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Right-Restoring Pill

Right-Restoring PillFormula Image

Right-Restoring Pill
ChiefFu Zi
    • supplements fire and assists yang
The chief medicinals are used to supplement and foster original yang in the kidney, warm the interior, and dispel cold.
ChiefRou Gui
    • warms and unblocks yang qi
The chief medicinals are used to supplement and foster original yang in the kidney, warm the interior, and dispel cold.
ChiefLu Jiao Jiao
    • supplements kidney essence
The chief medicinals are used to supplement and foster original yang in the kidney, warm the interior, and dispel cold.
DeputyShu Di Huang
    • enriches yin and supplements the kidney
Used to “seek yang within yin” by combining yin-supplements in a large group of yang-supplementing medicinals.
DeputyShan Zhu Yu
    • nourishes liver and kidney, astringes essence and sweat
Used to “seek yang within yin” by combining yin-supplements in a large group of yang-supplementing medicinals.
DeputyShan Yao
    • supplements spleen yin, nourishes the kidney, and consolidates essence
Used to “seek yang within yin” by combining yin-supplements in a large group of yang-supplementing medicinals.
DeputyGou Qi Zi
    • supplements the kidney and liver, improves vision
Used to “seek yang within yin” by combining yin-supplements in a large group of yang-supplementing medicinals.
AssistantTu Si Zi
    • supplements kidney yang, boosts the kidney essence
These three are used to supplement the liver and kidney, strengthen the waist and knees, and nourish the essence and blood.
AssistantChuan Niu Xi
    • supplements the liver and kidney, strengthens the sinews and bones
These three are used to supplement the liver and kidney, strengthen the waist and knees, and nourish the essence and blood.
AssistantDang Gui
    • nourishes and harmonizes blood
These three are used to supplement the liver and kidney, strengthen the waist and knees, and nourish the essence and blood.

Right-Restoring PillPrescription Information

Name
Right-Restoring Pill
Chinese Name

右归丸

Classification

Tonic formulas

Combination
Rehmanniae Radix Praeparata (Shu Di Huang) 8 liang (240g), Dioscoreae Rhizoma (Shan Yao) 4 liang (120g), Corni Fructus (Shan Zhu Yu) 3 liang (90g), Lycii Fructus (Gou Qi Zi) 3 liang (90g), Cuscutae Semen (Tu Si Zi) 4 liang (120g), Cervi Cornus Colla (Lu Jiao Jiao) 4 liang (120g), Eucommiae Cortex (Du Zhong Zi) 4 liang (120g), Cinnamomi Cortex (Rou Gui) 2 liang (60g), Angelicae Sinensis Radix (Dang Gui) 3 liang (90g), Aconiti Lateralis Radix Praeparata (Zhi Fu Zi) 2-6 liang (60-180g)
Method
First steam shu di huang until it becomes mushy. Then grind up all the medicinals with a pestle and add honey. Finally, form them into pills the size of a phoenix tree seed. Take one hundred pills at one time with boiled water or slightly salted water. Otherwise, the pill can be made larger into the size of a marble. Chew two or three of these pills and take with boiled water as a single dose. (Modern preparation: decoct the formula with the medicinals dosed according to the original proportions.)
Action
Warms and supplements kidney yang, supplements essence, and boosts marrow.
Indication
You Gui Wan is intended for patterns of kidney yang insufficiency and ming men fire deficiency marked by mental fatigue and general weakness due to aging or chronic disease, fear of cold, hypothermic limbs, sore loins, impotence, spermatorrhea, infertility, decreased food intake, unformed stools, urinary incontinence, a pale tongue with a white coating, and a deep, delayed pulse.
Pathogenesis
The pattern treated with this formula is deficiency of both kidney yang and ming men fire. As the kidney is the viscus of water and fire, it stores ming men fire and is therefore regarded as the root of the original yang. Kidney yang deficiency and the decline of the ming men fire fail to warm the earth (spleen) affecting the spleen-stomach function. Thereby, the patient presents with mental fatigue, general weakness, sore and cold loins, decreased appetite, and unformed stools. The kidney dominates tian gui (reproduction-stimulating essence, corresponds with the tenth heavenly stem, 天癸) and stores the essence. Therefore, kidney yang deficiency results in the decline of tian gui and reproductive dysfunction manifesting impotence, spermatorrhea, infertility, and urinary incontinence. The treatment principle, as recorded in The Complete Works of [Zhang] Jing-yue, is to boost the source of the fire, namely, the original yang stored in the right kidney.
Application
1. Essential pattern differentiation You Gui Wan is often used to treat kidney yang deficiency and decline of ming men fire. This clinical pattern is marked by mental fatigue and general weakness, fear of cold, cold limbs, sore loins and weak knees, impotence, deep, slow pulse. 2. Modern applications Modified You Gui Wan can be used to treat the following diseases identified as patterns of kidney yang deficiency: nephrotic syndrome, senile osteoporosis, infertility, oligospermatism, anemia, and leucopenia. 3. Cautions and contraindications You Gui Wan is intended for patterns of pure deficiency only. Therefore, it is inappropriate to prescribe for those with kidney deficiency complicated with dampness accumulation, for it does not include medicinals that drain.
Additonal formulae
You Gui Yin (Right-Restoring Beverage 右歸飲)
Source
《The Complete Works of [Zhang] Jing-yue》Jing Yue Quan Shu《景嶽全書》

