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Tortoise Shell Tablets are based on two traditional prescriptions that are used for weakness of the kidney system. One is the simple combination of rehmannia, phellodendron, and anemarrhena (Da Buyin Tang), which is used for yin deficiency fire and the other is Huqian Wan (Pill of Hidden Tiger), which is used for debility of the limbs that occurs secondary to yin deficiency. Tortoise Shell Tablets nourishes yin and clears heat and is considered strengthening for the lower body. It differs from Rehmannia 16, Restorative Tablets, and Anemarrhena Tablets mainly in its reliance on tortoise shell and phellodendron in substantial amounts to rapidly adjust the kidney balance away from deficiency fire. Tortoise shell has several applications: it is used to strengthen the tendons and muscles, cool the blood, nourish the marrow, and lower ascending yang. Phellodendron is used here to cleanse deficiency heat. There is a description in the traditional Chinese literature of a feverish disease that can cause wasting of the body tissues (wei syndrome), especially the legs, for which Huqian Wan is the main remedy. Thus, persons who show low body weight, difficulty putting on weight, or undesired weight loss may benefit from this formula. Cynamorium is a moistening yang tonic that strengthens the legs; dragon tooth is an astringent that calms agitation associated with rising yang of the kidney and liver. Cases of yin deficiency, such as menopausal syndrome, that are not adequately controlled by the other prescriptions may respond to larger doses of tortoise shell and phellodendron in this formulation. Tortoise Shell Tablets can be combined with kidney nourishing formulas for benefiting the marrow and spine (e.g., Cord Tablets) or reducing internal wind (e.g., Stabilizing Tablets).