da bu yin wan

Great Tonify the Yin Pill

About da bu yin wan

Da Bu Yin Wan, Great Tonify the Yin Pill, is Shu Di Huang, prepared Gui Ban, Huang Bai and wine-fried Zhi Mu. The catalogue classes it among the formulas that nourish and tonify Yin, and records it as enriching Liver and Kidney Yin and directing deficiency Fire downward.

Ingredients

Herb	Amount
shu di huang	18 g
su jiu gui ban	18 g
huang bai	12 g
jiu chao zhi mu	12 g

Actions and indications

Enriches Liver and Kidney Yin

Liver and Kidney Yin deficiency with vigorous deficiency Fire; also Lung and Kidney Yin deficiency, and Liver Yin deficiency with rising Yang
Wei (atrophy) disorder from Liver and Kidney deficiency: legs and knees weak and wasting, feet sore and flaccid
Sore lower back and knees, with a general sense of debility
Tinnitus, and dizziness or vertigo
Cough, which may bring up blood-streaked sputum

Directs deficiency Fire downward

Bone-steaming: tidal or afternoon fever, heat felt deep in the bones, flushed cheeks and night sweats
Hot flushes, heat in the palms, soles and chest, and a burning feeling over the Kidneys
Knees that feel hot and painful, perhaps also weak
Seminal emissions, spontaneous or at night
Irritability, restlessness, fidgeting and quick anger
Insomnia with heavy dreaming or nightmares
Coughing or vomiting of blood
Possibly constant hunger or constipation
Tongue red with little or no coat; pulse thin and rapid, or rapid and forceful, most marked at the rear (Chi) position

Modern uses

Pulmonary tuberculosis
Bone tuberculosis
Renal tuberculosis
Bronchiectasis
Chronic bronchitis
Upper respiratory tract infection
Cough
Hemoptysis
Dyspnea
Hoarseness
Sore throat
Diabetes mellitus
Hyperthyroidism (Graves' disease)
Addison's disease
Neurasthenia
Insomnia
Anxiety
Forgetfulness
Drug abuse
Heel pain
Knee pain
Low back pain
Weakness
Spermatorrhea
Nocturnal emissions
Epididymitis
Urinary tract infection
Hematuria
Chronic nephritis
Chronic glomerulonephritis
Vertigo
Dizziness
Meniere's disease
Tinnitus
Deafness
Myasthenia gravis
Multiple sclerosis
Polyneuritis
Acute infectious polyneuritis
Guillain-Barre syndrome
Acute myelitis
Progressive muscular dystrophy
Sequelae of poliomyelitis
Atrophy (Wei) syndrome
Hysterical paralysis
Periodic paralysis
Facial paralysis
Numbness
Paresthesia
Tremors
Parkinson's disease
AIDS/HIV
Scrofula or lymphadenopathy with AIDS/HIV
Cervical lymphadenopathy
Lupus erythematosus
Temporomandibular joint syndrome (TMJ)
Red eyes
Dry skin
Afternoon fever
Fever
Night sweats
Constipation
Menopause
Menopausal hot flushes and night sweats
Late menstruation
Irregular menstruation
Anemia
Thrombocytopenic purpura
Hematemesis
Hypertension
Congestive heart failure
Ascites
Cirrhosis of the liver

Symptoms

Burning sensation
Constipation
Cough
Dizziness
Dream-disturbed sleep
Excessive hunger
Fever
Five-center heat
Flushed face
Foot pain
Hematemesis
Hemoptysis
Hot flashes
Insomnia
Irritability
Knee pain
Local heat
Low back pain
Malar flush
Muscle atrophy
Night sweats
Productive cough
Restlessness
Sore and weak low back and knees
Spermatorrhea
Steaming bone sensation
Tidal fever
Tinnitus
Weak limbs
Weakness

