Classic Chinese Medicine-Jin Kui Kidney Qi Pill

  Jin Kui Kidney Qi Pill is also known as Gui Bai Di Huang Wan and Ba Wei Di Huang Wan. This formula is derived from the book “The Essentials of Golden Kui” written by Zhang Zhongjing in the Han Dynasty. It is composed of eight herbs: Gunner’s Fructus, Shu Di Huang, Cornus Officinalis, Ze Xie, Gui Zhi, Dan Pi, Shan Yao and Fu Ling. For a long time, Jin Kui Kidney Qi Pill has been mainly used to treat cough, asthma, impotence, premature ejaculation, chronic nephritis and other diseases caused by deficiency of kidney yang, and is known as the first formula to help yang to nourish the kidney, and is a classical famous Chinese medicine.
  ”The kidney is the main dormant, the essence of the seal, where the essence is also”, the kidney is the main bone, open to the ear, the internal organs of the yuan yin and yuan yang, the water and fire of the organs, the innate essence. The kidneys collect essence, which can transform into qi, and the qi transformed by kidney essence is kidney qi, also known as “kidney yang” or “yuan yang”, which is the root of yang qi in the whole body and is the driving force of all functional activities of the human body, so the kidneys harbor yuan yin and yuan yang. Under normal circumstances, yin and yang are in harmony, and water and fire are in harmony. If one side is weak, it can cause pathology (water deficiency, six flavor Dihuang, fire deficiency, this formula). In the era of Huangdi Neijing, the role of Yang Qi was very important, “Yang Qi, if the sky and the sun, the loss of its place is the loss of life and not manifest,” the Yang Qi metaphor as the sun. In the Ming Dynasty, there was a school of Chinese medicine that highly respected the role of kidney, and believed that kidney was the “innate essence” of human beings, and at one time, many famous doctors advocated kidney supplementation. Xue Ji’s practice was recognized by many later generations of doctors, and his views on kidney tonics had a great influence on later generations. The popular Fu Yang school now also attaches great importance to the role of kidney yang.
  The original formula is eight taels of dried Dihuang, four taels of yam, four taels of Cornus officinalis (baked in wine), three taels of Poria, three taels of peony skin, three taels of Ze Di, one tael of cinnamon stick, and one tael of gunpowder. Usage】The above eight flavors, the final, refined honey for the pill, wuzi big, wine down fifteen pills, plus to twenty-five pills, day again. Modern reference dosage and usage: 24g of Radix Rehmanniae, 12g of dried yam, 12g of dogwood, 9g of zedoary, 9g of ling, 9g of dandruff, 3g of each of Radix et Rhizoma Pseudostellariae and Cinnamomum. finely powdered, refined honey into pills, 9g each time, 2-3 times daily, warm water or light salt soup. It can also be taken with water decoction, and the dosage is reduced according to the proportion of the original formula.
  In the formula of Jin Kui Kidney Qi Pill, dried Di Huang is used to nourish Yin and tonify the kidney. Cornu Cervi Pantotrichum and Yam nourish the liver and spleen while benefiting the essence and blood; Radix et Rhizoma Pithospermum and Cinnamomum acuminatum help to warm Yang and transform Qi. Zedoary and Poria are used to drain dampness and drain turbidity, and Dampness to clear liver fire. The combination of this formula is characterized by two features: one is to nourish Yang and Yin, Yin and Yang together, but mainly Yang; the second is to nourish Yin with a small amount of Gui and Radix to warm Yang, the purpose is to seek Yang in Yin, less fire and anger. This formula reflects Wang Bing’s principle of “benefitting the source of fire to eliminate yin and shade”.
  There are five applications of kidney qi pills in the book “Jin Kui Yao”, including deficiency of lumbago, thirst, phlegm, foot, and transcytosis. All the diseases caused by deficiency of kidney qi, such as lumbago, cold limbs, edema, unfavorable or frequent urination, thirst, coughing and asthma, palpitation and dizziness, can be used according to the symptoms. Therefore, Jin Kui Kidney Qi Pills are most effective when taken mainly when there is deficiency of kidney yang. Kidney-Yang deficiency is characterized by lumbar pain and weakness of the feet, cold sensation halfway down the body, constriction of the abdomen, unfavorable urination, or excessive urination, especially at night, impotence and premature ejaculation, pale and fat tongue, weak pulse, sunken ulnar area, phlegm, edema, thirst, foot problems, and transient cells. The waist is the house of the kidneys, and the kidneys are the essence of the innate nature. Insufficient kidney yang can’t warm the lower jiao, so the waist hurts and the feet are weak, and there is often a feeling of coldness halfway down the body; it can’t transform qi and water, so water stops inside, so urination is unfavorable and the abdomen is constricted and uncomfortable. If the kidney is deficient and cannot steam and restrain the water, then the urine is excessive, etc. According to the legislative principle of “deficiency is tonic” and “less fire is angry”, the kidney should be supplemented to help Yang. If you keep taking it, you will definitely receive the desired effect.
