【Chinese Name】 |
大補陰丸
|
【Phonetic】 |
Da Bu Yin Wan
|
【English Name】 |
Major Yin-Supplementing Pill |
【Classification】 |
Tonic formulas |
【Source】 |
《Teachings of [Zhu] Dan-xi》Dan Xi Xin Fa《丹溪心法》 |
【Combination】 |
Rehmanniae Radix Praeparata (steamed with wine) (Shu Di Huang jiu chao) 6 liang (180g), Testudinis Plastrum (Gui Ban zhi prepared) 6 liang (180g), Phellodendri Chinensis Cortex(Huang Bai chao; fried) 4 liang (120g), Anemarrhenae Rhizoma (Zhi Mu jiu jin chao; soaked in wine fried) 4 liang (120g) |
【Method】 |
Grind the medicinals and combine them with steamed pig spinal marrow. Shape the mixture into pills using honey. Take seventy pills (6-9g) with salt water before meals. The current preparation method is to grind the four medicinals mentioned above into fine powder and add it to a certain amount of steamed pig spinal marrow. Then form the mixture into paste and add honey to form pills that weigh fifteen grams. One pill is orally administered in the morning and one in the evening with slightly salt water. It can also be prepared as a decoction by adjusting the medicinal quantities based on the original ratios. |
【Action】 |
Enriches yin and subdues fire. |
【Indication】 |
Da Bu Yin Wan is used to treat patterns of yin deficiency with deficiency fire marked by steaming bone fever, night sweat, seminal emission, cough, hemoptysis, vexation, irascibility, pain and redness of the feet and knees, a red tongue with scanty coating, and a rapid, powerful pulse at the chi position. |
【Pathogenesis】 |
This pattern is caused by liver-kidney deficiency, true yin deficiency, and exuberance of ministerial fire. The kidney is the viscus of water and fire. When the true yin is deficient, the ministerial fire is excessive and generates deficiency-fire. The symptoms include steaming bone fever, night sweat, seminal emission, pain and redness of feet and knees. Deficiency-fire even scorches the lung in this pattern causing cough and hemoptysis. Deficiency-fire harasses the heart spirit and causes vexation and irascibility. The therapeutic method is to powerfully supplement true yin and help subdue fire. |
【Application】 |
1. Essential pattern differentiation Da Bu Yin Wan is the most common formula used to enrich yin and subdue fire. This formula should not be used in cases of spleen-stomach weakness, poor appetite, loose stool, and excessive fire and heat patterns. This clinical pattern is marked by steaming bone fever, red tongue with scanty coating, and a rapid, powerful pulse at the chi position. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of yin deficiency with deficiency-fire flaming up: hyperthyroidism, nephrotuberculosis, osseous tuberculosis, and diabetes. |
【Additonal formulae】 |
Hu Qian Wan (Hidden Tiger Pill 虎潛丸) [Source]《Teachings of [Zhu] Dan-xi》Dan Xi Xin Fa《丹溪心法》 [Ingredients] Huang bai (wine-fried) 0.5 jin (240g), gui ban (wine-fried) 4 liang (120g), zhi mu (wine-fried) 2 liang (60g), shu di huang 2 liang (60g), chen pi 2 liang (60g), bai shao 2 liang (60g), suo yang 1.5 liang (45g), hu gu (prepared, or use gou gu instead) 1 liang (30g), gan jiang 0.5 liang (15g) (dang gui, niu xi and yang rou are added in the 《Medical Formulas Collected and Analyzed》) [Preparation and Administration] Grind the ingredients into powder and form into pills using honey. 1 pill (9g) is taken with lightly salted water or warm water twice a day. It can also be prepared as a decoction. [Actions] Enriches yin, subdues fire, strengthenes the sinews and bones. [Applicable Patterns] Wei (atrophy and/or flaccidity, 痿) due to liver-kidney deficiency and yin deficiency with internal heat. Symptoms include: soreness of the waist and knees, weak sinews and bones, thin legs and feet, fatigue when walking, dizziness, tinnitus, seminal emission, enuresis, a red tongue with scanty coating, and a weak, thready pulse. |
【Remark】 |
Reeves' Terrapin (Chinemys reevesii / Mauremys reevesii) is listed as "Endangered" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Also, it is listed in the Convention on |
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