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Knowledge baseFormulas

Yi Shen Nuan Gong Tang翊腎暖宮汤

Augment the Kidneys and Warm the Palace Decoction

Medicinals
14

Composition

  • Dang ShenStir-fried Rx. Codonopsis6–14 g

    Tonifies the Middle Jiao, augments *Qi, nourishes the Blood and promotes the generation of Body Fluids*.

    for Spleen and Stomach Deficiency with fatigue, a sensation of fullness in the abdomen, dizziness, lethargy, shortness of breath, anorexia and loose stools or diarrhea.
    • Bai Zhu
    for Spleen Qi Deficiency with anorexia, loose stools and vomiting.
    for Qi and Blood Deficiency with dizziness, weakness and lassitude.
    • Bai Zhu, Zhi Gan Cao, Shu Di Huang
    Bai Shao, for Qi* and Blood Deficiency.
  • Bai ZhuStir-fried Rz. Atractylodis Macrophyllae3–15 g

    Tonifies the Spleen, augments *Qi, dries Dampness and promotes water metabolism.*

    for Blood Deficiency, often with palpitations.
    for Spleen and Stomach Qi Deficiency.
  • Zhi Gan CaoRx. Glycyrrhizae Preparata1.5–14 g

    Tonifies the Spleen, augments *Qi, moderates spasms, alleviates pain, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels*.

    for anorexia, fatigue and loose stools due to Spleen Deficiency.
    • Dang Shen, Fu Ling
    Bai Zhu, strengthens the Spleen and augments Qi*.
    • Bai Shao
    moderates spasms and alleviates pain, for painful spasms of the leg or abdomen.
  • Fu LingPoria9–18 g

    Promotes urination, leaches out Dampness and strengthens the Spleen.

    • Bai Zhu
    strengthens the Spleen and resolves Dampness.
  • Tu Si ZiSm. Cuscutae6–18 g

    Tonifies the Kidneys, strengthens Yang, nourishes Yin, astringes Jing and urine and benefits the marrow.

  • Chuan JiaoFr. Zanthoxyli2–7 g

    Warms the Middle Jiao, disperses Cold, dispels Dampness, relieves diarrhea and alleviates pain.

    for Cold from Deficiency of the Lungs and Kidneys with lower back pain, icy cold feet and wheezing.
  • Zi Shi YingFluoritum9–16 g

    Warms the Womb and warms and unblocks the Chong and Ren channels.

    • Dang Gui, Shu Di Huang
    Bai Zhu,* for infertility, irregular uterine bleeding and vaginal discharge due to Cold from Deficiency of the Womb and the Sea of Blood.
  • Dang GuiRx. Angelicae Sinensis3–15 g

    Tonifies, invigorates and harmonizes the Blood, disperses Cold and regulates the menses.

    • Bai Shao
    regulates and harmonizes Qi and Blood.
    harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
    • Bai Shao, Shu Di Huang
    Chuan Xiong,* for menstrual irregularity, amenorrhea, and dysmenorrhea due to Blood Deficiency or Blood Stasis.
    • Zhi Gan Cao
    moderates spasms and relieves abdominal pain.
  • Fu Pen ZiFr. Rubi2–12 g

    Tonifies and stabilizes the Kidneys, astringes Jing and urine and tonifies Yang.

  • Bai ShaoRx. Paeoniae Alba5–30 g

    Nourishes the Blood, astringes Yin, regulates menstruation, softens the Liver and relieves pain.

    nourishes Yin and Blood.
    for dizziness, blurred vision and dysmenorrhea due to Blood Deficiency or Stasis.
    for epigastric, hypochondriac or flank pain.
  • Chuan XiongRz. Chuanxiong3–10 g

    Invigorates the Blood and promotes the movement of *Qi.*

    for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses and amenorrhea.
  • Shu Di HuangRx. Rehmanniae Preparata9–30 g

    Nourishes Liver and Kidney *Yin, nourishes Jing and Blood and fills the Marrow*.

    for Blood Deficiency marked by dizziness, palpitations, insomnia and menstrual dysfunction.
  • Lu RongCornu Cervi Pantotrichum3–5 g

    Tonifies the Kidneys, strengthens and warms Yang, regulates the Chong and Ren channels, stabilizes the Dai Channel and tonifies and nourishes Qi and Blood.

    for infertility and thin vaginal discharge due to Kidney Deficiency Cold.
  • Chong Wei ZiFr. Leonuri3–15 g

    Invigorates the Blood, clears Heat and regulates the menses.

Actions

  • Strengthens Kidney Yang
  • Produces Blood
  • Builds Qi
  • Enriches the Chong and Ren channels
  • Provides nourishment to the uterus

Patterns treated

A Deficiency of Kidney Yang accompanied by Deficiency of both Qi and Blood

Manifestations

  • Infertility that is long-standing, or infertility occurring in an older woman
  • There may be a history of delayed first menstruation
  • Menstruation that is delayed, with menses reduced in amount and pale in color, or
  • Menstrual periods that occur infrequently
  • An irregular menstrual cycle
  • Menstrual flow that is either scanty or heavy
  • A menstrual cycle that runs longer than usual
  • A discharge that is scanty and dark toward the end of the period
  • Absence of menstruation
  • Diminished sexual desire
  • The waist and legs feel achy and weak
  • Pain in the back
  • Coldness of the extremities
  • A complexion with a dusky tone
  • A complexion that is dull and pale
  • A greater volume of clear-colored urine
  • A tendency toward loose, unformed stools
  • Light-headedness
  • Physical exhaustion
  • Ringing in the ears
  • A general sensation of coldness
  • A low, depressed mood
  • The arms and legs feel cold to the touch
  • Urinating more often than normal
  • Urination that is prolonged, with a thin stream, or with dribbling
  • Soreness in the back
  • The loin and knees feel painful and cold
  • Intense lower back pain
  • A feeling of coldness in the lower abdomen
Tongue body
A tongue that is pale, swollen and moist
Coating
A white coating
Pulse
A pulse that may be Deep and weak, or Thin and soft, or Deep and thready, or Deep, thready and forceless, or Deep and slow

Indications

The inability to conceive

Notes

Administer this formula during the 7-10 days preceding menstruation; once menstruation has ended, switch to the Chinese Patent Medicines Ba Zhen Wan and Wu Zi Yan Zong Wan.