Profile of Zhibai Bawei Wan (aka Zhibai Dihuang Wan)

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Dihuang Wan) for a

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FORMULA Pinyin Name: Zhibai Bawei Wan (aka Zhibai Dihuang Wan)

 

COMMON NAMES: Anemarrhena & Phellodendron Eight Hbs Pill; Anemarrhena,

Phellodendron

& Rehmannia Pill; Phellodendrom Bark & Moutan Bark Pill

 

FORMULA CLASS: Clear Heat; Clear BL & KI Heat; Tone Yin for Yinxu

 

COMPOSITION: Zhibai Bawei Wan = Liuwei Dihuang Wan + Zhimu & Huangbai (2 very

Cold

Hbs), thus much cooler than Liuwei Dihuang Wan to help Descend / Purge Yinxu

Fire [Heat]

Patterns; Both formulas Tone KI Yin & Tone KI Xue;

 

Companies differ in their Hb inclusion rates; mean (and range) inclusion in 10

separate formulas

(%) were:

 

Shudihuang 24.1 (17.4-28.0) [(1): Tone KI; Tone Yin; Tone KI Yin; Boost Jing;

Tone Xue;

Replenish Marrow];

 

Shanzhuyu 12.9 (8.6-15.6) [(3): Warm & Tone KI; Nourish KI Yin & Yang, Astringe

Yin & Ease

Sweat; Tone LV; w Shanyao to Tone LV & SP];

 

Shanyao 12.6 (8.9-14.0) [Tone KI; Secure KI; Boost Jing; Tone SP; w Shudi &

Shanzhuyu for KI

Xu w spermatorrhoea, dizziness, tinnitus, loin pain, impotence & sweat~ night];

 

Danpi / Mudanpi 10.4 (6.7-13.0) [Clear Xu Heat; Clear Xu Fire; Cool Xue;

Disperse Xueyu; Drain

LV Fire];

 

Zexie 10.4 (6.7-13.0) [Tone Yin; Tone KI; Diuretic; Clear KI Fire; Descend Yang

to Yin tract (i.e.,

KI), thus Descend Ministerial Fire to its Lower Source; w Mudanpi for Steaming

Bone; w Fuling as

Diuretic; w Fuling & Mudanpi to Rectify KI, LV & SP, Drain & Tone];

 

Fuling 10.4 (6.7-13.0) [Drain Damp~ Diuretic Tone SP; Descend Yang to Yin tract

(i.e., KI), thus

Descend Ministerial Fire to its Lower Source];

 

Zhimu 9.8 (6.3-22.2) [Tone Yin; Drain Fire; Clear Heat, Drain Fire, Tone Yin,

Moisten Dryness &

Engender Fluids; w Huangbai for Yinxu w Fire Upflaring & Steaming Bone];

 

Huangbai / Huangbai (Chuan) 9.4 (6.3-22.2) [Clear Heat & Purge Damp; Drain Damp

Heat, Drain

KI Fire; Clear Toxin];

 

combination of Zhimu + Huangbai also acts to Descend Ministerial Fire to its

Lower Source (KI);

 

though classical formula has only those 8 Hbs (Bawei), some modern versions add

one or more

of the following: Chishao, Digupi, Guiban, Hanliancao, Huangqi (Bei), Shashen

(Bei), Xuanshen,

Zhuru;

 

Dec 1 package (100-135g raw Hbs) in water as ??2 servings / d (Fen Erci Fu);

also taken as pills;

DOSE: 2-3 X 400mg Conc Extract Tabs / time BID-TID (0.8-1.2g / time = 1.3-3.6g

total Conc

Extract / d); standard daily dose of raw Hbs as Dec is 106g; 15 Caps of 10:1

Conc Extract / d

would = that dose;

 

ACTIONS: Tone Yin; Tone KI; Tone KI Yin; Boost Jing; Tone LV Yin; Clear Heat;

Clear Yinxu

Heat; Clear Yinxu Fire; Purge Fire; Descend Yinxu Fire Upflaring; Clear Heat &

Drain Fire; Clear

YInxu Heat; Moisten LU & ST;

 

CLINICAL INDICATIONS: Zhibai Bawei Wan has same basic actions of Liuwei Dihuang

Wan but

is stronger to Clear Xu Fire that may arise dt Yinxu; use in cases w more severe

Yinxu Heat /Fire

S & Ss than those of Liuwei Dihuang Wan;

 

