HERB FORMULAS

DANG GUI SI NI TANG - 當歸四逆湯 - DANG GUI DECOCTION FOR FRIGID EXTREMITIES

English: Tangkuei Decoction For Frigid Extremities
Also Known As: Tangkuei and Jujube Combination
Decoction with Chinese Angelica for Treating Vital Prostration with Cold Limbs
Decoction with Chinese Angelica to Treat Cold Limbs

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Angelica Sinensis Dang Gui 1-12g Tonifies Blood, regulates menstruation, invigorates and harmonizes Blood and disperses Cold
 With Bai Shao, regulates and harmonizes Qi and Blood.
With Bai Shao, Gui Zhi and Xi Xin, for Blood and Yang Deficiencies with cold extremities, back and/or buttocks.
With Zhi Gan Cao, moderates spasms and relieves abdominal pain.
Rx. Paeoniae Alba Bai Shao 3-15g Nourishes Blood, regulates menstruation and adjusts the Ying and Wei.
 With Zhi Gan Cao, regulates the relationship between the Liver and Spleen and nourishes the sinews, treats abdominal pain due to disharmony between the Liver and Stomach, epigastric, hypochondriac or flank pain and muscle spasms, pain and numbness, especially in the calf, due to Blood Deficiency.
With Gui Zhi, harmonizes Ying and Wei in Tai Yang Zhong Feng.
With Dang Gui, nourishes Yin and Blood.
With Dang Gui, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration.
Ram. Cinnamomi Gui Zhi 3-12g Releases the exterior, adjusts the Ying and Wei, warms the channels and collaterals to relieve pain, disperses Cold, unblocks Yang and transforms the Qi, warms and facilitates the flow of Yang Qi in the chest and warms and facilitates the flow of Blood through the vessels.
With Bai Shao, warms and tonifies the Middle Jiao.
With Zhi Gan Cao, for palpitations and shortness of breath due to injured Yang of the chest.
Hb. cum Rx. Asari Xi Xin 1.5-9g Releases Exterior Wind and Cold, disperses Internal Cold, warms the Lungs and alleviates pain.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 2-6g Alleviates pain and moderates and harmonizes the properties of other herbs.
Fr. Jujube Da Zao 3-9g Nourishes Blood and moderates and harmonizes the harsh properties of other herbs.
Caul. Akebiae Mu Tong 3-9g Promotes urination and unblocks blood vessels.
With Dang Gui, promotes circulation of Blood and stops pain.

FORMULA ACTIONS

  • Warms the Channels
  • Disperses Cold
  • Nourishes the Blood
  • Unblocks the Blood vessels

SYNDROMES

  • Cold in the Channels due to Blood Deficiency
  • Jue Yin Cold

CLINICAL MANIFESTATIONS

  • Long standing cold hands and feet that are cold to the touch and feel cold to the patient
  • Maybe lumbago and leg pain
  • Abdominal pain and distention
  • Midline pain
  • Uterine pain
  • Chills
  • Diarrhea
  • Menstrual abdominal pain
  • Maybe chest pain
  • Increased sweating, particularly of the feet
  • Increased salivation
  • Long standing cold hands and feet that are cold to the touch and feel cold to the patient
  • Maybe lumbago and leg pain
  • Abdominal pain and distention
  • Midline pain
  • Uterine pain
  • Chills
  • Diarrhea
  • Menstrual abdominal pain
  • Maybe chest pain
  • Increased sweating, particularly of the feet
  • Increased salivation

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Yin Deficiency with Empty Fire.
