Wei
+ Two-Solstice Pill Er Zhi Wan
+ 15g Plastrum Testudinis	Gui Ban
For infertility:
+ Rx. Angelicae Sinensis	Dang Gui	For prolonged menstruation, to stop bleeding quickly:
+ Per. Citri Reticulatae	Chen Pi
+ Fr. Ligustri Lucidi	Nu Zhen Zi
+ Hb. Ecliptae	Han Lian Cao
+ Rx. Rubiae	Qian Cao Gen
+ Hb. Leonuri	Yi Mu Cao
+ Endoconcha Sepiae	Hai Piao Xiao