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Golden Cabinet Kidney Qi Pills
 

This formula comes from Zhang Zhong-jing’s late Han dynasty Jin Gui Yao Lue (Essentials from the Golden Cabinet). Our version is a 10:1 powdered extract in 500 mg gelatin capsules.

Rx:
Shu Di (cooked Radix Rehmanniae)
Shan Zhu Yu (Fructus Corni)
Shan Yao (Radix Dioscoreae)
Fu Ling (Poria
Ze Xie (Rhizoma Alismatis)
Dan Pi (Cortex Moutan)
Zhi Fu Zi (Radix Lateralis Praeparatus Aconiti Carmichaeli)
Rou Gui (Cortex Cinnamomi)

Functions: Warms and supplements kidney yang

Indications: 1) Kidney yang vacuity, 2) kidney yin & yang dual vacuity manifesting as nephritis, nephrosclerosis, kidney stones, kidney tuberculosis, pyelitis, albuminuria, edema, cystitis, chronic urethritis, prostatic hypertrophy, urinary incontinence, diabetes, cerebral hemorrhage, arteriosclerosis, hypertension, hypoten­sion, neurasthenia, spermatorrhea, impotence, lumbago, sciatica, beriberi, cataracts, glaucoma, decrease in eyesight, keratitis, eczema, senile pruritus, vaginal itching, urticaria, chronic gonorrhea, rectal prolapse, menopausal complaints, primary hyperaldosteronism, Addison's disease, hypothyroidism, postpartum urinary retention, arthritis, chronic bronchial asthma, etc.

Signs & symptoms of kidney yang vacuity include:

• Low back and knee soreness and limpness

• Polyuria

• Nocturia

• Tinnitus

• Dizziness

• Decreased libido

• Cold hands and feet

• Fear of cold

• A bluish tongue with wet or dry fur

• A deep, slow, forceless pulse

Signs & symptoms of kidney yin and yang dual vacuity include:

• All the preceding plus

• Night sweats

• Afternoon low-grade fever

• Heat in the five heart or centers

• Heart palpitations

• Vexation and agitation

• Insomnia

• A red tongue with scanty fur

• A fine, rapid pulse

Formula explanation: Within this formula, Shu Di Huang enriches and supplements kidney yin. Shan Zhu Yu and Shan Yao enrich and supplement the liver and spleen, thus assisting the enrichment and supplementation of yin within the kidneys. Rou Gui and Zhi Fu Zi warm and supplement yang within the kidneys. Ze Xie and Fu Ling disinhibit water and seep dampness. They also lead ministerial fire back down to its lower source. In addition, Fu Ling supplements the spleen, remembering that the former and latter heavens are mutually rooted. It also quiets the spirit. Dan Pi clears and drains ministerial fire should it flare upwards hyperactiviely. It also quickens the blood, and enduring diseases eventually reach the kidneys and typically are associated with blood stasis. Thus this combination of medicinals warms and supplements kidney yang, supplements at the same time as it drains, and supplements without being slimy and stagnating. It is also based on the notion of seeking yang within yin.

Dosage: According to Him-che Yeung in Handbook of Chinese Herbs and Formulas, Vol. 2, the standard daily dose in decoction for this formula is 134 grams. Because of the 10:1 concentration ratio and the efficiency of our manufacturing process it would take only 18 capsules per day of Blue Poppy's version of this formula to equal the standard daily dose. The actual prescribed dose should be determined by the practitioner on a case by case basis.

My patient does present the signs and symptoms of:

Kidney yang vacuity Yes No
Kidney yin and yang dual vacuity Yes No
 

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