Chinese pin yin name: Tian Wang Bu Xin dan or pill. English name: Ginseng & Zizyphus Formula. Tian Wang Bu Xin dan is a popular Chinese herbal medicine formula.

TCM ACTIONS:

• Nourishes the Heart and Kidney Yin, reduces deficiency Fire, promotes Heart-Kidney interaction, calms the spirit.

TCM SYNDROMES:

• Heart-Kidney disharmony.

BIOMEDICAL ACTIONS:

• Sedative (anxiolytic), hypnotic, nervine, tonic, adaptogenic, vasodilator, cardiac tonic, hypotensive, mood stabiliser.

INDICATIONS:

• Insomnia, neurosis, neurasthenia, aphthous ulcer, hypnotics dependency, hypertension. paroxysmal tachycardia, chronic recurrent cystitis.

SIGNS & SYMPTOMS:

• Irritability
• Extreme anxiety
• Insomnia, sleep disturbance
• Palpitations (induced by fright or anxiety)
• Night sweats
• Inability to concentrate, forgetfulness
• Fatigue (physical and mental)
• Nocturnal emissions
• Mouth or tongue ulcers
• Dry stools
• Low fever or tidal fever
• Red tongue with little or no coat
• Thready and rapid pulse

INGREDIENTS:

• Rehmannia glutinosa, root (sheng di huang)
• Zizyphus spinosa, seed (suan zao ren)
• Biota orientalis, seed (bai zi ren)
• Salvia miltiorrhiza, root (dan shen)
• Asparagus lucidus, tuber (tian men dong)
• Ophiopogon japonicus, tuber (mai men dang)
• Codonopsis pilosula, root (dang shen)
• Angelica polymorpha, root (dang gui)
• Poria cocos, fruit, body (fu ling)
• Scrophularia ningpoensis, root (xuan shen)
• Schizandra chinensis, fruit (wu wei zi)
• Polygala sibirica, root (yuan zhi)
• Platycodon grandiflorum, root (jie geng)

ACTIONS OF THE MAIN HERBS:

• Rehmannia root (unprocessed) is used orally in formulas to treat febrile illness, anaemia, abnormal bleeding and lack of body fluids. lt has been shown to have the following actions: cardiotonic, diuretic, hypoglycaemic, hepatoprotective, antifungal, shortens blood coagulation time.
• Zizyphus seed is used orally in formulas to treat abnormal sweating, anxiety. insomnia, excessive dreaming, palpitations, weak memory, dizziness, irritability. lt has been shown to have the following actions: sedative, hypnotic, analgesic, anticonvulsive, hypotensive.

DOSAGE & COURSE OF TREATMENT:

• 8 pills, 3 times daily (or l2 pills, 2 times daily), half to one hour away from food. In severe cases and in the early stages of treatment (firs: 2 - 4 weeks) the dosage may be increased by 50%. Course of treatment: 3 - 6 months, or ongoing in elderly patients or in severe chronic conditions. Safe for long term use.

CAUTIONS & CONTRAINDICATIONS:

• Caution for those on anti-coagulant medications (i.e. Heparin, warfarin or aspirin). If patient develops bloating, loose stools or diarrhoea while taking this formula, combine with Huo Xiang Zheng Qi Wan (Agastache Formula). Not to be taken during pregnancy.

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