Qing Xin Lian Zi Yin - 清心蓮子飲 - Lotus Semen Combination

English:	Decoction of Semen Nelumbinis for Eliminating Heart Fire
Also Known As:	Lotus Semen Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Ophiopogonis	Mai Men Dong	2-15g	Eliminates irritability, Generates fluids, Nourishes Stomach Yin, Promotes urination.
Sm. Plantaginis	Che Qian Zi	2-15g	Promotes urination and clears Heat.
Cx. Lycii	Di Gu Pi	2-25g	Clears and Drains Heat in the Lung, Cools the Blood, Drains Floating Fire in the Kidney channel, Drains Yin Deficiency Fire. With Huang Qin, for Blood Deficiency, Steaming Bone Disorder, or other recurrent afternoon fevers.
Rx. Ginseng	Ren Shen	3-22.5g	Tonifies Yuan Qi, Spleen and Stomach Qi, Lung Qi and Heart Qi. calms the Spirit, generates Body Fluids and stops thirst. With Huang Qi, for Lung Qi Deficiency.
(Rx. Pseudostellariae)	(Tai Zi Shen)	(3-22.5g)	(May substitute for Ren Shen.)
Sm. Nelumbinis	Lian Zi	3-22.5g	Astringes Jing, Calms the Spirit, Nourishes the Heart, Tonifies the Spleen and Kidneys.
Rx. Scutellariae	Huang Qin	2-15g	Clears Lung Heat, Detoxifies, Drains Fire, Dries Dampness.
Rx. Astragali	Huang Qi	3-20g	Strengthens the Spleen, tonifies Qi, generates Body Fluids, tonifies the Lungs (aids circulation of moisture downward from the face. promotes urination, reduces edema and expels toxins. With Ren Shen, for Qi Deficiency with general debility, anorexia and spontaneous sweat.
Poria	Fu Ling	3-22.5g	Harmonizes the Middle Jiao, Promotes urination, Resolves Dampness, Strengthens the Spleen. With Che Qian Zi, for Lin Syndrome, especially Milky Lin.
Rx. Glycyrrhizae (Preparata)	(Zhi) Gan Cao	2-15g	Clears Heat, Harmonizes the properties of other herbs, Moistens the Lungs, Relieves Fire toxicity and moderates, Resolves Phlegm, Stops cough, Tonifies the Spleen Qi.

Formula Actions

• Clears Heart Fire
• Disperses Damp-Heat
• Benefits Qi and Yin
• Promotes urination
• Treats Milky Lin (chyluria)

Syndromes

• Heart Fire with Kidney Yin Deficiency and Damp-Heat Attacking Downward
• Heart Fire with Qi and Yin Deficiency and Damp-Heat in the Lower Jiao

Clinical Manifestations

Restlessness Irritability Thirst Nocturnal emission Insomnia Dream disturbed sleep Lack of spirit Fatigue Low back pain Tinnitus Dysuria Depression Turbid urine Abnormal uterine bleeding

Polyuria Enuresis Seminal emission Leukorrhea Blood tinged leukorrhea Anorexia Dry mouth Dry Tongue Five Sole Heat Fever Physical and mental overexertion T: Red C: Little or None P: Deep and rapid

Treats

Chronic cystitis Chronic nephritis Diabetes Leukorrhea Pyelonephritis Pyelitis Urine looks like rice water (milky) Nocturnal emission Spermatorrhea Urinary tract infection Tuberculosis of the Kidney Prostatitis Chyluria Benign prostatic hypertrophy Nephrolithiasis Hyperglycemia Tinnitus Anorexia Nephrotic syndrome Strangury

Spleen, Lung and Kidney disorders due to excessive alcohol consumption Enuresis Diabetic neuropathy Renal calculi Chronic gonorrhea Impotence Urinary retention Stomatitis Hyperthyroidism Acute glomerulonephritis Urinary tract inflammation Urolithiasis Yeast infection Depression Low back pain Fatigue Insomnia Spermatorrhea Vaginitis

Contraindications And Herb/Drug Interactions

Notes

Modifications

For prominent Fire and severe Deficiency:		For fever:
+ Rz. Anemarrhenae	Zhi Mu	+ Rx. Bupleuri	Chai Hu
+ Cx. Phellodendri	Huang Bai	+ Hb. Menthae	Bo He
For nephrotic syndrome:		For glomerulonephritis:
- Rx. Ginseng	Ren Shen	- Rx. Ginseng	Ren Shen
+ 15g Rx. Pseudostellariae	Tai Zi Shen	- Poria	Fu Ling
+ 30g Rz. Imperatae	Bai Mao Gen
- Sm. Nelumbinis	Lian Zi	+ 20g Fol. Pyrrosiae	Shi Wei
+ 15g Rx. Rehmanniae	Sheng Di Huang	+ 20g Hb. Cirsii Japonici	Da Ji
+ 10g Rx. Bupleuri	Chai Hu	+ 20g Hb. Cirsii	Xiao Ji
+ 10g Fr. Corni	Shan Zhu Yu	For pyelonephritis:
+ 30g Rz. Imperatae	Bai Mao Gen	- Rx. Ginseng	Ren Shen
+ 30g Fol. Pyrrosiae	Shi Wei	- Rx. Glycyrrhizae	Gan Cao
For leukorrhea with lower back pain:		+ 15g Bul. Lilii	Bai He
+ 9g Cx. Eucommiae	Du Zhong	+ 12g Rx. Cynanchi Atrati	Bai Wei
+ 9g Rx. Dipsaci	Xu Duan
For yellow leukorrhea:		+ 30g Hb. Taraxaci	Pu Gong Ying
+ 9g Cx. Phellodendri	Huang Bai	+ 18g Benefit the Basal Powder Yi Yuan San
For yellow leukorrhea:
+ 9g Sm. Cuscutae	Tu Si Zi	For spermatorrhea and nocturnal emission:
+ 9g Sm. Euryales	Qian Shi	- Rx. Ginseng	Ren Shen
For leukorrhea due to Heart Fire with Qi and Yin Deficiency and Damp-Heat:		- Rx. Astragali	Huang Qi
- Rx. Glycyrrhizae Preparata	Zhi Gan Cao	- Rx. Glycyrrhizae Preparata	Zhi Gan Cao
= 4.5g Rx. Bupleuri	Chai Hu	+ 6g Rz. Coptidis	Huang Lian
+ 6g Plumula Nelumbinis	Lian Zi Xin