Er Zhi Wan
二至丸

 

 

Two Ultimate Pills

AboutHerbsCaution/Notes
Health Benefits
For: Aging • Gray hair • Lower back weakness • Knee weakness • Fragile bones • Menopause • Hot flashes • Osteoporosis
Attributes:
Products (online examples)

Granules

Caplets

Capsules

Pills

Er Zhi Wan is often used in combination with other formulas to treat menopausal symptoms.  Some examples include Er Xian Tang and Zuo Gui Yin
Research (sample)
Categories (Click on ⌕ for other formulas in the category)
Category: Tonify ⌕    Subcategory: Tonify Qi ⌕      Family:  ⌕      Source: Yi Fang Ji Jie  ⌕       Related Formula:
Actions
Nourish liver • Strengthen kidney yin • Clear deficiency heat • Cool blood • Stop bleeding
Indications and Contraindications
Appearance: Tongue -Dry • Red      Pulse -      Face/other 
Patterns: Liver deficiency • Kidney Yin Deficiency • Stagnation • Blood stasis • Dampness 
Indications: Hot flashes • Irritation • Insomnia • Lower back weakness
Contraindications: Weak digestion • Damp heat atrophy
Properties
Data adapted from product found online.  Categories 4% or less not shown.

Herbs Cat/Dose Actions Properties
Nu Zhen ZiLigustrum • 女貞子 ♠  Tonify Yin

10g-15g

Tonify liver and kidney yin • Tonify liver and kidney essence • Clear heat • Moisten eyes • Treat menopausal symptoms Anti-aging • Antibiotic • Anticholesterol • Antidiabetic • Anti-inflammatory • Immunity booster • Hepatoprotective
Han Lian CaoEclipta • 旱莲草 Tonify Yin

5g -12g

Tonify liver yin • Tonify kidney yin • Stop bleeding • Cool blood Antibiotic • Anti-inflammatory • Antibiotic • Anticancer • Antitumor • Immunity booster • Hemostatic • Hepatoprotective • Nephroprotective
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Decoction Directions:This formula is typically available in pill form.
Modifications For
+Zuo Gui Yin Menopausal symptoms, hot flashes, kidney yin deficiency, dizziness.  Tonify kidney yin.
+ Er Xian Tang Kidney deficiency, deficiency heat, night sweating.  Tonify both the Kidney Yin and Yang.  Hot flashes, cold feet, and other menopausal symptoms. 
+ Sang Shen Increase potency of formula to tonify kidney and nourish blood [3],[20]
+ Du Zhong + Xu Duan Lower back pain [20]
+ He Shou Wu Hair loss and premature graying [20]
+ Suan Zao Ren + He Huan Hua Insomnia [20]
+ Zuo Gui Yin + Zhi He Shou Wu + Zi He Che + E Jiao Alopecia Areata (Hair loss from autoimmune disease)  [3]
+ Qi Ju di Huang Wan + Long Dan Cao + Xia Ku Cao Yin deficient + blood heat + persistent nephritis [3]
Yin Chen Hao + Chui Pen Cao + Tu Fu Ling Hepatitis B + damp heat[3]
+ Da Huang + Hu Zhang Hepatitis B + constipation[3]
+ Liu Wei Di Huang Wan + Sheng Di Huang + Tu Fu Ling + Bei Xie Prostate gland swelling and inflammation [3]
+ Zuo Gui Yin + Shi Jue Ming + Yu Jin + Bai Shao Menopause + Yin deficiency + Rising liver yang + Hot flashes + Night sweats + Cold feet [3]
+Yi Guan Jian + Dan Shen + Mu Dan Pi + Chuan Niu Xi + Mu Li Coronary artery disease + Heart yin deficiency + Kidney yin deficiency [3]

Caution
  • Do not use if pregnant or nursing.
  • Do not use if there is digestion difficulty.

ALERT: Contraindications of each herb - use with caution under these conditions:
Nu Zhen Zi: Yang deficiency • Spleen cold • Stomach cold • Diarrhea • Pregnancy • Children under 12 • Asthma • Olive pollen allergies
Han Lian Cao: Spleen deficiency cold • Diarrhea • Stomach deficiency cold

Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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