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Volume 51 of Jingyue Complete Works: Yougui Pills
Prescription: 250g of Dahuai Rehmannia glutinosa, 120g of Chinese yam (fried), 90g of Cornus officinalis (slightly fried), 120g of Chinese wolfberry (slightly fried), 120g of antler glue (fried), 120g of Cuscuta chinensis (processed), 120g of Eucommia ulmoides (fried in ginger soup), 90g of Chinese angelica (do not use if you have loose stools), 60g of cinnamon bark (can be gradually increased to 120g), 60g of processed aconite (can be gradually increased to 150-160g)
Preparation method: Grind the above into fine powder, first steam the Rehmannia glutinosa into a paste, add refined honey and make pills as big as marbles.
Functions and indications: Warming and tonifying kidney yang. Treats kidney yang deficiency, life gate fire decline, mental fatigue, fear of cold and cold limbs, impotence and spermatorrhea, infertility, sore waist and knees, involuntary urination, limb pain, swelling of the whole body; or fire cannot generate earth, spleen and stomach deficiency and cold, poor appetite, or nausea and bloating, or stomach upset and choking, or umbilical and abdominal pain, or loose stools, frequent diarrhea.
Usage and Dosage Take 2 to 3 pills each time, with boiling white soup.
If yang is weak and qi is deficient, add ginseng as appropriate; if yang is deficient and sperm is slippery or turbid and loose stools, add wine fried psoralea; if diarrhea and kidney diarrhea continue, add Schisandra chinensis and nutmeg; if spleen and stomach deficiency and cold, reduced appetite, food is difficult to digest, or nausea and acid regurgitation, add dried ginger; if abdominal pain continues, add Evodia rutaecarpa; if waist and knee pain, add walnut meat; if yin is deficient and impotence, add Morinda officinalis, Cistanche deserticola, or add yellow dog kidney.
Note: This prescription is derived from the Shenqi Pill in the Golden Chamber, and treats symptoms caused by insufficient kidney yang, weak fire in the gate of life, or fire failing to generate earth. In addition to cinnamon and aconite, the prescription also adds antler glue, dodder seed, and eucommia bark to strengthen the function of warming yang and tonifying the kidney; it also adds angelica and wolfberry, and cooperates with cooked rehmannia, yam, and cornus to enhance the effect of nourishing yin and blood. The significance of combining yin and blood nourishing drugs is what is said in the Jingyue Complete Works: “Those who are good at tonifying yang must seek yang in yin.”
Excerpt from Volume 51 of Jingyue Complete Works

Ming·Jingyue Complete Works: Yougui Pills

Composition: 8 liang (240 g) of Dahuai Shudi, 4 liang (120 g) of stir-fried Chinese yam, 3 liang (90 g) of slightly stir-fried Cornus officinalis, 4 liang (120 g) of slightly stir-fried Chinese wolfberry, 4 liang (121 g) of stir-fried pearl antler glue, 4 liang (120 g) of processed Cuscuta chinensis, 4 liang (120 g) of stir-fried Eucommia ulmoides in ginger soup, 3 liang (90 g) of Chinese angelica, 2 liang of cinnamon can be increased to 4 liang (60-120 g), 2 liang of processed aconite can be increased to 5-6 liang (60-180 g).

Usage: Make honey pills and take them with boiling soup or light salt soup before each meal. It can also be decocted in water and the dosage is reduced according to the original prescription.

Efficacy: Warm and nourish kidney yang, replenish essence and nourish marrow.

Indications: Kidney yang deficiency, life gate fire deficiency syndrome, symptoms of old age or long-term illness, qi deficiency, fatigue, fear of cold limbs, weak waist and knees, impotence and spermatorrhea, or impotence and childlessness, or reduced diet, constipation, or spontaneous urination, pale tongue with white fur, deep and slow pulse.
Clinical application: It is mainly used in the treatment of gynecological, male, and geriatric diseases such as menopausal syndrome, polycystic ovary syndrome, erectile dysfunction, Alzheimer’s disease, osteoporosis, and aplastic anemia, chronic bronchitis, coronary heart disease and other diseases caused by kidney yang deficiency.
