Zi Shen Ming Mu Tang - 滋腎明目湯 - Chrysanthemum Combination

English:	Enrich the Kidneys and Improve Vision Decoction
Also Known As:	Nourish the Kidneys to Brighten the Eyes Decoction Kidney Qi Eye Brightening Decoction Shen Qi Ming Mu Tang Chrysanthemum Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Angelicae Sinensis	Dang Gui	3-6g	Tonifies Invigorates and harmonizes the Blood, regulates the menses, disperses Cold and stops pain due to Blood Stasis. With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat. With Bai Shao, Chuan Xiong and Shu Di Huang , for menstrual irregularity, amenorrhea, and dysmenorrhea due to Blood Deficiency or Blood Stasis. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood. With Gan Cao, moderates spasms and relieves abdominal pain. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis and treats abdominal pain.
Rz. Chuanxiong	Chuan Xiong	3-6g	Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain. With Dang Gui, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis and eliminates Wind-Damp Invasion blocking the Blood vessels causing pain, numbness, and paralysis. With Dang Gui, Sheng Di Huang and Bai Shao, for headache due to Blood Deficiency.
Rx. Paeoniae Alba	Bai Shao	3-6g	Nourishes Blood, regulates menstruation, calms Liver Yang and Liver Wind, softens the Liver and relieves pain. With Dang Gui and Shu Di Huang, for dizziness, blurred vision, and dysmenorrhea due to Blood Deficiency or Stasis. With Gan Cao, regulates the relationship between the Liver and Spleen and nourishes the sinews for abdominal pain due to disharmony between the Liver and Stomach, epigastric, hypochondriac or flank pain and muscle spasms, pain and numbness, especially in the calf, due to Blood Deficiency.
Rx. Rehmanniae	Sheng Di Huang	3-6g	Clears Heat, cools the Blood, nourishes Yin, generates fluids, increases saliva, and cools Heart Fire. With Bai Shao, for Blood Deficiency Heat. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood.
Rx. Rehmanniae Preparata	Shu Di Huang	3-6g	Nourishes the Blood, nourishes Liver and Kidney Yin, and nourishes Jing and Blood and fills the Marrow. With Dang Gui, for Blood Deficiency marked by dizziness, palpitations, insomnia and menstrual dysfunction. With Dang Gui and Huang Lian, for Blood Deficiency with Heat leading to irregular menstruation and infertility. With Dang Gui, Bai Shao and Chuan Xiong, for anemia.
Rx. Ginseng	Ren Shen	1.5-3g	Powerfully tonifies Yuan Qi, tonifies the Qi of the Spleen, Stomach, Lung and Heart and calms the Spirit. With Shu Di Huang, for severe Qi and Blood Deficiencies due to loss of Blood and Qi and Yin Deficiencies.
Rx. Platycodi	Jie Geng	1.5-3g	Benefits the throat, Expels Phlegm, Opens the Lungs, Spreads Lung Qi.
Fr. Gardeniae	Zhi Zi	1.5-3g	Clears Heat, Drains Damp-Heat and eliminates irritability, Reduces Fire.
Rz. Coptidis	Huang Lian	1.5-3g	Clears Heat, drains Dampness, drains Fire and resolves Fire toxicity. With Sheng Di Huang, for insomnia and delirium due to unremitting Heat injuring the Ying level.
Rx. Angelicae Dahuricae	Bai Zhi	1.5-3g	Expels Wind, eliminates Dampness, unblocks the nasal passages, dispels Cold and alleviates pain. With Chuan Xiong, for headache.
Fr. Viticis	Man Jing Zi	1.5-3g	Disperses Wind, clears Heat, dispels Wind-Heat in the Liver channel, clears and benefits the head and eyes, drains Dampness and relieves pain. With Bai Shao, soothes the Liver.
Flos Chrysanthemi	Ju Hua	1.5-3g	Disperses Wind, clears Heat, calms the Liver and clears the eyes. With Chuan Xiong, for headache due to Wind-Heat or Liver Yang Rising.
Rx. Glycyrrhizae	Gan Cao	1.5-3g	Clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs. With Jie Geng, for pain and swelling of the throat.

Formula Actions

• Enriches Yin
• Nourishes the Blood
• Tonifies Qi
• Clears Heat
• Resolves toxicity
• Brightens the eyes

Syndromes

• Eye pain from Shen Taxation, Kidney Deficiency or Blood Deficiency
• Eye disorders in the elderly with Blood Deficiency and Heat
• Red and swollen eyes due to Wind-Heat
• Blurred and impaired vision as a result of Qi, Blood and Yin Deficiency

Clinical Manifestations

Eye pain Visual dizziness Poor vision Red and swollen eyes Blurred vision

Pale complexion T: Pale C: White P: Weak, thready, rapid and empty

Treats

Chronic nervous exhaustion Diminished visual acuity Easily-tired eyes Excessive tearing Pain or swelling of the eyes following surgery Blepharitis Glaucoma Night blindness Headache

Ocular pain Poor vision Red, swollen eyes Itching or pain of the eyes Cataracts Conjunctivitis Styes Eye strain Asthenopia

Contraindications And Herb/Drug Interactions

Notes

Modifications

For vertigo and blocked-out vision:		For excessive tearing and eye pain caused by Wind-Heat:
+ Rx. Astragali	Huang Qi	+ Rx. Saposhnikoviae	Fang Feng
+ Fr. Lycii	Gou Qi Zi	+ Hb. Schizonepetae	Jing Jie
For eye fatigue:		For impaired or blurred vision due to Kidney Yin Deficiency:
+ Poria	Fu Ling	+ Six Ingredient Pill with Rehmannia Liu Wei Di Huang Wan
+ Rz. Atractylodes Macrocephalae	Bai Zhu	For cataracts and blurred vision:
For fibromyalgia due to Spleen and Kidney Deficiencies:		+ Eight Ingredient Pill with Rehmanniae Ba Wei Di Huang Wan
+ Six Ingredient Pill with Rehmannia Liu Wei Di Huang Wan		To strengthen the diuretic action:
+ 4.5g Medulla Junci	Deng Xin Cao
+Bi Zheng Fu #1		+ Tea	Cha