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Contraindications Use with care in cases of spleen vacuity and dampness Chinese Symptomology SIGNS & SYMPTOMS OF LIVER-KIDNEY YIN VACUITY INCLUDE: * Low back and knee soreness and limpness * Heat in the hands, feet, and/or heart * Dizziness * Dry mouth and throat * Tinnitus and/or deafness * A red tongue with scanty fur * Night sweats * A fine, possibly rapid, possibly floating pulse * Bone-steaming and tidal fevers Western Symptomology Liver blood-kidney yin vacuity manifesting as retarded growth of children, low back pain, optic neuritis, central retinitis, optic nerve atrophy, pulmonary tuberculosis, diabetes, hyperthyroidism, Addison’s disease, hypertension, neurasthenia, functional uterine bleeding, chronic urinary tract infection, chronic nephritis, chronic glomerulonephritis, nephroatrophy, deafness, impotence, nocturia, menopause, senility, etc. Actions Enriches and supplements the liver and kidneys Pattern Liver blood-kidney yin vacuity Ingredients Shu Di (cooked Radix Rehmanniae) 171 mg ~ Shan Zhu Yu (Fructus Corni) 136.5 mg ~ Shan Yao (Radix Dioscoreae) 136.5 mg ~ Fu Ling (Poria) 102 mg ~ Ze Xie (Rhizoma Alismatis) 102 mg ~ Dan Pi (Cortex Moutan) 102 mg Within this formula, Shu Di (cooked Radix Rehmanniae) is the sovereign ingredient. It enriches kidney yin, boosts the essence, and fills the marrow. Shan Zhu Yu (Fructus Corni) assists in warming and enriching the kidneys and boosting the liver. Shan Yao (Radix Dioscoreae) enriches the kidneys and supplements the spleen. These are the three yin-supplementing medicinals in this formula. They are called the “three supplementers.” These are then combined with three draining or opening ingredients called the “three drainers.” Ze Xie (Rhizoma Alismatis) aids Shu Di by draining any exuberance of kidney fire and downbears turbidity. Dan Pi (Cortex Moutan) aids Shan Zhu Yu by draining liver fire. In addition, it quickens the blood and transforms stasis. Since this formula is so often used in the elderly and the chronically ill, an element of blood stasis is often found in cases for whom this formula is appropriate. Fu Ling (Poria) assists Shan Yao by seeping spleen dampness. Further, Fu Ling and ZeXie work together to eliminate dampness and disinhibit water. And finally, Fu Ling quiets the spirit. This formula comes from Qian Yi’s famous Song dynasty pediatric text Xiao Er Yao Zheng Zhi Jue (The Correct Execution of Pediatric Medicinals & Patterns) published in 1119 CE.