1. Menopausal syndrome: This pill with added flavor was taken orally to treat 65 cases of menopausal syndrome, and 55 cases in the control group were treated with estrogen replacement therapy. The efficacy was evaluated by clinical symptoms and changes in uterine and breast color Doppler ultrasound. One course of treatment was 2 months: Results: 42 cases were cured, 18 cases were improved, and 5 cases were ineffective in the treatment group, with an effective rate of 92.3%. (Guangming Chinese Medicine, 2010, No. 9)
2. Polycystic ovary syndrome: This prescription was used to treat 32 cases of polycystic ovary syndrome with kidney yang deficiency type infertility. The efficacy was evaluated comprehensively according to the kidney yang deficiency syndrome and pregnancy in the “Standards for Diagnosis and Efficacy of Chinese Medicine Diseases”. The medicine was taken on the third day of the menstrual cycle and continued until the next menstrual period, for a total of 3 cycles. Results: 18 cases were cured, 12 cases were markedly effective, 2 cases were ineffective, and the total effective rate was 93.8%. (Chinese Folk Therapy, 2013, No. 3)
3. Erectile dysfunction: This prescription was used to treat 30 cases of erectile dysfunction (treatment group), and 20 cases in the control group took Wuzi Yanzong Pills. The efficacy was evaluated by the change of the international standard erectile function index (HEF-5) score. 2 weeks was one course of treatment, and 3 courses were used in succession. Results: 6 cases in the treatment group were markedly effective, 13 cases were effective, 11 cases were ineffective, and the total effective rate was 63.33%. (Fujian Traditional Chinese Medicine, 2005, No. 3)
4. Elderly hypothyroidism: This prescription plus or minus combined with low-dose thyroxine was used to treat 25 cases of elderly hypothyroidism (treatment group), and 23 cases in the control group were treated with western medicine alone. The efficacy was evaluated by the changes in the graded quantitative scores of kidney yang deficiency syndrome, spleen qi deficiency syndrome and coronary heart disease yang qi deficiency syndrome in the “Guidelines for Clinical Research of New Chinese Medicines”, and 3 months was a course of treatment. Results: In the treatment group, 8 cases were markedly effective, 15 cases were effective, and 2 cases were ineffective, with a total effective rate of 92.0%. Thyroid stimulating hormone (TSH) decreased to varying degrees, of which 2 cases were normal, and free thyroxine (FT4) increased to varying degrees, of which 4 cases were normal. (Journal of Traditional Chinese Medicine, 2012, No. 12)
5. Alzheimer’s disease: This prescription plus flavor combined with nimodipine was used to treat 34 cases of kidney yang deficiency type Alzheimer’s disease (treatment group), and 30 cases in the control group were treated with nimodipine alone. The efficacy was evaluated according to the “Guidelines for Clinical Research of New Chinese Medicines for the Treatment of Senile Dementia”, the Mini-Mental State Examination (MMSE), the Blese Dementia Scale (BDS) and the ADL scale (ADL) scores. One course of treatment was 90 days. Results: 25 cases in the treatment group showed marked effect, 7 cases were effective, 2 cases were ineffective, and the total effective rate was 94.12%. The scores of HDS, ADL and MMSE scales also improved. (Journal of Shaanxi University of Traditional Chinese Medicine, No. 4, 2009)
6. Osteoporosis: This prescription was combined with Caltrate D tablets and salmon calcitonin injection to treat 35 cases of osteoporosis (treatment group), and 25 cases in the control group were treated with Western medicine alone. The efficacy was evaluated according to the “Guidelines for Clinical Research of New Chinese Medicines”, 1 month was a course of treatment, and the efficacy was statistically analyzed after 2 courses of treatment. Results: 18 cases in the treatment group showed marked effect, 15 cases were effective, 2 cases were ineffective, and the total effective rate was 94.2%. (Hunan Journal of Traditional Chinese Medicine, 2013, No. 9)
Explanation of the prescription: Yougui Pill uses Liuwei Dihuang Pill to remove the “three laxatives” and combines it with Angelica, Cuscuta, and Lycium barbarum to replenish the essence and blood. Aconite, cinnamon, antler glue, and Eucommia ulmoides warm the gate of life. By “seeking yang from yin”, the effect of replenishing yang is very fast. It is mainly used to treat kidney yang deficiency and deficiency of essence and blood.
