Drug intelligence / Profile preview

zhenwu decoction

Development stage
Unknown
Lead developer
Shuguang Hospital
Administration
Oral
01

Overview

Zhenwu decoction (Zhenwu Tang) is a classic Traditional Chinese Medicine (TCM) formula first recorded in the *Shanghan Lun* (Treatise on Febrile Diseases). It is traditionally indicated for Yang deficiency of the Spleen and Kidney, which manifests as fluid retention, edema, and urinary difficulty. The formula typically consists of five herbal components: *Poria cocos* (Fuling), *Paeonia lactiflora* (Baishao), *Zingiber officinale* (Shengjiang), *Atractylodes macrocephala* (Baizhu), and processed *Aconitum carmichaelii* (Fuzi). In modern clinical research, Zhenwu decoction is investigated for its diuretic and cardioprotective properties, particularly in the treatment of refractory cirrhotic ascites, chronic heart failure, and chronic kidney disease. Its mechanism of action involves the regulation of the renin-angiotensin-aldosterone system (RAAS), modulation of aquaporin expression (specifically AQP2), and improvement of renal hemodynamics to promote water metabolism.

Brand names
True Warrior FormulaTrue Warrior DecoctionBlack Warrior DecoctionVitality CombinationTrue Warrior Pill
Other names
Zhenwu TangZhen-Wu-TangTrue Warrior Decoction
02

Targets

AQP2 (Aquaporin-2)AQP3 (Aquaporin-3 channel protein)MR (Mineralocorticoid receptor)AVPR2 (Arginine vasopressin V2 receptor)

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