Nei Bu Wan内补丸
Internal Tonification Pill
Ingredients10 herbs
Indications
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
Health Categories
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
- 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.
