Ti Huang Di Tang - 倜地黄汤 - Exalted Rehmannia Decoction

English:	Exalted Rehmannia Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelicae Sinensis	Dang Gui	3-15g	Tonifies, invigorates and harmonizes the Blood, disperses Cold and regulates the menses. With Rou Cong Rong, for Blood Deficiency failing to supply the sinews of the Intestines, interfering with peristalsis.
Rx. Rehmanniae Preparata	Shu Di Huang	9-30g	Nourishes Jing and Blood, fills the Marrow, and nourishes Liver and Kidney Yin. With Gui Ban, for dizziness, insomnia, tinnitus, forgetfulness, afternoon fevers and night sweats due Yin Deficiency with Yang Rising.
Rx. Poloygoni Multiflori	He Shou Wu	9-30g	Tonifies the Liver and Kidneys, nourishes the Blood and nourishes Jing.
Rx. Dipsaci	Xu Duan	6-21g	Tonifies the Liver and Kidneys, stops uterine bleeding, calms the fetus and prevents miscarriage.
Colla Corii Asini	E Jiao	3-16g	Tonifies and nourishes the Blood, nourishes and moistens Yin and stops bleeding.
Plastrum Testudinis	Gui Ban	9-45g	Anchors Yang, Benefits the Kidneys, Cools the Blood, Enriches Yin, Nourishes the Blood, Nourishes Yin, Stabilizes the Chong and Ren channels, Stops uterine bleeding.
Fr. Lycii	Gou Qi Zi	5-18g	Nourishes and tonifies Liver and Kidney Blood and Yin, benefits Jing and brightens the eyes.
Hb. Cistanches	Rou Cong Rong	6-21g	Tonifies the Kidneys, strengthens Yang, Benefits Jing and marrow and warms the Womb.

Formula Actions

• Regulates the Liver
• Tonifies the Kidneys
• Nourishes the Chong and Ren

Syndromes

• Kidney Yin, Yang and Jing Deficiency with Liver Blood deficiency

Clinical Manifestations

Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Tinnitus Low libido Infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea Poor memory Aching in bones Aching in leg and heel Hair loss Graying or whitening of the hair

Weak sexual function Atrophy and weakness of the feet with difficulty walking Brittle bones Gradual deterioration of the hearing Pale face Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Normal, Pale or Pale and swollen C: Little or Thin and white P: Thready or Deep and thready - maybe slowor Thready and rapid

Treats

Endoctine dyscrasia anovulation

Contraindications And Herb/Drug Interactions

Notes

• Thias formula strengthens the corpus luteum and creates a favorable environment for the ovum to implant.

Modifications

With more pronounced Yang Deficiency:		With more pronounced Yin Deficiency:
+ Sm. Cuscutae	Tu Si Zi	+ Fr. Ligustri Lucidi	Nu Zhen Zi
+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Hb. Ecliptae	Mo Han Lian