  So, how to determine whether it is Yin deficiency or Yang deficiency? The typical symptoms of kidney yang deficiency are soreness and weakness of the waist and knees, intolerance of fatigue, frequent weakness, coldness of the limbs, preference for heat and fear of cold, etc. Some people with kidney yang deficiency may also have sexual function problems such as erectile dysfunction, premature ejaculation, and slippery semen. Typical symptoms of kidney yin deficiency are hot flashes, night sweats, irritable heat in the palms of the hands and feet, dry mouth and throat, in addition to seminal emission, dreaming and premature ejaculation. The most significant difference between Yin or Yang deficiency: Yang deficiency is fear of cold and Yin deficiency is fever.
  What diseases can be treated clinically with Kidney Qi Pill?
  This formula is a dazzling jewel in TCM formulas as it not only tonifies both diarrhea and yin, but also uses both cold and heat to make yin and yang mutually rooted and twin. This formula is a dazzling pearl in Chinese medicine. It is a good treatment for many difficult and miscellaneous diseases with evidence-based treatment. This formula is commonly used in the treatment of coronary heart disease, asthma, chronic nephritis, diabetes mellitus, diabetic nephropathy, urinary incontinence, gouty arthritis, bone tuberculosis, pediatric summer fever, pediatric enuresis, senile cataract, recurrent oral ulcers, etc., which are identified as deficiency of kidney yang.
  1.Age-related asthma. Asthma in the elderly is always based on kidney deficiency and deficiency of the true essence, resulting in wheezing due to the lack of power to take in the kidney energy. The treatment is to warm up the kidney yang, absorb qi and calm asthma. The treatment is often very effective if you take Jin Kui Kidney Qi Pill with boiling water, crushed up with eucalyptus, orris and almonds, and wrapped in cloth. After the asthma is calmed down, then take Jin Kui Kidney Qi Pill with Zi He Che powder, which can consolidate the therapeutic effect.
  2. Chronic nephritis. This disease is a more complex clinical disease, treatment is more difficult, the prognosis is also poor. In the middle and late stages of the disease, the kidney energy is weakened. The treatment is to warm the kidneys and help Yang, to transform the Qi and move water. The formula of choice for the treatment of this disease is Jin Kui Kidney Qi Pill, and can be added or subtracted according to the different evidence. For those who also see Qi deficiency, use Dang Shen, Huang Qi and Jujube; for those who also see internal stasis and blood stagnation, add Dan Shen and Angelica; for those who have difficult to treat proteinuria, add Hawthorn and Phellodendron.
  3, aplastic anemia. This disease starts slowly and has a long course. According to the identification of Chinese medicine, the root of this disease is kidney, because the kidney is the master of bone, bone produces marrow, kidney collects essence, essence transforms blood, so the kidney essence is depleted, blood production has no source and leads to the occurrence of this disease, and its symptom characteristics also show a school of kidney Yang deficiency phenomenon. To the party ginseng, astragalus, comfrey and other medicines with boiling water, long-term with the Jin Kui kidney pills, can play a good role in strengthening the body and nourishing blood.
  4. Leukopenia. This disease is often caused by infection or physical and chemical factors, and more often due to drugs. In the middle and late stages, there are more evidence of spleen and kidney Yang deficiency and Qi and blood weakness. In the treatment of the original disease, the use of Jin Kui Kidney Qi Pills to warm Yang and replenish blood is also a proven prevention and treatment method for this disease.
  5. Chronic diarrhea. There are many causes of chronic diarrhea, and the combination of Chinese and Western medicine in the treatment of this disease, while looking for the causes, can often receive immediate results. For example, patients with this disease are unable to warm the spleen and protect the earth due to the deficiency of kidney energy and the failure of the vital gate fire, so that the water and grain do not transform and stagnate into moisture for diarrhea.
  6, prostate enlargement. This is a common condition that seriously affects the quality of life of the elderly. It is advisable to warm the yang and benefit the qi, tonify the kidneys and promote water. The treatment of prostate enlargement with Jin Kui Kidney Qi Pill was carried out in 35 cases, 27 cases were cured, 3 cases were effective and 5 cases were ineffective, with an overall efficiency of 85.7%. The method of taking this medicine is: 18 grams each time, morning, noon and evening, 10 days for a course of treatment, generally 1 to 3 courses of medication to make the condition can be alleviated or cured.
