This is a modern variant of Qing E Wan (Young Maiden Formula) from the 'Formulary of the Tai Ping Welfare Dispensary Bureau' (tai ping hui min he ji ju fang) (1151 CE), a compilation of popular and effective formulas that were used in the public dispensaries of the Song dynastic period.
The original formula was a simple combination of three herbs that were powdered and mixed with garlic and honey to form large pills. It was prescribed for low back pain due to Kidney Yang deficiency.
This formula has been enhanced with the additional herbs that promote bone density and repair, the selection of which is based on the findings of modern research together with the empirical experience of senior clinicians in China. This makes it suitable for the treatment of low back and hip pain in addition to reduced bone density in the elderly. The TCM actions have also been broadened accordingly to include nourishing the Liver Blood and activating the Blood to dispel Blood stasis, both of which are common in this age group and contribute to the development of osteoporosis.
It should be noted that this is a warming formula and should not be used in patients with Fire due to Yin deficiency with signs of dryness and Heat.
TCM ACTIONS
Tonifies the Kidney Yang and enriches the Kidney Essence to strengthen the ligaments and bones, nourishes the Liver Blood
TCM SYNDROMES
- Kidney Yang deficiency
- Kidney Essence deficiency
- Liver Blood deficiency
INDICATIONS
Osteoporosis, chronic low back pain, leg pain.
SIGNS & SYMPTOMS
(Key clinical features in bold)
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Pain and weakness of the low back, hips and knees
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Fatigue
- Muscular weakness
- Postural dizziness
- Tingling or numbness of the extremities
- Cold extremities
- Dry and lacklustre skin
- Tinnitus
- Insomnia, dream disturbed sleep
- Low libido, sexual hypofunction (e.g. erectile dysfunction, infertility)
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Pale tongue
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Thready pulse that is also deep and weak
