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Nei Bu Wan内补丸

Internal Tonification Pill

Stabilizing and Astringing 固涩剂Stem Flooding and Stop Discharge 固崩止带

Indications

Warms and tonifies Kidney yangSecures the lower burner and stops dischargeAugments qi and essence

Kidney yang deficiency discharge: without yang to warm and hold, fluids are neither transformed nor contained, so discharge is thin, clear and unrelenting, and the patient is cold rather than damp-hot.

Clinical Manifestations

  • Copious clear watery vaginal discharge
  • Cold lower abdomen with a dragging sensation
  • Sore lower back and weak knees
  • Frequent pale urination, worse at night
  • Cold limbs and low vitality with the above
TonguePale with a thin white coating
PulseDeep and slow, or deep and thin

Health Categories

Women's HealthUrinary & Bladder HealthEnergy & Fatigue

Modern Applications

Common adjustments

  • Spleen deficiency with tiredness and loose stools — add Bai Zhu 白术 and Shan Yao 山药, or combine with Wan Dai Tang 完带汤
  • Discharge extremely copious — add Qian Shi 芡实 and Long Gu 龙骨
  • Any sign of heat appearing during treatment — stop the aconite and reduce the warming herbs — dryness, thirst, restlessness or yellowing discharge means the strategy no longer fits

Contraindications

Contains prepared aconite (Zhi Fu Zi Fu Zi (Zhi)), which is toxic unless correctly processed and decocted long enough; it must never be self-prescribed, and numbness of the mouth or tongue, palpitations or nausea means stopping at once and seeking care. Not for damp-heat or heat-toxin discharge — yellow, green, frothy, blood-streaked or foul discharge needs clearing and a diagnosis, and warming it makes matters worse. Not for yin-deficient patients with heat signs.

For licensed practitioners’ reference only — not a self-treatment guide.

Pregnancy

Contraindicated in pregnancy and while breastfeeding — prepared aconite, Rou Gui and Lu Rong are all avoided in pregnancy, and discharge during pregnancy needs obstetric assessment rather than a warming tonic.

References

Source Nv Ke Qie Yao 《女科切要》 · Qing

  1. Classical source as cited above (public domain).
    2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition cross-checked.
    3. 《方剂学》(全国中医药行业高等教育规划教材)— studied with the discharge formulas of this section as the yang-deficiency case.

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.