Discussing 7 Traditional Chinese Medicines for Regulating Yang Deficiency Constitution

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The Yang deficiency constitution refers to the pathological phenomenon of weakened Yang Qi, commonly seen in modern medical conditions such as hypertension, coronary heart disease, heart failure, indigestion, diarrhea, dysentery, chronic gastroenteritis, diabetes, menopausal syndrome, erectile dysfunction, and irregular menstruation. TCM believes that Yang Qi plays a role in warming the body and organs; if Yang Qi is insufficient, the warming function weakens, leading to cold symptoms. Patients may present with pale complexion, fear of cold, cold hands and feet, clear and frequent urination, thin stools, fatigue, edema, pale tongue with white coating, and a deep, slow pulse (or weak and thin). Let’s take a look at the TCM medicines that can be used to regulate Yang deficiency constitution!

Discussing 7 Traditional Chinese Medicines for Regulating Yang Deficiency Constitution

1. Si Shen Wan (Four Spirit Pill) – has the effect of warming the kidneys and dispelling cold, astringing the intestines and stopping diarrhea.The main ingredients include Rou Dou Kou (Myristica fragrans, roasted), Bu Guo Zhi (Psoralea corylifolia, salt-fried), Wu Wei Zi (Schisandra chinensis, vinegar-prepared), Wu Zhu Yu (Evodia rutaecarpa, prepared), and Da Zao (Ziziphus jujuba, pitted).Indications: Used for diarrhea caused by kidney Yang deficiency, with symptoms of intestinal rumbling, abdominal distension, early morning diarrhea, poor appetite, persistent diarrhea, and pale complexion with cold limbs.Clinical experience:

1. Qi Hongyang and Wang Yunxi observed the efficacy of Si Shen Wan combined with compound Lactobacillus acidophilus tablets in treating chronic diarrhea, concluding that the combination significantly improves symptoms, is safe and feasible, and has certain clinical promotion value. (Modern Drugs and Clinical, 2018, 33(09): 2369-2371)2. Cheng Xiaohua and Zhang Qiuli conducted a clinical study on Si Shen Wan combined with Mesalazine for ulcerative colitis, concluding that the combination effectively improves clinical symptoms in ulcerative colitis patients, controls inflammation, and has certain clinical application value. (Modern Drugs and Clinical, 2018, 33(05): 1085-1088)

Dosage: Oral administration. 9g each time, 1-2 times a day.

Discussing 7 Traditional Chinese Medicines for Regulating Yang Deficiency Constitution

2. Gui Fu Di Huang Wan (Cinnamon and Aconite Rehmannia Pill) – has the effect of warming and tonifying kidney Yang.The main ingredients include Gui Zhi (Cinnamon), Fu Zi (Aconitum carmichaelii, prepared), Shu Di Huang (Rehmannia glutinosa), Shan Zhu Yu (Cornus officinalis, prepared), Mu Dan Pi (Paeonia suffruticosa), Shan Yao (Dioscorea opposita), Fu Ling (Poria cocos), and Ze Xie (Alisma orientale).Indications: Used for kidney Yang deficiency, with symptoms of weakness and coldness in the lower back and knees, difficulty urinating or frequent urination, and phlegm-damp cough.Clinical experience:

1. He Wenjin, Yang Shi, Liu Fan, Li Ying, and Yuan Jia studied the impact of Gui Fu Di Huang Wan on the quality of life and safety evaluation of patients after PCI for coronary heart disease, concluding that taking the warming kidney and activating blood formula effectively improves patients’ physical strength, emotions, TCM symptoms, reduces angina severity, enhances heart function, and has no adverse reactions, making it worthy of promotion. (Chinese Journal of Experimental Traditional Chinese Medicine, 2019, 25(04): 122-127.)2. Jiang Huiyu, Huang Yalian, Zhang Yuan, and Liu Haichao observed the efficacy of Gui Fu Di Huang Wan combined with pelvic floor muscle training and electrical stimulation in treating pelvic floor dysfunction, concluding that the combination significantly improves pelvic floor function, reduces urinary incontinence, and significantly enhances quality of life. (Chinese Journal of Traditional Chinese Medicine, 2018, 36(09): 2269-2272.)3. Chen Liru, Wu Qiong, Guo Li, and Ma Hongping observed the clinical effects of Gui Fu Di Huang Wan in treating drug-induced hyperprolactinemia, concluding that it can improve treatment outcomes in female patients, regulate serum hormone levels, and does not increase side effects. (Chinese Journal of Traditional Chinese Medicine Pharmacology and Clinical, 2017, 33(03): 206-208.)

Dosage: Oral administration. Large honey pill 1 pill each time; small honey pill 9g each time; water honey pill 6g each time. 2 times a day, or as directed by a physician.Precautions: Not suitable for pregnant women. During treatment, sexual activity should be limited; not suitable for patients with cold and fever; not suitable for those with Yin deficiency and internal heat; not suitable for long-term use; avoid hard-to-digest foods.

Discussing 7 Traditional Chinese Medicines for Regulating Yang Deficiency Constitution

3. Qi Lu Yi Shen Pian (Qi and Deer Antler Kidney Supplement Tablets) – has the effect of warming and tonifying the spleen and kidneys, dispelling dampness and transforming turbidity.The main ingredients include Huang Qi (Astragalus membranaceus), Lu Xian Cao (Lycopodium clavatum), Bai Zhu (Atractylodes macrocephala), Fu Ling (Poria cocos), Dang Shen (Codonopsis pilosula), Fu Zi (Aconitum carmichaelii, prepared), Shan Zhu Yu (Cornus officinalis), Sang Ji Sheng (Taxillus chinensis), Dan Shen (Salvia miltiorrhiza), Yi Mu Cao (Leonurus japonicus), and Shi Wei (Pyrrosia lingua).Indications: Used for spleen and kidney Yang deficiency, with symptoms of pale complexion, fear of cold, cold limbs, lower back and knee soreness, poor appetite, and loose stools.Dosage: Oral administration, 8 tablets each time, 3 times a day, or as directed by a physician.Precautions: Not suitable for pregnant women. This product should be taken before meals; not suitable for patients with cold and fever; use with caution in those with Yin deficiency and Yang excess; not suitable for long-term use; avoid spicy, cold, and greasy foods during treatment.