  • Use with caution during Spring and Summer or in warm climates.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For persistent mild headache, vertigo and tinnitus: For vague epigastric pain that responds favorably to Heat or pressure and spitting of clear fluids:
+ Rx. Angelica Dahuricae Bai Zhi + Fr. Evodiae Wu Zhu Yu
+ Rx. Saposhnikoviae Fang Feng + Fr. Citri Sarcodactylis Fo Shou
For Cold and pain in the lower abdomen during menstruation which is scanty:
 + Rx. Codonopsis Dang Shen
+ Hb Leonuri Yi Mu Cao
For hernial disorders due to Cold:
+ Rz. Cyperi Xiang Fu + Rx. Linderae Wu Yao
For chronic resistant sciatica:
 + Fr. Foeniculi Xiao Hui Xiang
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi + Rz. Alpiniae Officinarum Gao Liang Jiang
+ Rx. et Rz. Rhei Da Huang
For a vertical headache, nausea and vomiting due to Cold and Deficiency of the Stomach:
+ Rx. Dipsaci Xu Duan + Fr. Evodiae Wu Zhu Yu
+ Rz. Cibotii Gou Ji + Rz. Zingiberis Recens Sheng Jiang
For painful extremities due to Wind and Dampness:
For lower back soreness and pain:
+ Hb. Taxilli Sang Ji Sheng + Rx. Achyranthis Bidentatae Niu Xi
+ Rx. Clematidis Wei Ling Xian + Cx. Eucommiae Du Zhong
For dysmenorrhea due to Cold:
For severe Deficiency and Cold:
+ Rx. Linderae Wu Yao + Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Fr. Foeniculi Xiao Hui Xiang + Rz. Zingiberis Gan Jian
or
 + Rx. Astragali Huang Qi
+ Rx. Linderae Wu Yao
For extreme Cold after an illness:
+ Fr. Foeniculi Xiao Hui Xiang
+ Minor Bupleurum Decoction
Xiao Chao Hu Tang
+ Rz. Alpiniae Officinarum Gao Liang Jiang
For pain in the hips, back, legs and feet due to Blood Deficiency with Cold Accumulation:
+ Rz. Cyperi Xiang Fu + Rx. Dipsaci Xu Duan
For dysmenorrhea due to Blood Deficiency:
+ Rx. Achyranthis Bidentatae Niu Xi
- Caulis Akebiae Mu Tang + Caulis Spatholobi Ji Xue Teng
+ Rx. Rehmanniae Preparata Shu Di Huang + Fr. Chaenomelis Mu Gua
For Cold, painful testicles:
For allergic rhinitis:
+ Fr. Foeniculi Xiao Hui Xiang + Rx. Astragali Huang Qi
For allergic rhinitis with Kidney Yang Deficiency:
+ Rx. Codonopsis Dang Shen
+ Rx. Astragali Huang Qi
For allergic rhinitis with Spleen Qi Deficiency:
+ Rx. Codonopsis Dang Shen + Rx. Astragali Huang Qi
+ Rz. Curculiginis Xian Mao + Rx. Codonopsis Dang Shen
For allergic rhinitis with Qi and Yin Deficiencies:
+ Rz. Atractylodes Macrocephalae Bai Zhu
+ Rx. Astragali Huang Qi + Poria Fu Ling
+ Rx. Codonopsis Dang Shen
For postpartum women with general aches and pain:
+ Rx. Ophiopogonis Mai Men Dong
+ Fr. Mume Wu Mei + Rx. Astragali Huang Qi
+ Rx. Pseudostellariae Tai Zi Shen + Ram. Mori Sang Zhi
For headache:
For extremely painful obstruction:
- Caulis Akebiae Mu Tong + Rx. Astragali Huang Qi
+ 6g Medulla Tetrapanacis Tong Cao + Caulis Spatholobi Ji Xue Teng