The original prescription pill dosage is modified as follows: “If yang is weak and qi is deficient, ginseng must be added as the main ingredient, or two or three liang ( 60-90 grams), or 50-60 grams (150-180 grams), depending on the person’s physical condition, increase or decrease… If the yang is deficient and the semen is slippery, or the stool is turbid, add 30 grams (90 grams) of Bu Gu Zhi wine and stir-fry; if the kidney diarrhea does not stop, add 30 grams (90 grams) of North Schisandrae Chinensis and 30 grams of Nutmeg, stir-fry with flour to remove the oil; if the appetite is reduced, or it is difficult to digest, or there is vomiting, nausea and acid regurgitation, all of which are symptoms of spleen and stomach deficiency and cold, add 30-40 grams of dried ginger (90 grams). ~120 grams), stir-fry until yellow; if abdominal pain persists, add two liang (60 grams) of Evodia rutaecarpa, soak in soup for half a day, stir-fry; if waist and knee pain, add four liang (120 grams) of walnut meat with skin; if yin deficiency and impotence, add four liang (120 grams) of Morinda officinalis and three liang (90 grams) of Cistanche deserticola, or add one or two sets of yellow dog kidney, boil with wine and pound it into it. “(Jingyue Complete Book) If it is changed into a decoction, the dosage can be reduced according to the original prescription ratio. This prescription is purely tonic and non-purgative, so it is not suitable for people with kidney deficiency and dampness. Modern research This prescription can affect the hypothalamus-pituitary-target gland axis of rats with kidney yang deficiency, thereby improving the pathological state of animal models of kidney yang deficiency syndrome. It can also correct the disorder of monoamine and amino acid neurotransmitters in the hippocampus and amygdala of elderly rats, improve the limbic system of the brain, delay the aging of the body, and enhance the activity of hippocampal nerve cells. It can also improve the side effects of corticosteroids on bone metabolism, promote bone formation, and reduce bone absorption.
Recipe Song Yougui Pills contain Radix Rehmanniae, Cinnamomum officinale, Dioscorea batatas, Cornus officinalis, Cuscuta australis, Eucommia barbarum, Deer Glue, and Lycium barbarum. This is the best recipe for nourishing the source of fire.
Excerpt from Ming Dynasty Jingyue Complete Works
Effects of Yougui Pills
Yougui Pills are a commonly used recipe for warming and tonifying kidney yang, and are used to treat symptoms of kidney yang deficiency and life gate fire decline.
Ancient books have records:
According to Ming Dynasty Zhang Jiebin’s Jingyue Complete Works, Yougui Pills are mainly used to treat “yuanyang deficiency, congenital deficiency, life gate fire decline, unable to produce earth, and spleen and stomach deficiency cold”, or “cold in the lower jiao, and water evil edema” or “yang decline and childlessness” and other symptoms.
The formula is explained as follows:
In the formula, cinnamon and aconite are pungent, sweet and hot, warming and nourishing the kidney yang and life gate. Cinnamon can also dispel cold and relieve pain, and guide fire back to its source; antler glue warms the kidney yang and benefits the essence and blood. The three medicines work together to warm and nourish the kidney yang, replenish essence and benefit the marrow, and are the main medicine. Eucommia ulmoides is sweet and warm, nourishes the liver and kidney, and strengthens the tendons and bones; Cuscuta chinensis and Cornus officinalis can both nourish the kidney yang and benefit the yin essence, and can also consolidate the essence and stop nocturnal emission; Rehmannia glutinosa is used to replenish blood and yin, benefit essence and fill the marrow; Lycium barbarum nourishes yin and nourishes the kidney, benefit essence and blood. These six flavors are used together to replenish both yin and yang, and seek yang in yin, and are the minister medicines. Angelica sinensis replenishes blood and activates blood circulation, dispels cold and relieves pain; Chinese yam replenishes qi, strengthens the spleen and nourishes the kidney, and is an adjuvant. All the medicines are used together to warm and nourish the kidney yang, replenish essence and stop nocturnal emission.
What diseases can Yougui Pills be used to treat? This product has the effect of warming and nourishing the kidney yang, replenishing essence and stopping nocturnal emission. Used to treat kidney yang deficiency, fire deficiency of Mingmen, soreness and coldness of waist and knees, lack of energy, loose stools, fear of cold, impotence and spermatorrhea, frequent and clear urination.
