Lower Xiao Ke falls under the pattern Kidney Yin Depletion. Typical symptoms include frequent urination, copious turbid milky urine, dry mouth and lips, thirst, high fluid intake, weak aching lower back and knees, dizziness and vertigo, blurred vision and red cheeks. The tongue is small and red with little coating, the pulse is deep, rapid and thready. The treatment method is to nourish kidney yin.
The prescription for this pattern is the famous Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill).
Shu Di Huang 24g (prepared rehmannia)
Shan Zhu Yu 12g (cornus fruit)
Shan Yao 12g (dioscorea root)
Ze Xie 9g (alisma)
Mu Dan Pi 9g (moutan)
Fu Ling 9g (poria)
This prescription is easily modified for many different presentations. For deficiency heat, Huang Bai (phellodendron) and Zhi Mu (anemarrhenae) are added. For eye irritation, add Gou Qi Zi (goji) and Ju Hua (chrysanthemum).
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