For pain due to Stomach, esophageal, Liver and Lung cancers:
+ 9g Fr. Evodiae Wu Zhu Yu
+ 12g Rz. Zingiberis Recens Sheng Jiang + More (30-50g) Rx. Angelicae Sinensis Dang Gui
For sciatica:
 + More (50-100g) Rx. Paeoniae Alba Bai Shao
- Fr. Jujube Da Zao
- Caulis Akebiae Mu Tong
For sciatica with severe pain:
+ 15g Rx. Achyranthis Bidentatae Niu Xi - Fr. Jujube Da Zao
- Caulis Akebiae Mu Tong
+ 30g Rx. Clematidis Wei Ling Xian + 15g Rx. Achyranthis Bidentatae Niu Xi
+ 30g Caulis Spatholobi Ji Xue Teng
+ !0g Rx. Aconiti Preparata Zhi Chuan Wu + 30g Rx. Clematidis Wei Ling Xian
+ 30g Caulis Spatholobi Ji Xue Teng
+ 10g Rx, Aconiti Kusnezoffii Preparata Zhi Cao Wu + !0g Rx. Aconiti Preparata Zhi Chuan Wu
+ 10g Olibanum Ru Xiang + 10g Rx, Aconiti Kusnezoffii Preparata Zhi Cao Wu
+ 10g Myrrh Mo Yao
or
 + 10g Olibanum Ru Xiang
+ Rx. Achyranthis Bidentatae Niu Xi + 10g Myrrh Mo Yao
+ 6g Rx. Notoginseng San Qi
+ Zaocys Wu Shao She
For frostbite:
+ Olibanum Ru Xiang - Fr. Jujube Da Zao
+ Myrrh Mo Yao + 10g Rz. Zingiberis Recens Sheng Jiang
For peripheral neuritis with severe pain:
+ 30g Caulis Spatholobi Ji Xue Teng
For peripheral neuritis with numbness:
+ 10g Rx. Aconiti Preparata Zhi Chuan Wu + 2pcs Scolopendra Wu Gong
+ 6g Scorpio Quan Xie
+ 10g Rx, Aconiti Kusnezoffii Preparata Zhi Cao Wu + 20g Rx. Astragali Huang Qi
For periarthritis of the shoulder with Qi Deficiency:
For periarthritis of the shoulder with Blood Stagnation:
+ Rx Astragali Huang Qi
+ Rx. Kadsurae Cocciniae Hei Lao Hu
For periarthritis of the shoulder with migratory pain:
For frozen shoulder:
+ Zaocys Wu Shao She
+ Caulis Spatholobi Ji Xue Teng
For psoriasis:
For prostatic hypertrophy:
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Rz. Anemarrhenae Zhi Mu
+ Cx. Phellodendri Huang Bai + Scorpio Quan Xie
+ Rx. Achyranthis Bidentatae Niu Xi + Cx. Moutan Mu Dan Pi
For endometriosis:
+ Sm. Plantaginis Che Qian Zi + Rz. Curcumae E Zhu
+ Sm. Vaccariae Wang Bu Liu Xing + Rz. Chuanxiong Chuan Xiong
+ Squama Manitis Chuan Shan Jia + Pollen Typhae Pu Huang
For endometriosis with Qi Deficiency:
 + Hb. Leonuri Yi Mu Cao
+ Rz. Curcumae E Zhu
For endometriosis during menstruation:
+ Rz. Chuanxiong Chuan Xiong + Rz. Curcumae E Zhu
+ Pollen Typhae Pu Huang + Less Rz. Chuanxiong Chuan Xiong
+ Hb. Leonuri Yi Mu Cao + Less Pollen Typhae Pu Huang
+ Rx. Astragali Huang Qi + Hb. Leonuri Yi Mu Cao
+ Rx. Codonopsis Dang Shen + Less Rx. Angelicae Sinensis Dang Gui
For amenorrhea:
- Caulis Akebiae Mu Tong
For amenorrhea with Qi and Blood Stagnation:
+ Medulla Tetrapanacis Tong Cao - Caulis Akebiae Mu Tong
+ Hb. Epimedii Yin Yang Huo + Medulla Tetrapanacis Tong Cao
+ Rx. Astragali Huang Qi + Hb. Epimedii Yin Yang Huo
For amenorrhea in overweight women with Dampness and Phlegm Accumulation:
+ Rx. Astragali Huang Qi
+ Rx. Bupleuri Chai Hu