Discussing 7 Traditional Chinese Medicines for Regulating Yang Deficiency Constitution

4. Yi Qi Wen Yang Jiao Nang (Qi-Warming Capsules) – has the effect of warming Yang, tonifying the kidneys, and promoting blood circulation.The main ingredients include Huang Qi (Astragalus membranaceus), Yang Qi Shi (Yangqi stone), Sulfur, Dang Gui (Angelica sinensis), Mai Dong (Ophiopogon japonicus), Yan Hu Suo (Corydalis yanhusuo), Wu Ling Zhi (Flying Squirrel Faeces), Chuan Xiong (Ligusticum chuanxiong), Xiang Fu (Cyperus rotundus), and Bing Pian (Menthol).Indications: Used for mild to moderate coronary heart disease, stable angina due to Yang deficiency, and blood stasis obstruction. Symptoms include chest pain, chest tightness, palpitations, shortness of breath, fatigue, and fear of cold.Dosage: Oral administration. 3 capsules each time, 3 times a day, with a treatment course of four weeks, or as directed by a physician.Precautions: Not suitable for pregnant and breastfeeding women; this product contains sulfur, so use with caution; there is no clinical trial data for long-term use; if extending the treatment course, please follow a physician’s advice.

Discussing 7 Traditional Chinese Medicines for Regulating Yang Deficiency Constitution

5. Si Wei Sheng Jing Kou Fu Ye (Four Flavor Essence Oral Liquid) – has the effect of benefiting Qi, calming the spirit, warming and tonifying kidney Yang, and generating essence.The main ingredients include Sheng Shai Shen (Fresh Ginseng), Feng Wang Jiang (Royal Jelly), San Qi (Panax notoginseng), and Lu Rong (Deer Antler).Indications: Used for Yang deficiency with fear of cold, lower back pain, and prolonged weakness.Dosage: Oral administration, 10ml each time, once a day, taken on an empty stomach in the morning and evening.Precautions: Not suitable for children and pregnant women; contraindicated in those with Yin deficiency and Yang excess; not suitable for patients with cold and fever; avoid spicy, cold, and greasy foods during treatment.

Discussing 7 Traditional Chinese Medicines for Regulating Yang Deficiency Constitution

6. Shu Guan Pian (Shu Guan Tablets) – has the effect of nourishing Yin, activating blood, benefiting Qi, and warming Yang.The main ingredients include Chuan Xiong (Ligusticum chuanxiong), Zhi He Shou Wu (Polygonum multiflorum, prepared), Huang Jing (Polygonatum sibiricum, prepared), Hong Hua (Carthamus tinctorius), Yin Yang Huo (Epimedium), Wu Ling Zhi (Flying Squirrel Faeces, vinegar-prepared), and Dan Shen (Salvia miltiorrhiza).Indications: Used for the prevention and treatment of coronary heart disease, angina pectoris, atherosclerosis, hyperlipidemia, and anti-thrombus formation.Dosage: Oral administration, 6 tablets each time, 3 times a day, or as directed by a physician.

Discussing 7 Traditional Chinese Medicines for Regulating Yang Deficiency Constitution

7. Fu Zi Li Zhong Wan (Aconite and Ginseng Pill) – has the effect of warming the middle and strengthening the spleen.The main ingredients include Fu Zi (Aconitum carmichaelii, prepared), Dang Shen (Codonopsis pilosula), Bai Zhu (Atractylodes macrocephala, roasted), Gan Jiang (Dried Ginger), and Gan Cao (Licorice).Indications: Used for spleen and stomach Yang deficiency, with symptoms of cold pain in the abdomen, vomiting, diarrhea, and cold hands and feet.Clinical experience:

Xu Ling and Zhao Dan conducted a randomized controlled study on Fu Zi Li Zhong Wan combined with moxibustion for severe enteral nutrition diarrhea, concluding that the combination can treat severe enteral nutrition diarrhea due to spleen and kidney Yang deficiency. (Electronic Journal of Integrated Traditional Chinese and Western Medicine Cardiovascular Disease, 2018, 6(19): 152-153.)

Dosage: Oral administration. Water honey pill 6g each time, small honey pill 9g each time, large honey pill 1 pill each time, 2-3 times a day, or as directed by a physician.Precautions: Not suitable for patients with cold and fever; not suitable for long-term use; avoid hard-to-digest foods.

Discussing 7 Traditional Chinese Medicines for Regulating Yang Deficiency Constitution

Yang deficiency belongs to “deficiency cold,” different from “excess cold” which is more common in robust individuals. Deficiency cold often arises from internal injury and prolonged illness, leading to weakened Yang Qi and excess Yin cold, resulting in a generally weak constitution. Different syndromes require different treatment principles; for example, heart Yang deficiency should be treated with Qi tonification and Yang warming; spleen Yang deficiency should be treated with warming the middle and strengthening the spleen; kidney Yang deficiency should be treated with warming and tonifying kidney Yang. It is recommended that patients undergo regulation under the guidance of a professional physician. Most mild cases can effectively improve symptoms through active regulation. Patients should pay attention to warmth (especially in the abdomen, lower back, waist, feet, and legs), avoid prolonged exposure to air conditioning, and engage in gentle aerobic exercise when conditions permit.

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