FU GUI BA WEI WAN BP011 (also found as: Jin Gui Shen Qi Wan)

Rehmannia Eight Formula

TCM ACTIONS ACTIONS OF THE MAIN HERBS

Warm-tonifies the Kidney Yang Rehmannia root (prepared) is used orally in formulas as a tonic
with a specific action on the blood, the urogenital system and
the heart. It has been shown to have the following actions:
TCM SYNDROMES antihypertensive, anti-inflammatory, anticholesterolemic,
Kidney Yang deficiency cardiotonic, adrenal tonic, hepatoprotective, hypotensive, anti-
ageing, cerebral blood flow stimulant.
Cinnamomum bark is used orally in formulas as a warming herb
INDICATIONS
for conditions due to Interior Cold. It is also used in order to
Chronic nephritis, diabetes mellitus, hyperaldosteronism, assist the action of other tonic herbs, to promote the circulation
diabetes insipidus, menopausal syndrome, erectile dysfunction, of the Qi and the Blood, alleviate pain due to Cold, and also to
spermatorrhea, geriatric cataract, chronic bronchitis, chronic send deficiency Fire (from Kidney Yang deficiency) back down to
asthma. its source in the Kidney. It has been shown to have the following
actions: antispasmodic, analgesic, antipyretic, sedative,
digestive stimulant and carminative.
SIGNS & SYMPTOMS
(key clinical features in bold)
Low back pain (usually with a cold sensation) DOSAGE & COURSE OF TREATMENT
Intolerance of cold 8 - 12 pills, 3 times daily, half to one hour away from food.
Cold hands, feet and lower abdomen In severe cases and in the early stages of treatment (first 2 – 4
weeks) the dosage may be increased by 50 - 100%.
Polyuria, nocturia
Course of treatment: 3 – 9 months, or ongoing for elderly
Low libido
patients
Pale complexion
Safe for long term use.
Fatigue
Infertility
CAUTIONS & CONTRAINDICATIONS
Erectile dysfunction
Caution with patients on antiarrhythmic drugs (e.g. quinidine,
Pale, swollen and moist tongue procainamide, disopyramide)
Deep pulse that is also weak and thready Not for use during pregnancy.

INGREDIENTS
Each pill contains extract equiv. to dry:
Codonopsis pilosula, root (dang shen)* 65.8mg
Rehmannia glutinosa, root (shu di huang) 65.8mg
Dioscorea oppositifolia, root (shan yao) 52.6mg
Poria cocos, fruit. body (fu ling) 52.6mg
Cornus officinalis, fruit (shan zhu yu) 39.5mg
Paeonia suffruticosa, stem bark (mu dan pi) 39.5mg
Alisma plantago aquatica, rhizome (ze xie) 39.5mg
Cinnamomum cassia, stem bark (rou gui) 19.6mg
COMBINATIONS
• Asthma – maintenance treatment (select either or both):
+ Ding Chuan Wan (Ginkgo Nut & Apricot Seed Formula
BP008) – infrequent episodes
+ Yu Ping Feng San (Jade Screen Formula BP037) – remission
stage
• Polyuria or nocturia – severe:
+ Ba Ji Yin Yang Wan (Morinda Combination BP002)
+ Bu Zhong Yi Qi Wan (Ginseng & Astragalus Combination
BP005)
• With Spleen Yang deficiency:
+ Si Jun Zi Tang (Four Major Herbs Combination BP082)

* Included as a substitute for aconite root (fu zi).

50
BP011 FU GUI BA WEI WAN
CLINICAL GUIDE – Black Pearl® Pill Range www.sunherbal.com 4th Edition
 COMMENTS This formula was originally recorded in the ‘Synopsis of Prescriptions of the Golden Cabinet’
FU GUI BA WEI WAN (jin gui yao lue fang lun) by Zhang Zhong-jing (circa 150 – 219 CE). This work is the earliest
BP011 surviving record that details the diagnosis and treatment of miscellaneous diseases of
internal medicine, as well as some surgical diseases and gynecological disorders, according
to the Eight Principles. The alternative name for this formula means: ‘Kidney Qi (tonic) Pill
from the (Synopsis of Prescriptions of the) Golden Cabinet’. Like so many of Zhang Zhong-
jing’s formulas, this one was so ingeniously designed that its clinical uses have been
expanded over the centuries to include many more disorders than originally intended.
Its actions cover four broad areas, all of which are related to Kidney deficiency. The first
is Kidney Qi deficiency: because the formula warm-tonifies the Kidney Yang and nourishes
the Kidney Yin, it facilitates the production of Kidney Qi (which is generated by the action
of the Kidney Yang on the Kidney Yin). Secondly, this formula addresses deficiency of the
Kidney Yang with insufficiency of its warming and activating functions. The third covers
disturbances of fluid metabolism: deficiency of the Kidney Yang and the Kidney Essence lead
to insufficiency of the original Qi (yuan qi), which normally ascends through the Triple Jiao to
drive the metabolism of fluids (as well as the digestion of food).
Finally, this formula is effective in conditions due to disturbance of the ministerial Fire (the
Fire of the Kidney, an aspect of the Kidney Yang): one of the functions of the original Qi is
to keep the ministerial Fire subdued and confined to the lower Jiao. When the original Qi
becomes deficient, the Kidney Fire looses its root and rises upwards and may give rise to Heat
in the upper body (accompanied by signs of Cold in the lower body). This syndrome is often
referred to as ‘false Heat with true Cold’.
The synergistic actions of the herbs are as follows:
• Rehmannia glutinosa, root (shu di huang), Dioscorea oppositifolia, root (shan yao), Cornus
officinalis, fruit (shan zhu yu): nourish the Kidney Yin, enrich the Kidney Essence
• Paeonia suffruticosa, stem bark (mu dan pi), Alisma plantago aquatica, rhizome (ze xie):
reduce Fire, clear deficiency Heat
• Poria cocos, fruit. body (fu ling), Alisma plantago aquatica, rhizome (ze xie): drain Damp and
promote fluid metabolism to induce diuresis
• Codonopsis pilosula, root (dang shen), Dioscorea oppositifolia, root (shan yao), Poria cocos,
fruit. body (fu ling): tonify the Spleen Qi (to indirectly tonify the Kidney Qi and Essence)
• Cinnamomum cassia, stem bark (rou gui): warms the Yang and leads the Kidney Fire back
down to the lower Jiao

Back to Table of Contents ↑ Next Formula→

51
BP011 FU GUI BA WEI WAN
CLINICAL GUIDE – Black Pearl® Pill Range www.sunherbal.com 4th Edition