- Caulis Akebiae Mu Tong + Rx. Achyranthis Bidentatae Niu Xi
+ Medulla Tetrapanacis Tong Cao
+ Hb. Epimedii Yin Yang Huo + Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Astragali Huang Qi
+ Rz. Atractylodis Cang Zhu
For amenorrhea with anorexia:
+ Rz. Cyperi Xiang Fu - Caulis Akebiae Mu Tong
For amenorrhea with abdominal pain:
 + Medulla Tetrapanacis Tong Cao
- Caulis Akebiae Mu Tong + Hb. Epimedii Yin Yang Huo
+ Medulla Tetrapanacis Tong Cao + Rx. Astragali Huang Qi
+ Hb. Epimedii Yin Yang Huo + Fr. Crataegi Shan Zha
+ Rx. Astragali Huang Qi
For amenorrhea with profuse leukorrhea:
+ Rz. Corydalis Yan Hu Suo - Caulis Akebiae Mu Tong
+ Rz. Cyperi Xiang Fu + Medulla Tetrapanacis Tong Cao
For post-surgical Intestinal adhesions:
 + Hb. Epimedii Yin Yang Huo
+ Rx. et Rz Rhei Da Huang + Rx. Astragali Huang Qi
For pelvic inflammatory disease:
 + Sm. Plantaginis Che Qian Zi
+ Rz. Dioscoreae Hypoglaucae Bei Xie
For pelvic inflammatory disease with severe pain:
+ Hb. Taraxaci Pu Gong Ying + Rz. Dioscoreae Hypoglaucae Bei Xie
+ Flos Lonicerae Jin Yin Hua + Hb. Taraxaci Pu Gong Ying
For pelvic inflammatory disease with leukorrhea containing Blood and pus:
 + Flos Lonicerae Jin Yin Hua
+ Rz. Dioscoreae Hypoglaucae Bei Xie + Rz. Corydalis Yan Hu Suo
+ Hb. Taraxaci Pu Gong Ying + Fr. Toosendan Chuan Lian Zi
+ Flos Lonicerae Jin Yin Hua
For pelvic inflammatory disease with lower abdominal swelling and pain:
+ Rx. Sanguisorbae Di Yu + Rz. Dioscoreae Hypoglaucae Bei Xie
+ Rz. Dryopteris Guan Zhong + Hb. Taraxaci Pu Gong Ying
For pelvic inflammatory disease with soreness and weakness of the lower back and legs:
 + Flos Lonicerae Jin Yin Hua
+ Rz. Dioscoreae Hypoglaucae Bei Xie + Sm. Litchi Li Zhi He
+ Hb. Taraxaci Pu Gong Ying + Sm. Citri Reticulatae Ju He
+ Flos Lonicerae Jin Yin Hua
For indeterminate, gnawing hunger:
+ Cx. Eucommiae Du Zhong - Rx. Paeoniae Alba Bai Shao
+ Hb. Taxilli Sang Ji Sheng + 12-15g Rx. Paeoniae Rubra Chi Shao
For indeterminate, gnawing hunger with Blood Deficiency:
- Fr. Jujube Da Zao
+ 12-15g Rx. Paeoniae Rubra Chi Shao - Caulis Akebiae Mu Tong
+ 3-6g Fr. Evodiae Wu Zhu Yu
- Fr. Jujube Da Zao + 6-9g Rz. Zingiberis Gan Jiang
- Caulis Akebiae Mu Tong + 12-15g Rx. Salviae Miltiorrhizae Dan Shen
+ 3-6g Fr. Evodiae Wu Zhu Yu
+ 6-9g Rz. Zingiberis Gan Jiang + 9-12g Flos Carthami Hong Hua
+ 12-15g Rx. Salviae Miltiorrhizae Dan Shen + 9-12g Pollen Typhae Pu Huang
For indeterminate, gnawing hunger with Qi Deficiency:
+ 9-12g Flos Carthami Hong Hua
+ 9-12g Pollen Typhae Pu Huang + 12-15g Rx. Paeoniae Rubra Chi Shao
+ 18-24g Caulis Spatholobi Ji Xue Teng
- Fr. Jujube Da Zao
+ 15-18g Rx. Rehmanniae Preparata Shu Di Huang - Caulis Akebiae Mu Tong
+ 3-6g Fr. Evodiae Wu Zhu Yu
For indeterminate, gnawing hunger with Yin Deficiency:
 + 6-9g Rz. Zingiberis Gan Jiang
