What medication works fastest for liver deficiency and fire?

Deficiencies of the spleen and stomach, depletion of kidney yin, and emotional disharmony may lead to liver vacuity-fire. Commonly used medications for treating liver vacuity-fire include Dabuyin Wan (Great Yin Supplementing Pill), Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), Zhibai Dihuang Wan (Anemarrhena and Phellodendron Rehmannia Pill), Jiawei Xiaoyao San (Augmented Bupleurum Powder), and Qiju Dihuang Wan (Lycium and Chrysanthemum Rehmannia Pill). These medications should be taken under the guidance of a qualified physician. Detailed explanations are as follows:

1. Dabuyin Wan: Main ingredients include Rehmannia glutinosa (prepared), Anemarrhena asphodeloides, and Phellodendron amurense. This formula nourishes yin and reduces fire, primarily used for treating insomnia, night sweats, cough, tinnitus, irritability, and other symptoms caused by liver vacuity-fire hyperactivity. The combined actions of these ingredients can also balance yin and yang within the body and alleviate discomfort caused by liver vacuity-fire hyperactivity.

2. Liuwei Dihuang Wan: Main ingredients include Rehmannia glutinosa (prepared), Cornus officinalis, Paeonia suffruticosa, and Dioscorea opposita. This formula nourishes kidney yin and supports liver function. It can be used to treat symptoms such as dizziness, tinnitus, irritability, weakness and pain in the lower back and knees, night sweats, and insomnia. Liuwei Dihuang Wan is a commonly used kidney yin-nourishing formula, but it also has good regulatory effects on liver vacuity-fire hyperactivity.

3. Zhibai Dihuang Wan: Composed of Anemarrhena asphodeloides, Cornus officinalis, Rehmannia glutinosa (prepared), Paeonia suffruticosa, Alisma plantago-aquatica, and other ingredients. It nourishes yin and clears fire. This formula is suitable for symptoms caused by liver-kidney yin deficiency with fire hyperactivity ascending, such as weakness and soreness in the lower back and knees, dizziness, tinnitus, seminal emission, and premature ejaculation. Anemarrhena and Alisma clear heat and reduce fire, thereby nourishing liver yin and reducing vacuity-fire after administration.

4. Jiawei Xiaoyao San: Modified from Xiaoyao San, it contains various herbs that course the liver to relieve depression, nourish blood, and strengthen the spleen. It has functions of soothing the liver, relieving depression, nourishing blood, and fortifying the spleen. It is suitable for symptoms of liver qi stagnation transforming into fire and blood deficiency with fire hyperactivity, such as irritability, anger, insomnia with vivid dreams, dry mouth, and bitter taste. Jiawei Xiaoyao San alleviates symptoms of liver fire hyperactivity while regulating qi and blood to help the body achieve balance.

5. Qiju Dihuang Wan: Based on Liuwei Dihuang Wan, this formula adds Lycium barbarum and Chrysanthemum morifolium. It nourishes the liver and kidneys, improves vision, and reduces fire. It is suitable for symptoms caused by liver-kidney yin deficiency and liver fire hyperactivity, such as dizziness, blurred vision, and weakness in the lower back and knees. Lycium and chrysanthemum in Qiju Dihuang Wan enhance the effects of nourishing the liver and kidneys, reducing fire, and improving vision, providing better relief for eye discomfort caused by liver vacuity-fire hyperactivity.

Although these medications are effective in treating liver vacuity-fire, their specific use should be based on individual constitution and condition. At the same time, adjusting lifestyle habits and maintaining emotional tranquility also contribute to recovery.