Liu Wei Di Huang Wan

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六味地黄丸 (Six-Ingredient Pill with Rehmannia)

Source: Xiao Er Yao Zheng Zhi Jue — Qian Yi (Song, 1119)

Last updated July 22, 2026

Kidney Yin deficiencyLower back and knee sorenessDizziness and tinnitusNight sweatsDry mouthSpontaneous seminal emissionAfternoon fever

Description

Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) is the foundational formula for nourishing Kidney Yin in TCM. Using an elegant 'three tonics, three drains' structure, it simultaneously nourishes Kidney, Liver, and Spleen Yin while preventing stagnation. Originally formulated for pediatric Kidney deficiency, it has become one of the most widely used formulas in Chinese medicine for adults with Kidney Yin deficiency patterns.

Composition

Herb Amount % Role Function
Shu Di Huang 24g 32% Jun (Chief) Nourishes Kidney Yin, fills Essence and marrow. Primary herb targeting the root of Kidney Yin deficiency.
Shan Zhu Yu 12g 16% Chen (Deputy) Nourishes Liver and Kidney Yin, astringes Essence via sour-astringent quality.
Shan Yao 12g 16% Chen (Deputy) Tonifies Spleen Yin, stabilizes Kidney. Supports postnatal Essence generation.
Ze Xie 9g 12% Zuo (Assistant) Drains Kidney turbidity, prevents stagnation from Shu Di Huang's cloying nature.
Mu Dan Pi 9g 12% Zuo (Assistant) Clears deficiency Heat, cools Liver fire, moderates Shan Zhu Yu's astringency.
Fu Ling 9g 12% Zuo (Assistant) Drains Spleen dampness, supports Shan Yao's tonifying action.

Total weight: 75g

Preparation

Traditional: grind to fine powder, bind with honey into 6mm pills. Also available as concentrated pills or decoction (decoct 30–40 min, gentle simmer).

Dosage

Honey pills: 6–9g 2–3x/day on empty stomach with warm water. Concentrated pills: 8 pills 3x/day. Decoction: 1 dose/day in 2 servings.

Conditions Addressed

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Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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