+ 12-15g Rx. Salviae Miltiorrhizae Dan Shen
+ 12-15g Rx. Paeoniae Rubra Chi Shao
+ 9-12g Flos Carthami Hong Hua
- Fr. Jujube Da Zao + 9-12g Pollen Typhae Pu Huang
- Caulis Akebiae Mu Tong + 12-18g Rx. Astragali Huang Qi
+ 3-6g Fr. Evodiae Wu Zhu Yu + 12-15g Rz. Atracty-lodis Macrocephalae Bai Zhu
+ 6-9g Rz. Zingiberis Gan Jiang
+ 12-15g Rx. Salviae Miltiorrhizae Dan Shen + 15-18g Rz. Polygonati Odorati Huang Jing
+ 9-12g Flos Carthami Hong Hua
For indeterminate, gnawing hunger poor digestion:
+ 9-12g Pollen Typhae Pu Huang
+ 15-18g Rx. Rehmanniae Sheng Di Huang + 12-15g Rx. Paeoniae Rubra Chi Shao
+ 12-15g Rx. Glehniae/ Adenophorae Sha Shen - Fr. Jujube Da Zao
- Caulis Akebiae Mu Tong
For sciatica:
 + 3-6g Fr. Evodiae Wu Zhu Yu
+ Fr. Chaenomelis Mu Gua + 6-9g Rz. Zingiberis Gan Jiang
+ Rx. Achyranthis Bidentatae Niu Xi + 12-15g Rx. Salviae Miltiorrhizae Dan Shen
+ Herba Lycopodii Shen Jin Cao + 9-12g Flos Carthami Hong Hua
+ Rx. Salviae Miltiorrhizae Dan Shen + 9-12g Pollen Typhae Pu Huang
+ 15g Dry-fried Fr. Crataegi Chao Shan Zha
+ Caulis Spatholobi Ji Xue Teng
For sciatica with Cold predominant:
 + 15g Massa Medicata Fermentata Shen Qu
+ Fr. Chaenomelis Mu Gua
+ Rx. Achyranthis Bidentatae Niu Xi
For sciatica with Dampness predominant:
+ Fr. Chaenomelis Mu Gua
+ Herba Lycopodii Shen Jin Cao + Rx. Achyranthis Bidentatae Niu Xi
+ Rx. Salviae Miltiorrhizae Dan Shen
+ Herba Lycopodii Shen Jin Cao
+ Caulis Spatholobi Ji Xue Teng + Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Aconiti Preparata Zhi Chuan Wu
+ Rx. Aconiti Kusnezoffii Preparata Zhi Cao Wu + Caulis Spatholobi Ji Xue Teng
+ Rz. Atractylodis Cang Zhu
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi + Rx. Aristolochiae Fangji Guang Fang Ji
For sciatica with Wind predominant:
For long-term sciatica with intense pain due to Phlegm and Blood Stasis:
+ Fr. Chaenomelis Mu Gua
+ Rx. Achyranthis Bidentatae Niu Xi + Fr. Chaenomelis Mu Gua
+ Rx. Achyranthis Bidentatae Niu Xi
+ Herba Lycopodii Shen Jin Cao
+ Rx. Salviae Miltiorrhizae Dan Shen + Herba Lycopodii Shen Jin Cao
+ Rx. Salviae Miltiorrhizae Dan Shen
+ Caulis Spatholobi Ji Xue Teng
+ Rx. Saposhnikoviae Fang Feng + Caulis Spatholobi Ji Xue Teng
+ Rx. Clematidis Wei Ling Xian + Sm. Persicae Tao Ren
For sciatica with low back pain and paraspinal tenderness:
 + Flos Carthami Hong Hua
+ Faeces Trogopterori Wu Ling Zhi
+ Fr. Chaenomelis Mu Gua + Carapax Trionycis Bie Jia
+ Rx. Achyranthis Bidentatae Niu Xi + Olibanum Ru Xiang
+ Myrrh Mo Yao
+ Herba Lycopodii Shen Jin Cao
For sciatica with Qi Deficiency:
+ Rx. Salviae Miltiorrhizae Dan Shen + Fr. Chaenomelis Mu Gua
+ Rx. Achyranthis Bidentatae Niu Xi
+ Caulis Spatholobi Ji Xue Teng
+ Rz. Cibotii Gou Ji + Herba Lycopodii Shen Jin Cao
+ Rx. Dipsaci Xu Duan + Rx. Salviae Miltiorrhizae Dan Shen
