I. Prescriptions Based on Syndrome Differentiation
- Debility of vital gate fire
Therapeutic aim: Invigorating the kidney and strengthening yang.
Sample Prescription: Modified Yougui Bolus (右歸丸)
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Rhizoma Rehmanniae Praeparatae |
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Rhemannia root (processed) |
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Asiatic corneliam cherry fruit |
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In this prescription, monkshood, cassia bark and deer horn glue replenish the kidney essence and bone marrow as well as warm and tonify the kidneys. They are the chief ingredients. The Chinese angelica root is added to tonify the blood and nourish the liver. The rest of the ingredients are used to nourish yin, invigorate the kidneys and benefit the liver and spleen. The whole combination is especially good for treating a kidney yang deficiency with insufficiency of essence and blood. In TCM , a debility of the vital gate fire means there is an insufficient source of yang; thus the ingredients for nourishing yin and replenishing essence help firm up and tonify the kidney yang.
- Fear and fright damaging the kidneys
Therapeutic aim: Benefit the kidneys and make the spirit tranquil.
Sample Prescription: Tranquilizing Bolus (安神定志丸)
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Rhizoma Atractylodis Macrocephalae |
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Large head atractylodes root |
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Rhizoma Rehmanniae Praeparatae |
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Rhemannia root (processed) |
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Grassleaf sweetflag rhizome |
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In this prescription, tangshen, large head atractylodes and Indian bread replenish the heart-qi so as to console the spirit (shen). Spine date, rhemannia and Chinese angelica enhance the blood to nourish the heart. Chinese senega and grassleaf sweetflag calm the heart and tranquilize the spirit and mental state. Fossil bones and oyster shell sedate and calm the spirit. Morinda root fortifies the kidneys, and, centipede expels the wind evils in the meridians. The whole combination benefits the qi (vital energy), nourishes the heart and tranquilizes the spirit. Furthermore, it promotes communication between the heart and kidneys, thus benefiting impotence caused by emotional factors.
- Stagnation of liver-qi
Therapeutic aim: Dispersing liver-qi stagnation.
Sample Prescription: Xiaoyao Powder (逍遙散)
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Rhizoma Atractylodis Macrocephalae |
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Large head atractylodes root |
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Radix Glycyrrhizae Praeparata |
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Liquorice root (processed with honey) |
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Rhizoma Zingiberis Recens |
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In this prescription, tororwax root disperses the stagnation in the
liver. Angelica root and peony root nourish the blood to soothe the liver. Atractylodes root and Indian bread fortify the
spleen and expel
dampness to facilitate the production of blood and qi (vital energy). Liquorice root, ginger and peppermint act as buffers. The whole combination not only nourishes the liver organ and enhances its functioning, but also benefits the spleen to promote the blood and qi production. Therefore, it is suitable for this type of impotence.
- Spleen and heart deficiency
Therapeutic aim: Fortifying the spleen and nourishing the heart.
Sample Prescription: Decoction for Invigorating Spleen and Nourishing Heart (歸脾湯)
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Rhizoma Atractylodis Macrocephalae |
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Large head atractylodes root |
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Rhizoma Zingiberis Recens |
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Radix Glycyrrhizae Praeparata |
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Liquorice root (processed with honey) |
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In this prescription, atractylodes root, milkvetch root, ginseng, ginger, jujube fruit and liquorice root fortify the spleen and benefit the qi (vital energy). Angelica root nourishes the liver to promote heart functions. Indian bread, spine date and longan aril nourish the heart and calm the spirit. Chinese senega improves communication between the heart and kidneys. Costus root acts as a buffer. The whole combination benefits the blood and qi, which regulates the heart and spleen at the same time.
- Downward accumulation of dampness-heat
Therapeutic aim: Clearing away heat and eliminating dampness.
Sample Prescription: Decoction for Dampness Effusion (萆薢滲濕湯)
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Oriental water plantain rhizoma |
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Radix Morindae Officinalis |
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In this prescription, fish-poison yam and coix seed exert a detoxifying effect by clearing away heat and leaching out dampness. Indian bread, plantain seed and water plantain leach out dampness for diuresis. Corktree clears excessive heat and dries dampness. Tororwax root and angelica root disperse the liver stagnation and nourish the blood. Morinda root fortifies the kidneys and centipede expels the wind evils in the meridians. The whole combination exerts a combined action of clearing away heat, leaching out dampness, promoting diuresis (urination) and activating the blood.
- Obstruction from blood stasis
Therapeutic aim: Activating blood and removing obstructions.
Sample Prescription: Decoction for Smoothing Blood Vessel (蜈蚣達絡湯)
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Radix Salviae Mil. Tiorrhizae |
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Radix Achyranthis Bidentatae |
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In this prescription, centipede removes stagnated blood from the meridians. Lovage, red sage root, peony root, leech, jiuxiang bug and silkworm promote blood circulation to remove obstruction in the meridians. Tororwax regulates the qi movement; Milkvetch replenishes qi (vital energy) and Achyranthes fortifies the kidneys and activates blood circulation. The whole combination exerts a combined action of regulating qi and activating blood, therefore it removes obstructions in the meridians.