Shi Bu Wan十补丸
Ten-Tonic Pill
Ingredients10 herbs
Indications
Kidney yang depletion with essence and blood insufficient. Warming alone will not restore the substance that has been lost, so an essence-filling animal medicinal is used with the warming herbs.
Clinical Manifestations
- Cold feet with swelling and a dark complexion
- Tinnitus and hearing loss with a weak lower back
- Wasting, weak knees and difficulty walking
- Reduced urine output with cold in the lower back
Health Categories
Modern Applications
Common adjustments
- Essence depletion prominent — add Tu Si Zi 菟丝子 and Rou Cong Rong 肉苁蓉
- Oedema prominent — consider Jia Wei Shen Qi Wan 加味肾气丸 instead
- Deficiency heat appears during treatment — reduce Rou Gui 肉桂 and Fu Zi
Contraindications
Not for yin deficiency with heat, and not while there is any active infection or heat pattern. Lu Rong is strongly warming and can cause headache, restlessness, nosebleed or a rise in blood pressure if the pattern is misread; start low. Deer antler is an animal product — see the sourcing note.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Contraindicated in pregnancy — it contains prepared Fu Zi and Rou Gui, both classically avoided in pregnancy, alongside strongly warming Lu Rong.
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.