Are Zhibai Dihuang Pills effective for excessive liver fire?

Zhibai Dihuang Pills are primarily used for nourishing yin and reducing fire, and are particularly effective for symptoms of yin deficiency with excessive fire. However, their effect may be limited for simple cases of excessive liver fire. Excessive liver fire typically presents with symptoms such as irritability, bitter taste in the mouth, headache, and red eyes, often associated with liver qi stagnation or internal accumulation of damp-heat. The formulation of Zhibai Dihuang Pills mainly focuses on nourishing kidney yin and is suitable for symptoms of deficient fire rising caused by kidney yin deficiency, such as tidal fever, night sweats, and soreness and weakness of the waist and knees. If excessive liver fire is not caused by kidney yin deficiency, more appropriate medications should be selected for regulation.

To better alleviate symptoms of excessive liver fire, it is recommended to choose suitable treatment methods based on the specific cause. If excessive liver fire results from liver qi stagnation, medications that course liver qi and regulate qi, such as Longdan Xiegan Pills or Chaihu Shugan San, may be considered. At the same time, attention should be paid to adjusting lifestyle habits, avoiding staying up late and overexertion, and maintaining emotional stability. Diet-wise, consuming more light foods and reducing intake of spicy and greasy foods can help reduce the burden on the liver. If symptoms persist or worsen, timely medical consultation is advised to obtain a clear diagnosis and targeted treatment for proper recovery.