Zuo Gui Wan

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左归丸 (Restore the Left [Kidney] Pill)

Source: Jing Yue Quan Shu — Zhang Jiebin (Ming, 1624)

Last updated August 30, 2026

Not yet clinically reviewed

Severe Kidney Yin and Essence deficiencyPremature agingInfertility from Essence deficiencySevere lower back pain and weaknessSpermatorrhea from Kidney deficiencyTidal fever and night sweatsSpontaneous seminal emission

Description

Zuo Gui Wan (Restore the Left [Kidney] Pill) is Zhang Jiebin's enriched Kidney Yin tonifying formula — a more intensive approach than Liu Wei Di Huang Wan. It removes the draining herbs from Liu Wei Di Huang Wan and adds more potent Yin and Essence tonics including Lu Jiao Jiao (deer antler glue) and Gui Ban Jiao (tortoise plastron glue). It is indicated for severe Kidney Yin and Essence deficiency.

Composition

Herb Amount % Role Function
Shu Di Huang 24g 22.86% Jun (Chief) Strongly enriches Kidney yin and essence
Shan Yao 12g 11.43% Chen (Deputy) Tonifies the Spleen and Kidney, secures essence
Gou Qi Zi 12g 11.43% Chen (Deputy) Nourishes the Liver and Kidney, benefits essence and the eyes
Shan Zhu Yu 12g 11.43% Chen (Deputy) Nourishes the Liver and Kidney, astringes essence
Gui Ban
Dissolve into the strained decoction.
12g 11.43% Zuo (Assistant) Nourishes yin and fills essence (yin within yin)
Lu Jiao
Dissolve into the strained decoction.
12g 11.43% Zuo (Assistant) Tonifies essence and blood — seeks yin within yang
Tu Si Zi 12g 11.43% Zuo (Assistant) Tonifies the Kidney to reinforce the generation of yin
Chuan Niu Xi 9g 8.57% Zuo (Assistant) Strengthens the lower back and knees, directs the herbs downward

Total weight: 75g

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net neutral (+0.23)

From 100% of the weighed grams.

cold neutral warm

Grams by band: cold 11%, neutral 43%, warm 46%.

Taste

pungent sweet sour bitter salty
  • pungent 6%
  • sweet 67%
  • sour 11%
  • bitter 4%
  • salty 11%

From 100% of the weighed grams.

Channels reached

  • Kidney 100%
  • Liver 89%
  • Lung 23%
  • Spleen 23%
  • Heart 11%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Compare side by side with You Gui Wan →

Preparation

Honey pills. Dissolve Lu Jiao Jiao and Gui Ban Jiao separately in warm water and take with the pills, or incorporate into honey pills.

Dosage

Pills: 9g twice daily with warm water. Long-term use is often appropriate for severe deficiency.

Conditions Addressed

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Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

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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