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hu qian wan 虎潛丸

Translated by: Joe Hing Kwok Chu

Name of Formula: hu qian wan (Dan Xi Xin Fa)

Application: for weak muscles, weak loin and weak legs due to shenxu (kidney deficient); for sagittal suture of small children not closing properly; for treatment of liver-kidney yin deficient,
This formula can be used for treating osteoporosis..

Composition:

 huang bai 240 g, gui ban (bake with rice wine)120 g，zhi mu（stir fry with wine first）60 g,  shu di huang 60 g,   chen pi 60 g, bai shao 60 g,  suo yang 45 g,  hu gu (substitute with sai long gu, bake) 30 g), gan jiang 15 g.

Grind the above herb into powder, use glue of starch or rice wine to make into pills of 9 g each.

Dosage: take one pill each time, twice a day with slightly salty water or warm drinking water, with empty  stomach.

Note: Sai long (Myospalax baileyi Thomas), are subterranean rodents and endemic to the cold and hypoxic (2800-4300 m above sea level) climate of the farm, prairie, alpine prairie, and meadow habitats across the Tibetan plateau.. Sai long gu is the whole skeleton of sai long  (Myospalax baileyi Thomas) where the brain has been removed.

Note: fluoride treatment can increase the risk of hip fracture in osteoporotic women [1]

Diet high in animal protein may lead to hip fractures. [2]

An adequate vitamin D intake is associated with a lower risk of osteoporotic hip fractures in postmenopausal women. Neither milk nor a high-calcium diet appears to reduce risk. Because women commonly consume less than the recommended intake of vitamin D, supplement use or dark fish consumption may be prudent.[3]

The formula listed by Yi Fang Ji Jie,  also contains dang gui, niu xi, and goat meat.

[1] J Bone Miner Res. 1989 Apr;4(2):223-5.

[2] Calcif Tissue Int. 1992 Jan;50(1):14-8.

[3] Am J Clin Nutr February 2003
vol. 77 no. 2 504-511

藥方名：虎潛丸 《方源：丹溪心法  》

功能：滋陰降火，強筋壯骨。

主治：用於腎虛引起的腰腳痿弱，筋骨不健，小兒聰門不合。 治肝腎陰虚，精血不足，筋骨軟弱，腿足消瘦，行走無力，舌紅少苔，脈細弱，現用於脊髓灰質炎後遺症，慢性關節炎，中風後遺症而屬肝腎不足者。

组成： 黃 柏  （酒炒）240克，龜板（酒炙）120克，. 知母（酒炒）60克， 熟地黃 60克，  陳皮60克，, 白 芍 60克， 鎖陽 45克， 虎骨(塞隆骨代，炙，30克)  乾薑 15克。

上藥為末。酒糊丸或粥丸。每丸重9克。

【用法用量】每次1丸，日服二次。空腹淡鹽湯或溫開水送下。

【備注】方中重用黃柏，配合知母以瀉火清熱；熟地、龜板、 白 芍滋陰養血；虎骨強壯筋骨；鎖陽溫陽益精；干姜、陳皮溫中健脾，理氣和胃。諸藥合用，共奏滋陰降火，強壯筋骨之功。

《醫方集解》  所載虎潛丸尚多當 歸，牛膝，羊肉三味

注：塞隆骨為倉鼠科動物高原鼢鼠(Myospalax baileyi Thomas)去腦後的 乾燥全架骨骼

注：

對骨質疏鬆婦女用氟化物治療可能增加髖部骨折的的風險[1]

食用高動物蛋白可能增加髖部骨折的的風險[2]

絕經後婦女有充足的維生素D攝入量與可能降低骨質疏鬆性髖部骨折的風險。無論是牛奶，或是是高鈣飲食似乎與降低骨質疏鬆性髖部骨折的風險無關係。因為女人通常服用少於所提议应该用的維生素D，補充使用或食用暗色魚類（多油）是有智之舉。[3]