HERB FORMULAS

JI SHENG SHEN QI WAN - 濟生腎氣丸 - KIDNEY QI PILL

English: Kidney Qi Pill from “Formulas to Aid the Living”
Also Known As: Life Saver Kidney Qi Pills
Rehmannia Ten Formula

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Rehmanniae Preparata Shu Di Huang 15g Nourishes Liver and Kidney Yin, nourishes Jing and Blood and fills the Marrow.
With Shan Zhu Yu, nourishes Kidney Yin and secures Jing, while restraining urination and sweating.
With Rou Gui, for Kidney Yang Deficiency.
Fr. Corni Shan Zhu Yu 30g Stabilizes the Kidneys and astringes Jing and Body Fluids, tonifies Liver and Kidney Yin and strengthens Kidney Yang.
With Shu Di Huang and Shan Yao, for urinary frequency (day or night), dizziness, tinnitus and lower back pain due to Kidney Deficiency.
With Shan Yao, tonifies the Liver and benefits the Spleen.
Rx. Dioscoreae Shan Yao 30g Tonifies the Kidneys and astringes Jing.
With Shu Di Huang and Shan Zhu Yu, for Kidney Deficiency with spermatorrhea, dizziness, tinnitus, lower back pain, impotence and night sweats.
Rz. Alismatis Ze Xie 30g Promotes urination and prevents Kidney Fire as a result of tonification.
With Fu Ling and Mu Dan Pi, regulates the Kidneys, Liver and Spleen, drains and tonifies.
With Fu Ling, promotes urination, strengthens the Spleen and drains Dampness, enabling Gui Zhi to warm the Bladder.
Poria Fu Ling 30g Strengthens the Spleen, promotes urination and resolves Dampness.
With Ze Xie, facilitates the removal of water and leaches out Dampness to treat stagnant water and Dampness leading to edema, jaundice, diarrhea, Milky Lin, and scanty, difficult urination with abdominal distention.
With Che Qian Zi, for Lin Syndrome, especially Milky Lin.
Cx. Moutan Mu Dan Pi 30g Clears Heat and Deficiency Fire.
Cx. Cinnamomi Loureroi Guan Gui 15g Warms the Middle Jiao and dries Dampness.
(Cx. Cinnamomi) (Rou Gui) (15g) (Usually substituted for Guan Gui.: Warms the Kidneys, strengthens Yang, strengthens the Ming Men and disperses Cold.)
(With Zhi Fu Zi, for Kidney Yang Deficiency.)
Rx. Aconiti Lateralis Preparata Zhi Fu Zi 15g Tonifies Kidney Yang, warms the Ming Men, disperses Cold and dispels Dampness.
With Rou Gui and Shu Di Huang, for Kidney Yang Deficiency with diminishing of Ming Men Fire.
With Fu Ling, for Lower body edema and dysuria.
Rx. Cyathulae Chuan Niu Xi 15g Promotes urination, tonifies the Kidneys and Liver and treats dysuria.
Sm. Plantaginis Che Qian Zi 30g Promotes urination.
With Ze Xie, for Lin Syndrome, edema and distention.
With Chuan Niu Xi, for Kidney Deficiency edema.

FORMULA ACTIONS

  • Warms Yang
  • Tonifies the Kidneys
  • Aids water transformation
  • Promotes urination
  • Reduces edema

SYNDROMES

  • Kidney Yang Deficiency with Water Flooding
  • Lung and Kidney Qi Deficiency

CLINICAL MANIFESTATIONS

  • Aversion to Cold
  • Cold extremities
  • Scanty urination
  • Abdominal distention
  • Edema of the legs
  • Cold sensations in the lower body
  • Sensory numbness
  • Low back pain
  • Severe pitting edema
  • Fatigue
  • Urinary difficulties
  • T: Pale and swollen with teethmarks
  • C: White and slippery
  • P: Deep and wiry

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Yin Deficient Fire.
  • Contraindicated for those with Excess Fire.
  • Contraindicated for those with Damaged Body Fluids.
  • Contraindicated for those with External Invasion.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For Lung and Kidney Qi Deficiencies:
For hypothyroidism due to Spleen and Kidney Yang Deficiencies:
+ Generate the Pulse Powder
Sheng Mai San
+ Fr. Amomi
Sha Ren
For weakness and fatigue due to Qi Deficiency:
 + Hb. Epimedii Yin Yang Huo
+ Rx. Astragali Huang Qi + Sm. Cuscutae Tu Si Zi
+ Rx. Glycyrrhizae Ren Shen
+ Four Gentlemen Decoction
Si Jun Zi Tang
For soreness and pain of the upper and lower back:
For abdominal fullness and swelling:
+ Cx. Eucommiae Du Zhong + Rx. Astragali Huang Qi
+ Fr. Lycii Gou Qi Zi + Rx. Stephaniae Tetrandrae Han Fang Ji
For impotence or other sexual disorders:
For prostatic hypertrophy with Qi Deficiency:
+ Plastrum Testudinis Gui Ban + Rx. Codonopsis Dang Shen
+ Cornu Cervi Degelatinatum Lu Jiao Shuang + Rx. Astragali Huang Qi
For prostatic hypertrophy with low back pain:
+ Rz. Atractylodis Macrocephalae Bai Zhu
+ Rx. Morindae Officinalis Ba Ji Tian
For nephrotic syndrome with severe edema:
+ Rx. Dipsaci Xu Duan + Cx. Mori Sang Bai Pi
+ Hb. Epimedii Yin Yang Huo + Rz. Imperatae Bai Mao Gen
+ Cornu Cervi Pantotrichum Lu Jiao
For nephrotic syndrome with abdominal fullness and anorexia:
+ Fr. Psoraliae Bu Gu Zhi + Sm. Coicis Yi Yi Ren
For nephrotic syndrome with Kidney Yin Deficiency Fire:
+ Fr. Amomi Sha Ren
+ Rz. Anemarrhenae Zhi Mu
For nephrotic syndrome with red eyes and face and sores:
+ Cx. Phellodendri Huang Bai
For obesity:
+ Five-Ingredient Decoction to Eliminate Toxins
Wu Wei Xiao Du Yin
+ Poria, Cinnamon Twig, Atractylodes and Licorice Decoction
Ling Gui Zhu Gan Tang
For severely depleted Yuan Qi:
+ 15g steamed Rx. Ginseng Hong Shen
For dribbling, scanty urination and edema in the lower limbs, with vaginal discharge: + 12g Cornu Cervi Pantotrichum Lu Rong
+ 9g Sm. Nelumbinis Lian Zi + 20g Rz. Curculiginis Xian Mao
+ 9g Sm. Euryales Qian Shi + 20g Hb. Epimedii Yin Yang Huo