Effect
Nourishing Yin to reduce pathogenic fire.

Indications
Syndrome of up-flaring of pathogenic fire of deficiency type due to Yin-deficiency of both the liver and kidney, marked by tidal fever due to bone-heat, night sweat, Nocturnal Emission, cough and hemoptysis, irritability, pain and hotness or flaccidity in the knees and feet, reddened tongue with little coating, and rapid forceful cubit pulse; including such diseases with the above symptoms as Hyperthyroidism, renal tuberculosis, Diabetes.

Ingredients
Cortex Phellodendri (HuangBai) 120 g,
Rhizoma Anemarrhenae (Zhimu) 120 g,
Radix Rehmanniae Praeparata (Shudihuang) 180 g,
Gui Ban (Carapax et Pastrum Testudinis) 80 g,
Zhu Ji Sui (spinal marrow of a pig) appropriate amount,
Feng Mi (Mel) appropriate amount.

Explanation
Shu Di and Gui Ban: Nourishing the kidney-Yin and suppressing floating Yang and fire.

Zhu Ji Sui and Feng Mi: As drugs from animal and with sweet taste and moistening nature, they are used to reinforce the kidney-Yin and essence so as to promote the production of body fluids.

Huang Bai: Being bitter in flavor and cold in nature, purging ministerial fire to consolidate the kidney-Yin.

Zhi Mu: Being bitter in taste and cold in nature, moisturizing the lung to clear away the lung-heat upward, replenishing the kidney-Yin downward.

Administration
Zhu Ji Sui is steamed until it is done and pounded into paste, which is then mixed with melted Feng Mi evenly. The mixture is made into boluses with the powder of all the other ingredients, each bolus weighing 15 g. 1 bolus is taken with slightly salty boiled water each time, twice daily, in the morning and evening, or its decoction is taken orally.

Contraindication
This prescription contains Huang Bai and Zhi Mu which are bitter in taste and cold in nature. As a result, it should be cautiously used for the syndromes complicated by poor appetite and loose stools due to hypofunction of the spleen and stomach.