Shen Qi Wan

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肾气丸 (Kidney Qi Pill)

Source: Jin Gui Yao Lue (c. 220)

Last updated October 1, 2026

Not yet clinically reviewed

Description

Shen Qi Wan (Kidney Qi Pill), from Essentials from the Golden Cabinet (Jin Gui Yao Lue).

Actions and indications: Supplement the kidney and assist yang. Indicated for the treatment of kidney yang insufficiency, with low back pain, weak legs, cold sensation of the half-body under waist, spasms of the lower abdomen, difficulty in micturition, or profuse urine which is more evident at night, yang wěi (impotence) and premature ejaculation, pale and plump tongue, deep and thready chi pulse, or deep, weak and slow pulse; or phlegm rheum, edema, wasting-thirst ( xiāo kě ), weak foot due to dampness, bladder colic and pregnant dysuria

Modifications: Radix Rehmanniae Recens ( gan di huang ) in this formula is usually replaced by Radix Rehmanniae Praeparata ( shu di huang ) in today’s clinic. For more evident aversion to cold and cold limbs, change Ramulus Cinnamomi ( gui zhi ) into Cortex Cinnamomi ( rou gui ) and increase the dosage of Ramulus Cinnamomi ( gui zhi ) and Radix Aconiti Lateralis Praeparata ( fu zi ) to strengthen the effects of warming and supplementing kidney yang; complicated by cough and panting due to phlegm rheum, add Rhizoma Zingiberis ( gan jiang ), Radix et Rhizoma Asari ( xi xin ) and Rhizoma Pinelliae ( ban xia ) to warm the lung and dissolve rheum (fluid retention); for profuse urine at night, add Radix Morindae Officinalis ( ba ji tian ), Fructus Rosae Laevigatae ( jin ying zi ), Fructus Alpiniae Oxyphyllae ( yi zhi ren ), and Semen Euryales ( qian shi ) to assist the effects of warming yang and arresting enuresis; for yang wěi (impotence) due to decline of kidney yang, add Herba Epimedii ( yin yang huo ), Radix Morindae Officinalis ( ba ji tian ) and Semen Allii Tuberosi ( jiu cai zi ) to strengthen yang and relieve impotence

Cautions: Avoid cold, uncooked and greasy food during the medication. Its use is prohibited in pregnant women and patients with dry throat and mouth, red tongue with slight coating due to kidney yin insufficiency and deficiency fire flaming upward. And it is not suitable for patients with kidney yang deficiency and normal urination

Category: Formulas That Supplement Yang.

Source: Xi S, Gong Y. Essentials of Chinese Materia Medica and Medical Formulas: New Century Traditional Chinese Medicine. Academic Press/Elsevier, 2017, pp. 599–602.

Preparation

Grind the ingredients into fine powder, mix with honey and make into pills as size of phoenix tree seed, and take 6–9 g each time withwarm boiled water or bland salty soup, 2 times a day; or decoct the ingredients with water for oral use

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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