Tian Wang Bu Xin Dan - 天王補心丹 - Emperor Of Heaven'S Special Pill To Tonify The Heart

English:	Emperor of Heaven's Special Pill to Tonify the Heart
Also Known As:	Ginseng and Zizyphus Formula Emperor's Tea The King's Mind Easing Tonic Pills Celestial Emperor’s Heart Supplementing Elixir The Heavenly King's Tonic Pills

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Rehmanniae	Sheng Di Huang	1.3-30g	Clears Heat, Cools Heart Fire, Cools the Blood, Enriches Yin and Blood. With Xuan Shen, for dry throat, irritability, a red tongue and a thready rapid pulse due to Yin Xu with Fire Flaring.
Rx. Ginseng	Ren Shen	1-9g	Tonifies Heart Qi and calms the Shen. With Fu Ling, assists Heart Qi. With Mai Men Dong and Wu Wei Zi, for Qi and Yin Xu.
(Rx. Codonopsis)	(Dang Shen)	(3-27g)	(Substitute for Ren Shen.)
Rx. Asparagi	Tian Men Dong	1.3-15g	Enriches the Yin and generates Fluids. With Mai Men Dong, for Yin Xu with injured Fluids. With Mai Men Dong and Xuan Shen, clears Xu Heat and nourishes Yin.
Rx. Ophiopogonis	Mai Men Dong	1.3-15g	Enriches the Yin and clears the Heart. With Ren Shen and Wu Wei Zi, for exhaustion, increased Heart rate, profuse perspiration and wheezing due to severe Heart and Lung Xu.
Rx. Scrophulariae	Xuan Shen	1-20g	Enriches Yin and clears Heat.
Rx. Salviae Miltiorrhizae	Dan Shen	1.3-20g	Invigorates, cools and nourishes the Blood and clears Heat. With Dang Gui, nourishes Blood to nourish the Heart without causing Stasis. With Suan Zao Ren and Bai Zi Ren, for Heart Blood Xu with palpitations and insomnia.
Poria	Fu Ling	1.3-15g	Strengthens the Spleen and pacifies the Heart. With Suan Zao Ren, Wu Wei Zi and Yuan Zhi, for palpitations and insomnia.
(Poria Pararadicis)	(Fu Shen)	(1.5-12g)	(May substitute for Fu Ling.)
Rx. Polygalae	Yuan Zhi	1.3-9g	Calms the Shen, sedates the Heart and opens the channel between the Heart and Kidneys. With Bai Zi Ren, calms the Shen. With Fu Shen and Suan Zao Ren, for irritability, disorientation, palpitations, anxiety and insomnia due to Heart Blood Xu.
Rx. Angelicae Sinensis	Dang Gui	1.3-9g	Nourishes and invigorates Blood.
Fr. Schisandrae	Wu Wei Zi	1.3-12g	Astringes excessive perspiration, Calms the Shen, Generates Fluids, Nourishes the Heart, Tonifies Kidney Jing, Tonifies Qi. With Suan Zao Ren, astringes Heart Qi. With Suan Zao Ren and Sheng Di Huang, for Heart Qi Xu with insomnia, irritability and forgetfulness.
Sm. Platycladi	Bai Zi Ren	1.3-12g	Nourishes the Heart and Kidneys, calms the Shen and astringes Yin Xu perspiration. With Yuan Zhi and Suan Zao Ren, for insomnia, and palpitations due to Heart Blood Xu.
Sm. Zizyphi Spinosae	Suan Zao Ren	1.3-12g	Augments Liver Blood, Calms the Shen and astringes sweat, Nourishes Heart Yin. With Wu Wei Zi, prevents leakage of Heart Qi.
Rx. Platycodi	Jie Geng	1.3-9g	Directs actions of the formula upwards.
Cinnabaris	Zhu Sha	1-3g	Sedates the Heart and anchors and calms the Shen. With Suan Zao Ren, Bai Zi Ren and Dang Gui, for insomnia or palpitations with anxiety due to Blood Xu.
(Rz. Coptidis)	(Huang Lian)	(1.3g)	(Clears Heart Fire - used in some versions.)
(Rz. Acori Tatarinowii)	(Shi Chang Pu)	(1.3g)	(Opens Orifices and calms the Shen - used in some versions.)

