Rehmannia Drink

Rehmannia Drink

Rehmanniae Radix Praeparata (Shu Gan Di Huang) 12g, Morindae Officinalis Radix (Ba Ji Tian) 15g, Corni Fructus (Shan Zhu Yu dry-fried) 15g, Dendrobii Caulis (Shi Hu) 15g, Cistanches Herba (Rou Cong Rong) 15g, Aconiti Lateralis Radix Praeparata (Pao Fu Zi) 15g, Schisandrae Chinensis Fructus (Wu Wei Zi dry-fried) 15g, Cinnamomi Cortex (Rou Gui) 15g, Poria (Fu Ling) 15g, Ophiopogonis Radix (Mai Men Dong baked) 15g, Acori Tatarinowii Rhizoma (Bai Chang Pu) 15g, Polygalae Radix (Yuan Zhi) 15g

Cut the medicinals down into a coarse powder and take 9-15g as a draft. Add one zhan of water, three pieces of sheng jiang and two pieces of da zao; boil them together until 30% of the water is vaporized. Remove the dregs and take the decoction before meals.

Nourishes kidney yin, supplements kidney yang, opens the orifices, and resolves phlegm.

Di Huang Yin Zi is indicated for yin fei syndrome (aphasia and apraxia) due to kidney qi deficiency and phlegm invading upward manifested as aphasia due to stiffness of the tongue, apraxia of the legs, thirst without a desire to drink, cold legs, and flushed face. The pulse is deep, thin, and weak.

Yin fei is a disease name from ancient times. Yin refers to aphasia due to stiff tongue and fei refers to apraxia of the legs. They are caused by the obstruction of phlegm in the orifices due to yin and yang deficiency of the kidney. The kidney stores the essence and governs the bones. Yin and yang deficiencies of the kidney fail to provide enough nutrition to the sinew and bones and therefore manifests with weakness or even flaccidity of the sinews and bones. The foot shaoyin kidney channel travels up to the tongue. When the tongue is lacking nutrition due to kidney deficiency and is aggravated by phlegm obstruction, stiff tongue and aphasia occurs. Kidney deficiency and internal heat causes one to be thirsty without having the desire to drink. When the deficient yang floats to the exterior, the face becomes flushed. If the deficient kidney yang cannot provide enough warmth, the legs become cold. The deep, thready, and rapid pulse indicates both yin and yang deficiency. These symptoms are more prevalent in the elderly and in those following a serious illness. The treatment is to primarily supplement the original (kidney) qi, control deficient yang, assist withed opening orifices, resolving phlegm, and soothing the heart qi.

1. Essential pattern differentiation Di Huang Yin Zi is a common formula used to treat yin fei caused by kidney deficiency. This clinical pattern is marked by aphasia with a stiff tongue, apraxia of the legs, deep, thready, and weak pulse. 2. Modern applications Di Huang Yin Zi can be used with modifications to treat the following biomedical diseases when differentiated as yin and yang deficiency: terminal hypertension, cerebral arteriosclerosis, sequela of apoplexy, myelitis. 3. Cautions and contraindications This formula is characterized by its equal strength in supplementing yin and yang, and mild property that warms without causing dryness. However, it is not appropriate for those with hyperactivity of liver yang or flaming of qi and fire combined with apparent heat signs.