Modifications

Heavy night sweating: + mu li, + fu xiao mai
Coughing blood: + xian he cao, + ce bai ye
Sputum hard to cough up: + bai bu, + kuan dong hua
Frequent involuntary seminal emission: + qian shi, + jin ying zi
To nourish Yin and drain Fire more strongly: + e jiao
Multiple sclerosis, Kidney Yin deficient type with Yang excess: + gui ban, + dang gui, + nu zhen zi, + gou qi zi, + qin jiao, + sha yuan zi, + sang zhi, + du zhong, + huai niu xi, + ci shi
Multiple sclerosis, Kidney Yin deficient type, plus nausea and vomiting: + gui ban, + dang gui, + nu zhen zi, + gou qi zi, + qin jiao, + sha yuan zi, + sang zhi, + du zhong, + huai niu xi, + ci shi, + zhu ru, + sheng jiang
Multiple sclerosis, Kidney Yin deficient type, plus unsteady gait: + gui ban, + dang gui, + nu zhen zi, + gou qi zi, + qin jiao, + sha yuan zi, + sang zhi, + du zhong, + huai niu xi, + ci shi, + xu duan, + mu gua
Multiple sclerosis, Kidney Yin deficient type, plus tired knees: + gui ban, + dang gui, + nu zhen zi, + gou qi zi, + qin jiao, + sha yuan zi, + sang zhi, + du zhong, + huai niu xi, + ci shi, + bai shao, + jiang can, + quan xie
Delayed periods: + bai shao
Delayed periods without Heat signs: + bai shao, + huang qi
More marked Yin deficiency: + mai men dong, + tian men dong

Show all 57 modifications

Cough with sticky sputum hard to expel: + bai bu, + chuan bei mu
Coughing or vomiting blood: + xian he cao, + bai mao gen, + ce bai ye
Pulmonary tuberculosis: + sheng di huang, + zhi zi tan, + mai men dong, + huai niu xi, + pi pa ye, + ce bai ye, + mo han lian
Epididymitis: + jin yin hua, + li zhi he
Epididymitis, testicles painful and swollen: + jin yin hua, + li zhi he, + xuan shen, + hai zao, + mu dan pi
Epididymitis, pain spreading to the belly and lower back: + jin yin hua, + li zhi he, + chuan lian zi, + yan hu suo
Epididymitis, hard and painful swelling: + jin yin hua, + li zhi he, + chuan lian zi, + hai zao
Epididymitis with fever: + jin yin hua, + li zhi he, + bai jiang cao
UTI with painful urination: + qu mai, + che qian zi
UTI, urgency and a bloated abdomen: + zhi ke
UTI, blood in the urine: + bei xie, + yi yi ren
UTI, red tongue and depleted fluids: + xuan shen, + shi hu
Hematuria: + e jiao, + huang qin, + sheng di huang, + mo han lian, + xiao ji, + gan cao
Severe hematuria: + e jiao, + huang qin, + sheng di huang, + mo han lian, + xiao ji, + gan cao, + ce bai ye, + da ji
Hematuria, scant dark urine: + e jiao, + huang qin, + sheng di huang, + mo han lian, + xiao ji, + gan cao, + ze xie, + fu ling
Hematuria with mild fever: + e jiao, + huang qin, + sheng di huang, + mo han lian, + xiao ji, + gan cao, + yin chai hu, + di gu pi
Hematuria and insomnia: + e jiao, + huang qin, + sheng di huang, + mo han lian, + xiao ji, + gan cao, + ye jiao teng, + suan zao ren, + yuan zhi
Tremor (combined with Liu Wei Di Huang Wan): + huang bai, + yuan zhi, + he shou wu, + gou teng, + bai ji li, + mu li, − ze xie
Tremor with digestive upset (combined with Liu Wei Di Huang Wan): + huang bai, + yuan zhi, + he shou wu, + gou teng, + bai ji li, + mu li, + shen qu, + shan zha, − ze xie
Tremor with heavy night sweats (combined with Liu Wei Di Huang Wan): + huang bai, + yuan zhi, + he shou wu, + gou teng, + bai ji li, + mu li, + fu xiao mai, + ma huang (gen), − ze xie
Idiopathic thrombocytopenic purpura: + sheng di huang, + mo han lian, + nu zhen zi, + e jiao, + mu dan pi, + di gu pi, + ce bai ye
Severe idiopathic thrombocytopenic purpura: + sheng di huang, + mo han lian, + nu zhen zi, + e jiao, + mu dan pi, + di gu pi, + ce bai ye, + qian cao gen, + zi cao
ITP with nosebleeds: + sheng di huang, + mo han lian, + nu zhen zi, + e jiao, + mu dan pi, + di gu pi, + ce bai ye, + huang qin, + chuan niu xi
ITP with gum bleeding: + sheng di huang, + mo han lian, + nu zhen zi, + e jiao, + mu dan pi, + di gu pi, + ce bai ye, + shi gao, + huang lian
ITP, blood in the stool: + sheng di huang, + mo han lian, + nu zhen zi, + e jiao, + mu dan pi, + di gu pi, + ce bai ye, + di yu, + huai jiao