Formula Actions

• Enriches the Yin
• Nourishes the Blood
• Tonifies the Heart and Kidneys
• Calms the Shen
• Clears Heat

Syndromes

• Heart Yin Xu
• Heart and Kidney Yin Xu (with Fire Flaring)
• Heart and Kidney Yin Xu with Heart Blood Xu
• Heart & Kidney Yin deficiency with Empty-Fire (Secondary source)

Clinical Manifestations

Irritability Palpitations Anxiety Fatigue Insomnia Very restless sleep Inability to think or concentrate even for short periods Nocturnal emissions Forgetfulness

Dry stools Mouth sores Tongue sores Low grade afternoon fever Dream disturbed sleep Night sweats Constipation T: Red C: Little P: Rapid or Thready and rapid

Treats

Coronary Heart disease Menopause syndrome Chronic urticaria Aphthous ulcers Neurasthenia Insomnia Hypertension Hyperthyroidism Goiter Amenorrhea Angina pectoris Impotence Dizziness AIDS/HIV Numbness Parkinson's disease Drug abuse Senility Constipation Obsessive-compulsive disorder Post-traumatic stress disorder (PTSD) Shock Hysteria Neurosis Forgetfulness Fatigue Night sweats Nocturnal emissions Post-menopausal uterine bleeding

Palpitations Hyperparathyroidism Mental disturbances Anemia Congestion Stomatitis Emotional instability Ephidrosis Sinus tachycardia Anxiety Infertility Viral myocarditis Attention deficit disorder Hepatitis Hematuria Thromboangitis obliterans Paresthesia Tremors Bi-polar disorder Low-grade fever Anxiety neurosis Involutional psychosis Panic attacks Low back pain Weakness Congestive Heart failure Spermatorrhea Dermatitis Insomnia associated with AIDS/HIV

Contraindications And Herb/Drug Interactions

Notes

• Recommended for people who do a lot of reading.
• Good for people who have taken tranquilizers and sleeping pills for a long time and they have lost their effect.
• Composition: Sheng Di Huang 12g, Tian Men Dong 9g, Mai Men Dong 9g, Xuan Shen 5g, Dan Shen 5g, Dang Gui 9g, Bai Zi Ren 9g, Yuan Zhi 5g, Ren Shen 5g, Fu Ling 5g, Suan Zao Ren 9g, Wu Wei Zi 9g, Jie Geng 5g, Zhu Sha (as the pill coating), Long Yan Rou (taken as a tea with the pills) (Secondary source)
• A good choice for elderly patients who have trouble sleeping along with constipation from dry stools.
• Insomnia formulas compared (base points HT-7, SP-6, Anmian): Suan Zao Ren Tang for Liver Blood Deficiency leading to Heart Yin Deficiency (T: red, P: wiry, thin, rapid; add UB-15, UB-18); Tian Wang Bu Xin Dan for Heart and Kidney Yin Deficiency with Heat (T: red, no coat, P: thin, rapid; add UB-15, UB-23); Gui Pi Tang for Spleen Qi and Heart Blood Deficiency (T: pale, P: thin, weak; add UB-15, UB-20).

