The formula of Liu Wei Di Huang Wan was first published in the book “The Straightforward Guide to Pediatric Medicine” by Qian Yi, a pediatrician of the Song Dynasty. The formula is based on the Kidney Qi Pill of Zhang Zhongjing’s book “Jin Kui Yao” of the Han Dynasty, which is made by removing the sapodilla and cinnamon branch, and the ratio of each medicine is 8:4:4:3:3:3 for Shu Di Huang: Cornus officinalis: Shan Yao: Ze Xie Di: Dan Pi: Fu Ling. The original book was used to treat congenital deficiencies and developmental delays in children.
The six flavors of Dihuang Wan formula has been praised by doctors for generations, the formula of Shu Di nourishes the liver and kidney, accompanied by peony peel cools the blood and diarrhea of the liver; with Cornu Cervi Pantotrichum tonifies the kidney and astringent essence, accompanied by Ze Di diarrhea diarrhea of the kidney turbidity; with yam tonifies the spleen and Poria to benefit water and strengthen the spleen, that is, the famous “three tonics and three diarrhea”, in order to complement but not greasy.
The Six Flavored Dihuang Pill is suitable for kidney yin deficiency. The main indications are: soreness and weakness of the waist and knees, dizziness and tinnitus, heat in the heart of the hands and feet, hot flashes and night sweats, dry mouth and dry throat, pain in the heel, etc.
Patients with cold and fever and those with spleen deficiency, obesity and dampness should not take Liu Wei Di Huang Wan.
It is common for patients to use Liu Wei Di Huang Wan as a common medicine for kidney fitness, such as chronic fatigue patients and patients with menopausal syndrome, some of which are effective, while others are not only ineffective, but also have some side effects. The reason for this is that there is no identification of evidence. The reason for this is that there is no identification of the evidence. Some of the evidence that does not belong to the kidney Yin deficiency is also simply taken Liu Wei Di Huang Wan.
It should be pointed out that.
There are many kinds of kidney deficiency, and even more kinds of concurrent evidence. The Six Flavors Dihuang Pill is only suitable for kidney yin deficiency, not for kidney yang deficiency or kidney qi deficiency. Therefore, patients should follow the doctor’s advice and strictly grasp the indications. Some patients are reluctant to drink tonics and are willing to take proprietary Chinese medicines, which are more economical and have a special fondness for Liu Wei Di Huang Wan. It is recommended that according to the specifics of the concurrent evidence, a slight addition or subtraction is made on the premise of identification, which turns into an addition or subtraction of Liu Wei Di Huang Wan, and the effect will be significantly improved.
Commonly used six-flavored Dihuang additive and subtractive formula are.
1. Guihundihuang Pill.
Same as Kidney Qi Pill, used to tonify Kidney Qi. Note that it is different from tonifying kidney yang.
2. Zuo Gui Wan.
Nourishes Yin, tonifies the kidney and fills the marrow. Mainly for kidney yin deficiency: lumbar soreness and weakness, dizziness, deafness and insomnia, spermatorrhea, night sweating, dry mouth and tongue, red tongue with little coating. The power of tonifying kidney yin exceeds that of Liu Wei Di Huang Wan. Its composition is: Fructus Lycii, Tortoise Gum, Deer Antler Gum, Radix Achyranthes Bidentatae, Rhizoma Yam, Cornu Cervi Pantotrichum, Radix Rehmanniae Praeparata, Semen Cuscutae. Zuo Gui Wan is used for true yin deficiency, lumbar soreness and knee weakness, night sweating, fatigue and dryness of the mouth and other evidence.
3. Zhi Bai Di Huang Wan.
The original formula with six flavors plus Zhi Mu and Huang Bai is suitable for nourishing Yin and lowering fire. It is used for deficiency of yin and fire, hot flashes and night sweats, dry mouth and sore throat, tinnitus and spermatorrhea, short urine and other symptoms.
4. Mai Wei Di Huang Wan.
The original formula with six flavors plus Mai Dong and Wu Wei Zi can nourish the lung and kidney and is used for deficiency of lung and kidney yin, hot flashes and night sweats, coughing and vomiting blood, dry throat, dizziness and tinnitus, soreness and weakness of the waist and knees. Clinically, Mai Wei Di Huang Wan is mainly used for dry cough with blood, internal heat of Yin deficiency, general weakness caused by Yin deficiency of lung and kidney; Yin deficiency and asthma, see no phlegm and asthma, dry mouth and tongue, red tongue with less moss; Spermatorrhea, see lumbar pain and spermatorrhea, heat in the hands and feet; Thirst disease, see thirst and frequent urination, red tongue with less moss, etc.
5.Qi Ju Di Huang Wan.
The original formula six flavors plus Chinese wolfberry, chrysanthemum. It is good at nourishing the kidney and nourishing the liver. Used for liver and kidney yin deficiency, dizziness and tinnitus, shyness and fear of light, tears in the wind, dimming of vision.
6.Gui Shao Di Huang Wan.
Original formula with six flavors plus Angelica Sinensis and White Peony. Nourishing the liver and kidney, tonifying Yin and Blood, and clearing deficiency heat. Used for deficiency of liver and kidney, deficiency of Yin and Blood, dizziness, dryness of the eyes, tinnitus and dryness of the throat, afternoon hot flashes, soreness of the waist and legs, pain in the heel, etc.
7.Ginseng and Astragalus Dihuang Pills.
Used for deficiency of lung and kidney qi and yin, cough and asthma, dry throat and mouth, hot flashes and coughing up blood, etc.
8.Right Return Pill.
This formula is composed of 10 herbs. Functions: warming the kidney yang, filling the marrow. Insufficiency of kidney yang, failure of vital fire, fatigue and timidity, cold fear and cold limbs, impotence and spermatorrhea, inability to have children, soreness and weakness of the waist and knees, spontaneous urination, paralysis and pain in the limbs, swelling of the body; or fire cannot produce earth, deficiency of the spleen and stomach with coldness, poor diet, vomiting and abdominal distension, or stomach choking, or pain in the navel and abdomen, or insubstantial stools, frequent diarrhea and dysentery. In this formula, Radix et Rhizoma Polygonati, Cinnamon and Deer Antler Gum are used as the ruling herbs to warm the kidney yang and fill in the essence to replenish the marrow. The subject uses Radix Rehmanniae, Fructus Lycii, Cornus Officinalis and Cornu Cervi Pantotrichum to nourish Yin, benefit the kidney, nourish the liver and nourish the spleen. Adjuncts are Cuscuta sinensis to tonify yang and benefit yin, consolidate sperm and reduce urination; Dulcimer to tonify liver and kidney, strengthen tendons and bones; Angelica sinensis to nourish blood and nourish liver.
Noteworthy.
It is appropriate to use Liu Wei Di Huang Wan or Zuo Gui Wan to tonify kidney yin; Right Gui Wan to tonify kidney yang; and Jin Kui Kidney Qi Wan to tonify kidney qi. Each medicine should be applied differently to obtain better therapeutic effect.