Zi Shen Tong Guan Wan - 滋肾通观囊 - Nourish The Kidneys And Open The Gate Pill

English:	Nourish the Kidneys and Open the Gate Pill
Also Known As:	Enrich the Kidneys and Open the Gates Pill

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Cx. Phellodendri	Huang Bai	48.5g	Drains Damp-Heat especially from the Lower Jiao and drains Kidney Fire. With Zhi Mu, for Yin Deficiency fever with steaming bones and night sweats and Lower Jiao Damp-Heat.
Rz. Anemarrhenae	Zhi Mu	48.5g	Clears Heat, drains Fire, nourishes Yin, moistens Dryness, generates Fluids, clears Deficiency Fire and quenches thirst. With Huang Bai and Rou Gui, for Damp-Heat in the Lower Jiao causing obstruction and dysfunction of Bladder Qi with resulting urinary retention and afternoon fevers.
Cx. Cinnamomi	Rou Gui	3g	Leads the Fire back to its source.

Formula Actions

• Clears Heat
• Clears Damp-Heat
• Promotes the Bladder function of Qi transformation

Syndromes

• Damp-Heat in the Blood level of the Lower Jiao (urinary tract).

Clinical Manifestations

Anuria Dysuria Oliguria Thirst but no desire to drink

Distension of the lower abdomen Hematuria No thirst Pain of the lower abdomen

Treats

Dysuria Urinary retention Cystitis Pyelonephritis

Prostatitis Urethritis Urinary calculi (inflammatory stage)

Contraindications And Herb/Drug Interactions

Notes

Modifications

For prolonged Damp-Heat injuring Kidney Yin:
+ 15g Rx. Rehmanniae	Sheng Di Huang
+ 10g Sm. Plantaginis	Che Qian Zi
+ 12g Rx. Achyranthis Bidentatae	Niu Xi