Modifications

For severe palpitations, amnesia and a small and weak pulse:		For severe palpitations and insomnia :
+ Arillus Longan	Long Yan Rou	+ Arillus Longan	Long Yan Rou
For Internal Wind:		+ Caulis Polygoni Multiflori	Ye Jiao Teng
+ Ram. Uncariae cum Uncis	Gou Teng	For Spleen Xu with loose stools:
+ Fr. Tribuli	Bai Ji Li	+ Rz. Atractylodis	Bai Zhu
+ Rx. Paeoniae Alba	Bai Shao	+ Sm. Coicis	Yi Yi Ren
For Kidney Xu:		+ Rx. Dioscoreae	Shan Yao
+ Plastrum Testudinis	Gui Ban	+ Fr. Hordei Germinatus	Mai Ya
+ Sm. Cuscutae	Tu Si Zi	For low back pain with tinnitus:
For goiter due to Heart and Liver Yin Xu with Phlegm:		+ 15g Fr. Ligustri	Nu Zhen Zi
+ Fr. Lycii	Gou Qi Zi	+ 9g Rx. Polygoni Multiflori	He Shou Wu
+ Fr. Toosendan	Chuan Lian Zi	+ 9g Plastrum Testudinis	Gui Ban
Or		For mouth and tongue sores:
+ Linking Decoction Yi Guan Jian		+ Plumula Nelumbinis	Lian Zi Xin
For severe dry mouth and throat:		For nocturnal emission:
+ Hb. Dendrobii	Shi Hu	- Poria	Fu Ling
For insomnia:		- Rx. Polygalae	Yuan Zhi
+ Caulis Polygoni Multiflori	Ye Jiao Teng	- Rx. Platycodi	Jie Geng
+ Fr. Rosae Laevigatae	Jin Ying Zi
For insomnia with pronounced Deficiency Heat::		+ Sm. Euryales	Qian Shi
+ Caulis Polygoni Multiflori	Ye Jiao Teng	For toothache:
+ Clear the Stomach Powder Qing Wei San
+ Hb. Artemisiae Annuae	Qing Hao
For mouth and tongue ulcerations:
+ Concha Ostreae	Mu Li	+ Rz. Coptidis	Huang Lian
For dry mouth and throat:		+ Cx. Moutan	Mu Dan Pi
+ Hb. Dendrobii	Shi Hu	For constipation:
+ Rz. Polygonati Odorati	Yu Zhu	+ Cx. Magnoliae Officinalis	Hou Po
For inability to concentrate and forgetfulness:
+ Rx. Polygalae	Yuan Zhi	+ Fr. Aurantii Immaturus	Zhi Shi
+ Rz. Acori Tatarinowii	Shi Chang Pu	For more severe insomnia:
+ Fol. Gingko	Bai Guo Ye	+ Fossilia Ossis Mastodi	Long Gu
For spermatorrhea or nocturnal emissions:		+ Magnetitum	Ci Shi
+ Fr. Rosae Laevigatae	Jin Ying Zi	For dizziness and vertigo:
+ Sm. Euryales	Qian Shi	+ Rz. Chuanxiong	Chuan Xiong
+ Concha Ostreae	Mu Li	+ Rx. Angelicae Dahuricae	Bai Zhi
For over thinking and worrying:
+ Rambling Powder Xiao Yao San		For insomnia or restless sleep:
+ Sm. Zizyphi Spinosae	Suan Zao Ren
For coronary Heart disease:		For angina pectoris with severe chest oppression:
+ More Rx. Ginseng	Ren Shen
For angina pectoris with severe pain:		+ Fr. Aurantii Immaturus	Zhi Shi
+ Styrax	Su He Xiang	+ Lignum Santali Albi	Tan Xiang
+ Borneolum	Bing Pian	+ Fr. Citri Sarcodactylis	Fo Shou
For angina pectoris with Heart Yin Deficiency:		For angina pectoris with insomnia:
+ Rx. Codonopsis	Dang Shen	+ Caulis Polygoni Multiflori	Ye Jiao Teng
For angina pectoris with a thick, greasy tongue coat:
+ X. Albizziae	He Huan Pi
+ Fr. Trichosanthis	Gua Lou	For angina pectoris with an irregular heartbeat:
For viral myocarditis:		+ Rx. Glycyrrhizae Preparata	Zhi Gan Cao
+ Rx. Salviae Miltiorrhizae	Dan Shen
For impotence with mouth and tongue sores and burning pain in the penis:
For impotence with premature ejaculation and seminal emission:
+ Hb. Phylostachys Nigra	Zhu Ye
+ Fr. Rosae Laevigatae	Jin Ying Zi
+ Sm. Euryales	Qian Shi	+ Caulis Akebiae	Mu Tong
For impotence with palpitations, fear and fright:		+ Cinnabaris	Zhu Sha
+ Licorice, Wheat and Jujube Decoction Gan Mai Da Zao Tang		For coronary Heart disease:
- Rx. Ginseng	Ren Shen
For coronary Heart disease due to Heart Yin Deficiency:		- Rx. Asparagi	Tian Men Dong
- Poria	Fu Ling
- Rx. Rehmanniae	Sheng Di Huang	- Rx. Platycodi	Jie Geng
- Rx. Platycodi	Jie Geng	- Cinnabaris	Zhu Sha
- Cinnabaris	Zhu Sha	+ 12g Poria Pararadicis	Fu Shen
For coronary Heart disease due to Heart Yin Deficiency with severe palpitations:		+ 6g Rx. Pseudostellariae	Tai Zi Shen
- Rx. Rehmanniae	Sheng Di Huang	+ Rx. Glycyrrhizae	Gan Cao
- Rx. Platycodi	Jie Geng	For coronary Heart disease due to Heart Yin Deficiency with severe Yin Deficiency:
- Cinnabaris	Zhu Sha
+ 15g Magnetitum	Ci Shi	- Rx. Platycodi	Jie Geng
+ 15g Fossilia Ossis Mastodi	Long Gu	- Cinnabaris	Zhu Sha
+ 12g Rx. Paeoniae Alba	Bai Shao
+ 15g Concha Ostreae	Mu Li	For coronary Heart disease due to Heart Yin Deficiency with dizziness, tinnitus and high blood pressure:
For coronary Heart disease due to Heart Yin Deficiency with low back pain, weakness of the lower limbs and high blood pressure:
- Rx. Rehmanniae	Sheng Di Huang
- Rx. Rehmanniae	Sheng Di Huang	- Rx. Platycodi	Jie Geng
- Rx. Platycodi	Jie Geng	- Cinnabaris	Zhu Sha
- Cinnabaris	Zhu Sha	+ 18g Concha Haliotidis	Shi Jue Ming
+ 15g Hb. Taxilli	Sang Ji Sheng	+ 12g Ram. cum Uncis Uncariae	Gou Teng
+ 15g Rx. Achyranthis Bidentatae	Niu Xi
+ 24g Flos Chrysanthemi	Ju Hua
+ 12g Cx. Eucommiae	Du Zhong
For coronary Heart disease due to Heart Yin Deficiency with easy anger, a red face and severe restlessness:		For coronary Heart disease due to Heart Yin Deficiency with night sweats and hot flashes in the face:
- Rx. Rehmanniae	Sheng Di Huang	- Rx. Rehmanniae	Sheng Di Huang
- Rx. Platycodi	Jie Geng	- Rx. Platycodi	Jie Geng
- Cinnabaris	Zhu Sha	- Cinnabaris	Zhu Sha
+ 9g Spica Prunellae	Xia Ku Cao	+ 12g Cx. Lycii	Di Gu Pi
+ 9g Fr. Gardeniae	Zhi Zi	+ 12g Cx. Moutan	Mu Dan Pi
+ 9g Cx. Moutan	Mu Dan Pi	+ 12g Rz. Anemarrhenae	Zhi Mu
For coronary Heart disease due to Heart Yin Deficiency with a dry mouth, profuse drinking and hyperglycemia:		For coronary Heart disease due to Heart Yin Deficiency with Phlegm-Heat:
- Rx. Rehmanniae	Sheng Di Huang	- Rx. Rehmanniae	Sheng Di Huang
- Rx. Platycodi	Jie Geng	- Rx. Platycodi	Jie Geng
- Cinnabaris	Zhu Sha	- Cinnabaris	Zhu Sha
+ 24g Rx. Trichosanthis	Tian Hua Fen	+ 12g Per. Trichosanthis	Gua Lou Pi
+ 30g Rz. Dioscoreae	Shan Yao	+ 9g Rz. Pinelliae Preparatum	Zhi Ban Xia
For hypertension:
- Fr. Schisandrae	Wu Wei Zi	+ 9g Rx. Scutellariae	Huang Qin
- Cinnabaris	Zhu Sha	For hypertension with severe dizziness and numbness of the limbs:
+ 30g Concha Ostreae	Mu Li
+ 30g Fossilia Ossis Mastodi	Long Gu	- Fr. Schisandrae	Wu Wei Zi
- Cinnabaris	Zhu Sha
