📚Educational reference only — not medical advice.
Six-Ingredient Rehmannia Pill
小兒藥證直訣湯劑
Source-based · educational reference
Source
小兒藥證直訣
Composition
Rehmannia (mixed with Amomum wine, steamed nine times and sun-dried nine times) 8 liang; Cornus officinalis flesh (moistened with wine); Chinese yam 4 liang; Poria (mixed with milk); Moutan cortex; Alisma 3 liang. Make honey pills; take on an empty stomach with salt water, in winter with wine. (Yi Fang Ji Jie)
Preparation
Grind the above into powder, refine honey to form pills, the size of Firmiana simplex seeds. Take three pills dissolved in warm water on an empty stomach. (Modern usage: take the Pill with lightly salted water; it can also be changed to a Decoction and decocted with water for oral use, with dosage determined according to the proportions of the original formula.)
Form
湯劑
Function
Nourish and tonify the Liver and Kidney.
Traditional indications
Liver-Kidney Yin deficiency, with soreness and weakness of the lower back and knees, dizziness and vertigo, tinnitus and deafness, night sweats and seminal emission, bone-steaming tidal fever, heat in the palms and soles, or wasting-thirst, or toothache due to deficient fire, dry mouth and throat, red tongue with scanty coating, and a thin, rapid pulse. In children, delayed closure of the fontanelle.
Modifications
Tinnitus: add Quan Xie:6.
-- Vaginal dryness: add vinegar-processed Gui Ban:10.
-- Yang deficiency with cold: add Zi You Rou Gui:1.5, pao Fu Zi:3.
-- Yin deficiency with fire-heat: add Zhi Mu:10, Huang Bai:10.
-- Sore waist and knee pain: add Huai Niu Xi:10, Du Zhong:10.
-- White spots on nails, calcium deficiency: add Mu Li:15.
-- Floating-large cun and guan pulses with weak chi pulse: add Zi You Rou Gui:1.5.
-- Right cun especially floating-large, chi pulse weak: add Tian Dong:10, Wu Wei Zi:6, Zi You Rou Gui:1.5.
-- Right guan especially floating-large, chi pulse weak: add Mai Dong:10, Wu Wei Zi:6, Zi You Rou Gui:1.5.
-- Right cun and guan especially floating-large, chi pulse weak: add Tian Dong:10, Mai Dong:10, Wu Wei Zi:6, Zi You Rou Gui:1.5.
-- The two chi pulses are unbalanced, e.g., left chi large and right chi small: add Zhi Mu:10, Huang Bai:10, Zi You Rou Gui:1.5.
-- Left guan especially floating-large, chi pulse weak: add Chai Hu:10, Dang Gui:10, Wu Wei Zi:6, Zi You Rou Gui:1.5.
-- Systemic lupus erythematosus, yin deficiency with fire-heat pattern: combine with Huang Lian Jie Du Tang.
Cautions
Use with caution in those with Spleen deficiency and diarrhea.