+ Cx. Eucommiae Du Zhong
+ Fr. Lycii Gou Qi Zi + Caulis Spatholobi Ji Xue Teng
+ Rx. Morindae Officinalis Ba Ji Tian + Rx. Astragali Huang Qi
+ Rx. Codonopsis Dang Shen
+ Hb. Taxilli Sang Ji Sheng For gout and palmar pain due to Yang Deficiency with Liver Qi Stagnation:
+ Hb. Epimedii Yin Yang Huo
+ Eupolyphaga/ Steleophaga Tu Bie Chong + 10g Rx. Bupleuri Chai Hu
+ 10g Rx. Curcumae Yu Jin
For gout and palmar pain due to Yang Deficiency with Liver Qi Stagnation and sharp pain: For gout and palmar pain due to Yang Deficiency with Liver Qi Stagnation and a cold sensation:
+ 10g Rz. Corydalis Yan Hu Suo + 10g Rz. Chuanxiong Chuan Xiong
+ 10g Myrrh Mo Yao + 10 g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
For thrombophlebitis:
+ True Warrior Decoction
Zhen Wu Tang
For erythema multiforme:
- Rx. Paeoniae Alba Bai Shao
+ Rx. Aconiti Preparata Zhi Chuan Wu - Fr. Jujube Da Zao
+ Rx. Aconiti Kusnezoffii Preparata Zhi Cao Wu - Caulis Akebiae Mu Tong
+ 9g Rx. Paeoniae Rubra Chi Shao
For erythema multiforme with abdominal pain:
- Rx. Paeoniae Alba Bai Shao + 15g Caulis Spatholobi Ji Xue Teng
- Fr. Jujube Da Zao + 9g Rz. Chuanxiong Chuan Xiong
- Caulis Akebiae Mu Tong + 15g Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Rx. Paeoniae Rubra Chi Shao
+ 6g Rx. Aconiti Preparata Zhi Chuan Wu
+ 15g Caulis Spatholobi Ji Xue Teng
+ 9g Rz. Chuanxiong Chuan Xiong + 6g Rz. Zingiberis Gan Jiang
+ 15g Rx. Salviae Miltiorrhizae Dan Shen + 9g Rz. et Rx. Notopterygii Qiang Huo
+ 6g Rx. Aconiti Preparata Zhi Chuan Wu + 9g Rx. Saposhnikoviae Fang Feng
or
+ 6g Rz. Zingiberis Gan Jiang - Caulis Akebiae Mu Tong
+ 9g Rz. et Rx. Notopterygii Qiang Huo + 6g Fr. Liquidamberis Lu Lu Tong
+ 6g Rz. et Rx. Notopterygii Qiang Huo
+ 9g Rx. Saposhnikoviae Fang Feng
+ 9g Rz. Corydalis Yan Hu Suo + 6g Rx. Aristolochiae Fangji Guang Fang Ji
+ 9g Rx. Linderae Wu Yao
For erythema multiforme with loose stools:
For ear pain with spasms of the face:
- Rx. Paeoniae Alba Bai Shao + 10g Rx. Angelicae Dahuricae Bai Zhi
- Fr. Jujube Da Zao
- Caulis Akebiae Mu Tong + 10g Rz. Typhonii Preparatum Zhi Bai Fu Zi
+ 9g Rx. Paeoniae Rubra Chi Shao
For ear pain with a headache and a stiff neck:
+ 15g Caulis Spatholobi Ji Xue Teng + 10g Rz. et Rx. Notopterygii Qiang Huo
+ 9g Rz. Chuanxiong Chuan Xiong
+ 15g Rx. Salviae Miltiorrhizae Dan Shen + 10g Rx. Puerariae Ge Gen
For ear pain with a coughing and expectoration of Phlegm:
+ 6g Rx. Aconiti Preparata Zhi Chuan Wu
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 6g Rz. Zingiberis Gan Jiang
+ 9g Rz. et Rx. Notopterygii Qiang Huo + 10g Per. Citri Reticulatae Chen Pi
+ 9g Rx. Saposhnikoviae Fang Feng
For ear pain with a headache:
+ 12g Poria Fu Ling + 10g Rz. Chuanxiong Chuan Xiong
+ 12g Polyporus Zhu Ling + 10g Rz. et Rx. Notopterygii Qiang Huo