What symptoms can Yougui Pills be used to relieve?
Low back pain caused by kidney yang deficiency, insufficient kidney essence, and lack of warmth and nourishment of the waist, with symptoms of soreness and pain in waist and knees, weakness of lower limbs, fear of cold, lack of warmth of limbs, shortness of breath and fatigue, frequent urination at night, pale tongue, deep and thin pulse; chronic lumbar muscle strain with the above symptoms.
Impotence caused by fire deficiency of Mingmen and insufficient kidney yang, with symptoms of impotence, thin and cold sperm, dizziness, tinnitus, pale complexion, listlessness, soreness and softness of waist and knees, fear of cold and cold limbs, pale tongue with white fur, and deep and thin pulse.
Kidney yang deficiency, spermatorrhea caused by weak sperm gate, symptoms include long-term nocturnal emission, or spermatorrhea, or residual dripping, cold body and limbs, pale and tender tongue with tooth marks, white and slippery tongue coating, and deep and fine pulse.
Diarrhea caused by the decline of life gate fire and spleen loss of warmth, symptoms include pain in the navel and abdomen before dawn, diarrhea with intestinal rumbling, cold body and limbs, sore waist and knees, pale tongue coating with white fur, and deep and fine pulse; chronic colitis with the above symptoms
What other uses does Yougui Pill have?
In addition, there are reports of its use in the treatment of male infertility and osteoporosis.
予防
Children, the elderly, and breastfeeding women should consult a doctor for specific medication, and should not take medication at will.
During medication, avoid raw, cold, and greasy food.
Who is strictly prohibited from using Yougui Pill?
It is forbidden for those who are allergic to this product.
Who needs to use Yougui Pill with caution?
·Use with caution for those with yin deficiency and excessive fire, heart and kidney disharmony, and damp heat that disturbs the sperm chamber.
·Use with caution for patients with impotence caused by damp heat.
·Use with caution for patients with diarrhea caused by summer heat, damp heat, food stagnation and liver qi invading the spleen.
·Use with caution for pregnant women.
·Use with caution for patients with allergies.
Can special groups use Yougui Pills?
·Pregnant and lactating women: Use with caution. If you are pregnant, planning to become pregnant or are lactating, please inform your doctor in time and consult for the best treatment plan.
·Children: Children should take medicine under the guidance of a doctor and under the supervision of an adult.
What drugs will Yougui Pills interact with?
If this product is used at the same time as other drugs, drug interactions may occur. Therefore, if you are taking other drugs, please consult a doctor before taking the medicine, and inform the doctor of all your diagnosed diseases and treatment plans you are receiving.
使用法と用量
During the medication period, avoid eating raw and cold food; be careful about sexual intercourse. Please consult a doctor before taking the medicine, and do not use it at will.
What dosage forms or specifications does Yougui Pill have?
Large honey pill: each pill weighs 9g;
Small honey pill: each 10 pills weigh 1.8g.
What is the specific use of Yougui Pill?
Oral medication. Take 1 large honey pill at a time, 9g small honey pill at a time, 3 times a day.
It is recommended that patients take the medicine under the guidance of a physician.
Notes after use
The prescription contains cinnamon and aconite, which are very warm and hot. Do not overdose.
What should I do if I miss taking Yougui Pill?
If the missed medication time is short, please make up as soon as possible, but if it is almost time for the next dose (more than half the time between two normal doses), please skip the missed dose and take the medicine directly at the next dose time.
Remember not to take twice the dose at a time to avoid toxic reactions.
If you are not sure of the dose, please consult a physician or pharmacist.
What are the adverse reactions of Yougui Pill?
It is not clear yet. If you feel any discomfort during medication, please consult a doctor in time. The doctor will judge whether to stop the medication or take necessary measures according to the severity of the adverse reaction.
Under what circumstances should you stop taking Yougui Pills immediately?
If the symptoms do not improve or worsen after taking the medicine for about 7 days, it is recommended to stop taking the medicine and observe.
Under what circumstances should you go to the hospital as soon as possible?
If the symptoms such as back pain and spermatorrhea worsen, you need to see a doctor immediately.