  7, chronic back and leg pain. Some people treat chronic low back and leg pain with Jin Kui Kidney Qi Pills, treating 61 cases, after 2 to 4 courses of medication, 52 cases were cured, 6 cases were effective, and 3 cases were invalid, with an overall efficiency of 95.1%. The method of taking this medicine is: 9 grams per time orally, 2 times a day, 2 weeks as a course of treatment.
  8. senile vaginitis. It is a vaginal inflammation caused by bacterial invasion due to women’s diminished ovarian function, lowered estrogen level and atrophy of the vaginal wall after menopause, which reduces the local resistance of the vagina. Some people have used Jin Kui Kidney Qi Pill to treat this condition and achieved certain results. The method of taking this medicine is: take 18 grams each time, 3 times a day, 7 days as a course of treatment, usually after 3 courses of treatment, the condition can be relieved.
  9. Age-related urinary incontinence. Some people use Jin Kui kidney gas pill to treat senile incontinence, treatment of 36 cases, after 3-5 courses of medication, cured 28 cases, effective 7 cases, invalid 1 case, the total efficiency of 97.2%. The method of taking this drug is: 18 grams per serving, morning, noon and night, 7 days as a course of treatment, the general use of a course of medicine can make the condition significantly improved.
  10, gynecomastia. Some people use Jin Kui Kidney Pill to treat gynecomastia, 42 cases, after 2 to 4 courses of medication, cured 35 cases, effective 4 cases, invalid 3 cases, the total effective rate of 92.9%. The method of taking this drug is: 9 grams per serving, 3 times a day, 20 days as a course of treatment, the general use of a course of medicine can be effective.
  11, infertility. Some people used Jin Kui Ren Qi Wan to treat female infertility caused by hyperprolactinemia. 27 cases were treated, and after 3 months of medication, 12 cases were pregnant, and the serum prolactin level of the remaining 15 patients also decreased to normal. The method of taking this drug is: 9 grams per oral dose, twice daily.
  12. Recurrent mouth ulcers. Some people use Jin Kui Kidney Qi Pill to treat recurrent oral ulcers with a history of more than six months and a deficiency of kidney yang. 60 cases were treated, and all patients were cured after 5 days of medication. The method of taking this medicine is: take 18 grams orally half an hour before each meal, three times a day.
  Japanese medical researchers have found that long-term use of this medicine not only improves the autoimmune ability of the elderly, but also improves the symptoms of vision loss caused by aging. A course of six months is generally recommended.
  Jin Kui Kidney Qi Pill is an extremely common clinical formula for warming kidney yang, and with modern scientific pharmaceutical methods, the clinical efficacy of this medicine has been enhanced and it is widely used clinically. In this article, only the common clinical conditions are described, and also some difficult to treat chronic lesions, Jin Kui Kidney Qi Pill has a better treatment or improve the physical effect. In fact, for many chronic diseases or elderly patients, as long as there is a deficiency of spleen and kidney yang, Jin Kui Kidney Qi Pill can be used and get good results every time. For example, for hematologic diseases, not only the reoccurrence and leukopenia mentioned in this article, but also hemolytic anemia, leukemia, and primary thrombocytopenic purpura, etc., Jin Kui Kidney Qi Pill can be used according to the evidence to promote the clinical treatment effect.
  But who is not suitable to take Kidney Pill? What should be noted when taking it?
  1, if the throat is dry, the tongue is red and less coating, is a kidney yin deficiency, false fire on the inflammation, should not be applied. This product contains cinnamon is a warming medicine, not suitable for patients with dry mouth, dry tongue, irritability, dry urine symptoms of diabetes, chronic nephritis, hypertension, heart disease.
  2, healthy people, if there is no obvious symptoms of kidney Yang deficiency, not suitable for long-term use on their own.
  3, after taking two weeks if the effect is not obvious, may be the selection of drugs is not the right, you can find a Chinese medicine doctor to diagnose the symptoms of the body, the right choice of medicine.
  4. This medicine should not be taken at the same time as red stone resin or its preparations. It should not be taken at the same time with external medicine.
  5, pregnant women are prohibited to take.