Right-Restoring PillFormulation composition herbal medicine

Chinese Dodder Seed

Chinese Dodder Seed

Cuscutae Semen
Functions：Supplements kidney, promotes essence, nourishes liver, brightens eyes, secures fetus, relieves diarrhea.
Common Macrocarpium Fruit

Common Macrocarpium Fruit

Corni Fructus
Functions：Supplements liver and kidney, astringes essence, secures desertion. Apply to vertigo and tinnitus, cold pain of waist and knees, impotence and seminal emission, anischuria and urinary frequency, metrorrhagia and metrostaxia, exhaustion due to excessive perspiration, feverish dysphoria and diabetes.
Common Yam Rhizome

Common Yam Rhizome

Dioscoreae Rhizoma
Functions：Supplements spleen, nourishes stomach, engenders fluid, benefits lung, supplements kidney, astringes essence. Apply to lack of food intake due to spleen deficiency, chronic diarrhea, cough and panting due to lung deficiency, emissions due to kidney deficiency, vaginal discharge, frequent urination, and diabetes due to deficiency-heat.
Cassia Bark

Cassia Bark

Cinnamomi Cortex
Functions：Supplements fire, assists yang, conducts fire to return to its source, scatters cold, relieves pain, invigorates blood, frees channels. Warms spleen and stomach, eliminates cold accumulation, frees blood and veins. Apply to decline of vital gate-fire, cold limbs and weak pulse, yang exhaustion and general exhaustion, diarrhea and stomachache, cold hernia and renal mass, cold pain of waist and knees, menostasis and abdominal mass, dorsal furuncle, multiple abscesses, upward floating of yang in deficiency condition, upper heat and lower cold.
Babury Wolfberry Fruit

Babury Wolfberry Fruit

Lycii Fructus
Functions：Supplements the liver and kidney, boosts essence and brightens the eyes.
Prepared Common Monkshood Daughter Root

Prepared Common Monkshood Daughter Root

Aconiti Lateralis Radix Praeparata
Functions：Returns yang, rescues counter flow, supplements fire, assists yang, dispels cold, relieves pain. ‘First medicinal material of returns yang and rescues counter flow’. Apply to excessive yin refusing yang, loss of yang due to profuse perspiration, vomiting and diarrhea, counter flow limbs, cold limbs and faint pulse, chest and abdominal cold pain, cold diarrhea, beriberi and edema, wind-cold and damp impediment, impotence, cold uterine, vomit and diarrhea due to deficiency and cold, edema due to yin cold, exterior cold due to yang deficiency, yin carbuncle and sore, and all the diseases of chronic cold.
Eucommia Bark

Eucommia Bark

Eucommiae Cortex
Functions：Supplements the live and kidney, strengthens sinew and bone, calms the fetus. Apply to aching pain in the loins and knees, weakness of legs and knees, drenching and unsmooth urination, vaginal dampness and itch, fetal leakage and abortion, restless fetal movement, hypertension.
Adhesive Rehmannia Root Tuber

Adhesive Rehmannia Root Tuber

Rehmanniae Radix
Functions：Xian di huang: Clears heat, engenders fluids, cools blood, stops bleeding. Sheng di haung: clears heat, cools blood, nourishes yin, and engenders fluids. Shu di huang: nourishes yin, supplements bloods, boosts essence, and fills the marrow. Apply to yin deficiency and hectic fever, diabetes, hematemesis, non-traumatic hemorrhage, metrorrhagia, irregular menstruation, threatened miscarriage, diarrhea due to yin damage.
Chinese Angelica

Chinese Angelica

Angelicae Sinensis Radix
Functions：Supplements the blood, invigorates the blood, regulates menstruation, relieves pain, moistens the intestines, frees the stool. Apply to chlorosis due to hemopenia, vertigo and palpitation, irregular menstrual periods, amenorrhea and painful menstruation, deficiency cold abdominalgia, constipation induced by dryness of the intestine, rheumatic arthralgia, injuries from falls, superficial infection and burns and scalds.
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