Jia Wei Shen Qi Wan加味肾气丸
Augmented Kidney Qi Pill
Ingredients10 herbs
Indications
Kidney yang deficiency with water and damp retained internally. The qi transformation that should move fluid has failed, so water settles at the lowest point.
Clinical Manifestations
- Swelling of the legs and feet with difficulty passing urine
- Heaviness in the lower back with cold limbs
- Chronic oedema in an elderly or debilitated person
- Reduced urine output with a puffy pale face
Health Categories
Modern Applications
Common adjustments
- Oedema severe and widespread — add Fu Ling Pi Fu Ling and Ze Xie 泽泻 at higher dose
- Breathlessness on lying flat — urgent medical assessment is required first; herbally, add Ting Li Zi 葶苈子 under supervision
- Cold pain in the lower back — add Du Zhong 杜仲 and Xu Duan 续断
Contraindications
Not for oedema from damp-heat or from an exterior pattern, and not where there is yin deficiency with heat — Fu Zi and Rou Gui would aggravate it. New or rapidly worsening swelling requires medical assessment for cardiac, renal and hepatic causes before it is treated as a deficiency pattern.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Contraindicated in pregnancy. It contains prepared Fu Zi, Rou Gui and Niu Xi — Fu Zi is toxic if improperly prepared, and Niu Xi moves blood downward; all three are classically avoided in pregnancy.
Related Formulas
References
Source Ji Sheng Fang 《济生方》 · Southern Song
- Classical source as recorded in 《济生方》 (public domain).
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
3. 《方剂学》（全国中医药行业高等教育规划教材）— pattern analysis cross-checked.
Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.