Helps in many Patterns, mainly Yinxu Heat / Yinxu Fire Upflaring / KI Yinxu w

Fire Upflaring / LV &

KI Yinxu w Fire Upflaring / SJL Damp Heat dt KI Yinxu / Yinxu Heat / Fire in

Menopausal Pattern /

senility Pattern; popular for Yinxu Fire in AIDS / LU TB (Feijiehe) / Steaming

Bone Pattern;

 

(a) KI-LV Yinxu w Heat~ Internal S & Ss: Dryness~ Internal / External [mouth,

skin, eyes / vagina],

Fever~ low grade / hectic / afternoon / tidal (hot flashes (Chaore)), sweat~

spontaneous (Zihan) &

sweat~ night (Daohan), Five Centre Heat (palms + feet + chest feverish),

Steaming Bone,

insomnia (Bumianzheng), dreaming excess, dreams vivid / nightmares;

restlessness, anxiety,

irritability, fear, head heaviness (Touliang) & dizziness / vertigo (Muxuan),

light-headedness,

tinnitus (Erming), hearing difficulty (Zhongting), hearing~ loss / deafness,

eyesight weak / blurred,

dyspepsia, chest pain;, loin & feet pain, ache & weakness / limpness (Yaotong

Zusuan), loin,

limbs & knees numb & weak, hip / knee / ankle pain, arthralgia dt inflammation,

chronic (Manxing)

neuritis (Shenjingyan), infections~ chronic~ Internal / External, diabetes, KI

and LU TB, UTI~

chronic, chronic KI~ nephritis (Manxing Shenyan), prostatitis~ chronic, BPH, BL

weakness, urinary

incontinence, dripping urine, enuresis (Yeniaozheng), urinary~ frequency

[multiple times at night]

w urine~ dark & scanty +/- haematuria; ejaculation~ premature, emission~ seminal

spontaneous /

spermatorrhoea, night emission (Yijing), leukorrhoea~ chronic, skin dry / red /

flaky, itch, wounds~

slow healing, face & cheeks red / flushed; throat dry, throat pain / sore

(Houtong / Yantong), throat

dry (Yangan), gingivitis, mouth~ dry / thirst (Kougan); tongue dry (Shezao) etc;

patients having

radiotherapy for cancer & AIDS show similar S & Ss, including hot flashes in men

post-castration

(surgical, chemical / hormonal / post-radiation); KI-LV Yinxu Heat S & Ss also

occur in metrorrhagia

(uterine functional bleeding), hysteria, DysFxal neuroticism, hypertension &

hyperthyroidism /

thyroid pathology; perimenopausal & menopausal syndrome, Wasting & Thirst

Pattern in diabetes

mellitus (Tangniaobing); T: Red w Fur scanty / none; P: fast & thready / fine,

maybe floating & big

(large) at KI position);

 

(b) KI-LV Yinxu Fire S & Ss are similar but signs of Heat / Fire (fever, hot

flashes, Steaming Bone,

Five Centre Heat, sweat~ day / night, irritability, redness, etc are more severe

& signs of Toxin /

infection occur w epistaxis, gingivitis, gums~ swollen & bleeding, urine~

scanty, dark yellow / dark

+ / - burning urination; Yinxu Heat / Fire in chronic disease can cause

weakness~ severe,

leucorrhoea: profuse & yellow, pharyngitis w throat red & sore & great thirst;

T: redder; P: faster,

possibly surging;

 

if appropriate S & Ss present, can Tx hypertension, neurasthenia, amenorrhoea,

menses irregular,

impotence, hyperthyroidism, Cushing´s disease, steroids~ side effects, Addison's

disease, UTI~

chronic, KI~ nephroatrophy, nephritis chronic, glomerulonephritis~ chronic,

cystitis, Lin / dysuria,

Jing Insufficiency w retarded growth in children, failure to thrive, toothache,

teeth~ loose, allergy,

asthma, wheeze, bronchitis, urticaria~ chronic, gingivitis, gum pain, swelling &

redness, optic

neuritis, central retinitis, optic nerve atrophy, hepatitis~ chronic infectious,

muscular weakness,

heel pain, midline~ pain; HT failure, esophageal cancer;

 

CI in SP Xu w diarrhoea & indigestion w T: Fur white & greasy; CI in Yangxu;

 

Modifications:

(1) mouth~ dry / thirst & throat pain: add Xuanshen, Jiegeng;

(2) loin & back ache & weakness (Yaosuan Beitong): add Niuxi, Duzhong;

(3) Irritability / Yinxu Vexation (Xufan) & thirst (Kouke): add Huangqi,

Renshen;

(4) leucorrhoea, add: Qianshi + Jinyingzi;

(5) vaginal itch, add: Danggui, Heshouwu, Baixianpi

 

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