ITP, blood in the urine: + sheng di huang, + mo han lian, + nu zhen zi, + e jiao, + mu dan pi, + di gu pi, + ce bai ye, + ou jie, + da ji
ITP, vomiting blood: + sheng di huang, + mo han lian, + nu zhen zi, + e jiao, + mu dan pi, + di gu pi, + ce bai ye, + bai mao gen, + bai ji
ITP with heavy periods: + sheng di huang, + mo han lian, + nu zhen zi, + e jiao, + mu dan pi, + di gu pi, + ce bai ye, + pu huang
ITP, low or tidal fever: + sheng di huang, + mo han lian, + nu zhen zi, + e jiao, + mu dan pi, + di gu pi, + ce bai ye, + yin chai hu, + bai wei, + hu huang lian
ITP, Heat drying the fluids (dry mouth, eyes, skin, stool): + sheng di huang, + mo han lian, + nu zhen zi, + e jiao, + mu dan pi, + di gu pi, + ce bai ye, + mai men dong, + tian hua fen, + xuan shen
ITP with rising Liver Yang: + sheng di huang, + mo han lian, + nu zhen zi, + e jiao, + mu dan pi, + di gu pi, + ce bai ye, + mu li, + bai shao
Lupus erythematosus (combined with Si Wu Tang): + sheng di huang, + bie jia, − shu di huang
Lupus, marked Qi deficiency (combined with Si Wu Tang): + sheng di huang, + bie jia, + huang qi, + xi yang shen, − shu di huang
Lupus, heavy night or spontaneous sweating (combined with Si Wu Tang): + sheng di huang, + bie jia, + long gu, + mu li, − shu di huang
Lupus, Qi deficiency and poor appetite (combined with Si Wu Tang): + sheng di huang, + bie jia, + shan yao, + fu ling, + bai zhu, − shu di huang
Lupus, prominent tidal fever and hot palms and soles (combined with Si Wu Tang): + sheng di huang, + bie jia, + shan yao, + fu ling, + mu dan pi, + shan zhu yu, + ze xie, − shu di huang
Lupus, Blood stasis and prominent skin lesions (combined with Si Wu Tang): + sheng di huang, + bie jia, + tao ren, + hong hua, + dan shen, + chi shao, + bai mao gen, − shu di huang
Lupus, Blood stasis and skin lesions, second option (combined with Si Wu Tang): + sheng di huang, + bie jia, + di gu pi, + xuan shen, + tian hua fen, + qing hao, + ou jie, − shu di huang
Lupus, marked Kidney Yin deficiency (sore weak low back and knees, dizziness, tinnitus) (combined with Si Wu Tang): + sheng di huang, + bie jia, + gou qi zi, + tu si zi, + fu pen zi, + rou cong rong, + huai niu xi, + he shou wu, − shu di huang
Temporomandibular joint disorder: + bai shao, + di long, + du zhong, + dang gui, + chi shao, + jiang can, + tian ma, − huang bai
TMJ disorder, severe pain or stiff jaw movement: + bai shao, + di long, + du zhong, + dang gui, + chi shao, + jiang can, + tian ma, + quan xie, + wu gong, − huang bai
TMJ disorder with loose teeth: + bai shao, + di long, + du zhong, + dang gui, + chi shao, + jiang can, + gu sui bu, − huang bai
TMJ disorder, dizziness and tinnitus: + bai shao, + di long, + du zhong, + dang gui, + chi shao, + jiang can, + gou qi zi, + ju hua, − huang bai
HIV/AIDS with wasting and weakness: + e jiao, + shan yao, + shan zhu yu, + fu ling, + mu dan pi, + ze xie, − zhu ji shui
Scrofula or swollen lymph nodes in HIV/AIDS: + xuan shen, + zhe bei mu, + xia ku cao, + hai zao, + kun bu, + gan cao

Cautions

contraindication Not for excess Fire
contraindication Weak Spleen and Stomach with little appetite, loose stools or a tendency to diarrhea: avoid, or use only in modified form
contraindication Not for cold (Yang) deficiency, nor for fever that comes from an exterior condition rather than internal Yin deficiency
caution Its heavy, rich tonics (Gui Ban, Shu Di Huang) and its bitter, cold herbs (Zhi Mu, Huang Bai) can damage the Spleen when taken for long, leading to loose stools or a poor appetite
caution Not to be taken for long periods without supervision
caution Avoid pungent, spicy food while taking it
pregnancy In pregnancy, use only under professional guidance

Preparation

Pills: the powdered herbs are bound with pig spinal marrow and honey, with Gui Ban fried, Huang Bai dry-fried and Zhi Mu wine-fried; also given as a decoction in modern practice

Names

Pinyin	da bu yin wan
English Name	Great Tonify the Yin Pill

Classification

Category: Nourish and Tonify Yin