BLACK PEARL BP038 ZHI BAI BA WEI WAN A. P. & REHMANNIA

BLACK PEARL ZHI BAI BA WEI WAN A. P. & REHMANNIA – BP038

This is a variant of Liu Wei Di Huang Wan (Rehmannia Six Formula), which was first recorded in ‘Syndrome Analysis According to the Pulse’ (zheng yin mai zhi), by Qin Jing-ming, 1702. The formula makes use of the synergistic pair: Phellodendron (huang bai) and Anemarrhena (zhi mu) to reduce Fire that occurs in Kidney Yin deficiency.

This formula treats the syndrome of Kidney Yin deficiency with Fire flaring, which is a complication of Kidney Yin deficiency, in which the clinical features of deficiency Heat or deficiency Fire predominate. The causes of this syndrome are the same as for Kidney Yin deficiency – see comments on Liu Wei Di Huang Wan (Rehmannia Six Formula BP015). It should be noted that there is always some degree of deficiency Heat that accompanies Kidney Yin deficiency.

However, the degree of severity of the Heat determines the clinical priorities of treatment. Thus, in cases with relatively minor manifestation of Heat, treatment should be directed primarily towards tonifying the deficiency e.g. with Liu Wei Di Huang Wan (Rehmannia Six Formula BP015). In cases with the severe manifestations of Fire, treatment should be simultaneously directed towards reducing the Fire as well as nourishing the Kidney Yin, which are the clinical actions of this formula.

In addition, this formula may also be used in cases with Damp-Heat in the lower Jiao (generally a protracted condition) with deficiency of the Kidney Yin, which may have been pre-existing or brought about through the damage caused by the pathogens (e.g. subacute or chronic/recurring inflammatory conditions of the urogenital system).

Ingredients:
– Rehmannia glutinosa, root 地黃 66.0 mg
– Dioscorea oppositifolia, root 山藥 55.1 mg
– Wolfiporia cocos, fruit. body 茯苓 55.1 mg
– Alisma plantago aquatica, rhizome 澤瀉 54.8 mg
– Anemarrhena asphodeloides, rhizome 知母 44.3 mg
– Phellodendron amurense, stem bark 黃柏 33.8 mg
– Cornus officinalis, fruit 山茱萸 33.0 mg
– Paeonia suffruticosa, stem bark 牡丹皮 33.0 mg

Signs & Symptoms
– Respiratory infection, chronic
– Cystitis
– Debility due to chronic illness
– Diabetes mellitus
– Glomerulonephritis
– Hypertension
– Hyperthyroidism
– Involuntary seminal emissions
– Leucorrhoea
– Urethritis
– Vaginitis
– Menopausal hot flushes and dysphoria
– Cystitis, chronic recurrent
– Dry mouth and throat, chronic
– Dizziness
– Nocturnal seminal emission
– Insomnia
– Pain and weakness in lower back
– Night sweats
– Pelvic inflammatory disease, chronic
– Prostatitis, chronic

Dosage & Course of Treatment
– 30 – 40 pills twice daily, half to one hour away from food.
– In severe cases the dosage may be increased up to 50%, e.g. 50 pills twice daily or 30 – 40 pills, three times daily.
– Course of treatment: 3 – 6 months, or longer in elderly patients (at lower dosage)
– Safe for long term use.

Cautions & Contraindications
– Discontinue during an episode of common cold or influenza