Zishen Tong’er Tang (Nourish Kidneys and Open the Ears Decoction)
【Source】
《Wan Bing Hui Chun》 (Myriad Diseases Restored to Spring), Volume 5.
【Composition】
Huang Bai (Cortex Phellodendri), Huang Qin (Radix Scutellariae), Zhi Mu (Rhizoma Anemarrhenae), Sheng Di Huang (Radix Rehmanniae Recens), Bai Shao (Radix Paeoniae Alba), Dang Gui (Radix Angelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong), Chai Hu (Radix Bupleuri), Bai Zhi (Radix Angelicae Dahuricae), Xiang Fu (Rhizoma Cyperi)
(10 ingredients)
【Herb Categories】
<Blood-Tonifying>: Bai Shao (Radix Paeoniae Alba), Dang Gui (Radix Angelicae Sinensis)
<Clearing Heat and Cooling Blood>: Sheng Di Huang (Radix Rehmanniae Recens)
<Regulating Qi>: Xiang Fu (Rhizoma Cyperi)
<Releasing the Exterior with Cool-Acrid Herbs>: Chai Hu (Radix Bupleuri)
<Clearing Heat and Drying Dampness>: Huang Bai (Cortex Phellodendri), Huang Qin (Radix Scutellariae)
<Releasing the Exterior with Warm-Acrid Herbs>: Bai Zhi (Radix Angelicae Dahuricae)
<Activating Blood and Dispelling Stasis>: Chuan Xiong (Rhizoma Chuanxiong)
<Clearing Heat and Draining Fire>: Zhi Mu (Rhizoma Anemarrhenae)
【Functions】
Nourishes the Kidneys and unblocks the ears.
【Indications】
Deafness and tinnitus due to kidney deficiency.
【Mnemonic】
A variation of Si Wu Tang (Four-Substance Decoction) plus Huang Bai and Zhi Mu (for clearing heat, draining fire, and nourishing kidneys), and Huang Qin, Chuan Xiong, Chai Hu, Bai Zhi, and Xiang Fu. (A phonetic mnemonic in Chinese is used to remember the added ingredients: ‘Bó Mǔ Jīn Tiān Yīn Pín Qióng Mǎi Chái Dōu Bèi Zhǐ Fù’.)
【Modifications】
For chest discomfort, add a small amount of Qing Pi (Pericarpium Citri Reticulatae Viride) and Zhi Ke (Fructus Aurantii).