+ 3g Rz. Coptidis	Huang Lian	+ 30g Concha Ostreae	Mu Li
For hypertension with dry, bound stools:		+ 30g Fossilia Ossis Mastodi	Long Gu
- Fr. Schisandrae	Wu Wei Zi
- Cinnabaris	Zhu Sha	+ 3g Rz. Coptidis	Huang Lian
+ 30g Concha Ostreae	Mu Li	+ 12g Ram. cum Uncis Uncariae	Gou Teng
+ 30g Fossilia Ossis Mastodi	Long Gu
+ 12g Pheretima	Di Long
+ 3g Rz. Coptidis	Huang Lian	+ 12g Rz. Gastrodiae	Tian Ma
+ 15g Sm. Sesame Nigrum	Hei Zhi Ma	For hypertension with Liver Qi Stagnations:
- Fr. Schisandrae	Wu Wei Zi
+ 15g Sm. Platycladi	Bai Zi Ren	- Cinnabaris	Zhu Sha
For hypertension with Blood Stasis:		+ 30g Concha Ostreae	Mu Li
- Fr. Schisandrae	Wu Wei Zi	+ 30g Fossilia Ossis Mastodi	Long Gu
- Cinnabaris	Zhu Sha
+ 30g Concha Ostreae	Mu Li	+ 3g Rz. Coptidis	Huang Lian
+ 30g Fossilia Ossis Mastodi	Long Gu	+ 12g Fr. Toosendan	Chuan Lian Zi
For hyperthyroidism with low back pain:
+ 3g Rz. Coptidis	Huang Lian	+ Linking Decoction Yi Guan Jian
+ 12g Rx. Salviae Miltiorrhizae	Dan Shen
+ 15g Rx. Ligustri Lucidi	Nu Zhen Zi
+ 12g Rx. Angelicae Sinensis	Dang Gui	+ 9g. Rx. Polygoni Multiflori	He Shou Wu
+ 9g Plastrum Testudinis	Gui Ban
For hyperthyroidism with a flushed face and slight trembling of the fingers:
+ Linking Decoction Yi Guan Jian		For insomnia:
- Rx. Platycodi	Jie Geng
+ 30g Concha Margaritaferae	Zhen Zhu Mu	- Cinnabaris	Zhu Sha
For insomnia with severe palpitations:
+ 9g Ram. cum Uncis Uncariae	Gou Teng	- Rx. Platycodi	Jie Geng
- Cinnabaris	Zhu Sha
+ 15g Concha Ostreae	Mu Li	+ 15g calcined Dens Draconis	Duan Long Chi
For insomnia with night sweats:
- Rx. Platycodi	Jie Geng	Or
- Cinnabaris	Zhu Sha	+ 12g calcined Fossilia Ossis Mastodi	Duan Long Gu
+ 15g calcined Fossilia Ossis Mastodi	Duan Long Gu
+ 12g calcined Concha Ostreae	Duan Mu Li
+ 10g Rx. Paeoniae Alba	Bai Shao
For menopause with dizziness and tinnitus:		For palpitations with a hectic fever and night sweats:
+ Fr. Gardeniae	Zhi Zi
+ Fr. Corni	Shan Zhu Yu	+ 9g Rz. Anemarrhenae	Zhi Mu
+ Flos Chrysanthemi	Ju Hua	+ 9g Rz. et Rx. Notopterygii	Qiang Huo
+ Concha Haliotidis	Shi Jue Ming
For palpitations with night sweats:		+ 15g Fossilia Ossis Mastodi	Long Gu
+ 9g Sm. Tritici Levis	Fu Xiao Mai
+ 9g Rx. Paeoniae Alba	Bai Shao	+ 15g Concha Ostreae	Mu Li
For menopause with profuse sweating:		For insomnia with mouth and tongue ulcers:
+ Concha Ostreae	Mu Li	- Rx. Platycodi	Jie Geng
+ Fr. Oryzae	Geng Mi	- Cinnabaris	Zhu Sha
For palpitations with Five Sole Heat and a dry mouth with a bitter taste:		+ 6g Hb. Lophatheri	Dan Zhu Ye
+ 6g Rz. Coptidis	Huang Lian
+ 3g Rz. Coptidis	Huang Lian	For post-menopausal uterine bleeding with insomnia and much dreaming:
+ 9g Rx. Dioscoreae	Shan Yao
For post-menopausal uterine bleeding with emotional instability:		+ Cx. Albizziae	He Huan Pi
For post-menopausal uterine bleeding with palpitations:
+ Fr. Tritici Levis	Fu Xiao Mai
+ Flos Carthami	Hong Hua	+ Magnetitum	Ci Shi
For insomnia associated with AIDS/HIV:
- Rx. Angelicae Sinensis	Dang Gui
- Rx. Platycodi	Jie Geng