Can Psoralea be combined with cooked Rehmannia?
Psoralea (Bu Gu Zhi) is typically compatible with prepared Rehmannia (Shu Di Huang), but this combination is not recommended if the patient has excessive damp-heat in the body or potential herb interactions. If in doubt, it is advisable to consult a medical professional in advance. Detailed analysis is as follows:

When Psoralea and prepared Rehmannia are used together to address symptoms caused by kidney yang deficiency or liver and kidney insufficiency, they may have a synergistic effect. Psoralea warms and tonifies kidney yang, and consolidates essence and reduces urination, whereas prepared Rehmannia mainly nourishes yin and enriches blood. Together, they can improve conditions such as soreness and weakness of the waist and knees, cold intolerance, and cold aversion by simultaneously supporting yin and yang.
If damp-heat symptoms are present or the spleen and stomach functions are weak, combining Psoralea with prepared Rehmannia is not suitable. Psoralea's warm and drying nature may exacerbate damp-heat manifestations such as dry mouth, thirst, dry stools, or yellow and greasy tongue coating. The greasy and sticky nature of prepared Rehmannia may further impair the digestive functions of the spleen and stomach, leading to abdominal distension or indigestion.
If the cause of disease is unclear or the condition is complex, indiscriminate herb combinations may interfere with treatment effectiveness and even trigger other health problems.