  6.Avoid room desire and anger. Avoid eating raw and cold food. Jin Kui Kidney Qi Pill as a warming medicine for kidney yang, should be taken about an hour apart before and after meals, the course of treatment is generally one month similar to the formula 1.Jisheng Kidney Qi Pill (“Jisheng Formula”) P.E. 9g White Poria 6g Zege 6g Cornus 6g Yam 6g Plantago 6g Mudanpi 6g Guan Gui 3g Chuan Niu Knee 6g Radix Rehmanniae 6g Functions: warming and tonifying kidney yang, promoting water retention and reducing swelling. Finely powdered, refined and dense into pills, 15g each time, 1 time in the morning and 1 time in the evening, served with rice drink in empty heart. Indications: Oedema due to kidney (yang) deficiency, heavy waist and swollen feet, unfavorable urination.
  Ten Tonic Pills (Jisheng Formula): Fructus Pulchelli 9g, Wu Wei Zi 9g, Cornus Officinalis 9g, Yam 9g, Mudanpi 9g, Deer antler 3g, Shu Di Huang 9g, Cinnamon 3g, White Poria 6g, Ze Di 6g, Functions: Tonifying kidney yang, benefiting essence and blood. For fine powder, refining dense as a pill, 15g each time, 1 time in the morning and 1 time in the evening, empty salt and wine soup to send down. Indications: Deficiency of kidney yang, deficiency of essence and blood. Sallow face, cold feet and swollen feet, tinnitus and deafness, thin limbs, weak feet and knees, unfavorable urination and pain in the lumbar spine.
  Both of the above two formulae are made by adding flavor to Kidney Qi Pill, which has the effect of warming kidney yang. It is often used in cases of edema and inconvenient urination due to deficiency of kidney yang; Ten Tonic Pills is Kidney Qi Pills with deer antler and Wu Wei Zi, which warms kidney and strengthens yang and nourishes essence and blood.
  Deer antler pills (Women’s Complete Formulas): Roasted deer antler, pepper red (pepper), cinnamon heart, cannon root, calcined oyster, fried bone marrow, dendrobium, cistanches, chicken’s inner gold, sinking incense 30g each, roasted mulberry cuttlebone 15g. finely ground, boiled in wine and made of batter as pills. Take 9g per dose and serve with warm wine or warm water on an empty stomach. Effects: Tonifying the kidney and warming the Yang, benefiting the essence and reducing urine. Women with prolonged accumulation of deficiency and cold, white and cloudy urine, slippery and incontinent, sore feet, cold feet, cold extremities, pale tongue and sluggish or weak pulse.
  A female patient asked, “I always have cold hands and feet, can I take Kidney Pill? Is Kidney Qi Pill an over-the-counter medicine? Can I buy it over the counter? There are many reasons for cold hands and feet, cold hands and feet may not be kidney yang deficiency, only kidney yang deficiency is good, furthermore, many girls with cold hands and feet are not kidney yang deficiency, but yang qi stagnation, you can apply Si Wei San or Dang Gui Si Wei more symptomatic. The Kidney Pill is an over-the-counter drug that can be purchased over the counter, but should not be taken indiscriminately.
  A patient asked, because of diabetes, my doctor prescribed me Kidney Qi Pills, but I also have to take western medicine to lower sugar, can I take Kidney Qi Pills together with sugar medication? Yes, but they should be taken separately, preferably one hour apart.
  A patient asked, “I am a woman who is almost 50 years old and I am often incontinent, I took the Kidney Qi Pills prescribed by my doctor, but I am urinating more, why? Because most of the kidney qi pills on the market today are Jisheng kidney qi pills, and the use of kidney qi pills plus hyssop and psyllium has become a formula for tonifying the kidneys and treating edema, and the diuresis is enhanced. Should apply Jin Kui Kidney Qi Pill plus Shrinking Spring Pill effect to be better. It is evident that Chinese medicine treatment should also start from the subtleties in order to achieve good results. Some patients asked about the usage and difference between Liu Wei Di Huang Wan and Jin T Kidney Qi Wan, Liu Wei Di Huang Wan is for the treatment of kidney yin deficiency, Jin Kui Kidney Qi Wan is for the treatment of kidney yang deficiency, kidney yin deficiency mostly occurs in middle-aged and young people, kidney yang deficiency mostly occurs in middle-aged and old people, kidney yin deficiency easily has some symptoms of deficiency heat, kidney yang deficiency has symptoms of fear of cold. In this area of sexual function, kidney yin deficiency is more prone to premature ejaculation and spermatorrhea, and kidney yang deficiency is more impotent. The common symptoms are of course, such as soreness and weakness of the waist, weakness of the limbs, etc. This is a common symptom.