HERB FORMULAS

ER SHEN ER TENG TANG - 二深二藤汤 - TWO ROOTS AND TWO VINES DECOCTION

English: Two Roots and Two Vines Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Caulis Spatholobi Ji Xue Teng 30g Invigorates and tonifies the Blood, activates the channels and relaxes the sinews.
Caulis Trachelospermi Luo Shi Teng 30g Dispels Wind-Dampness, unblocks the channels and collaterals, cools the Blood and reduces swellings.
With Mu Dan Pi, for Damp-Heat Bi with pain and swelling.
Rx. Astragali Huang Qi 20g Tonifies Qi and Blood, strengthens the Spleen and relieves numbness and pain.
With Dang Shen, for Qi Deficiency with general debility, anorexia, fatigue, tired extremities and spontaneous sweating.
Rx. Codonopsis Dang Shen
 15g Tonifies the Middle Jiao, augments Qi, nourishes the Blood and promotes the generation of Body Fluids.
With Huang Qi, for Lung and Spleen Qi Deficiency with fatigue, shortness of breath, diarrhea and anorexia.
Rx. Glehniae Bei Sha Shen 15g Nourishes Lung Yin, clears Lung Heat, nourishes Stomach Yin, generates fluids and tonifies Liver and Kidney Yin.
Rx. Rehmanniae Sheng Di Huang 15g Clears Heat, cools the Blood nourishes Yin and generates fluids.
With Mu Dan Pi, for Kidney Yin Deficiency with steaming bones.
Cx. Moutan Mu Dan Pi 12g Clears Heat, cools and harmonizes the Blood, clears Deficiency Fire, invigorates the Blood and dispels Blood Stasis.
Rx. Lithospermi/Arnebiae Zi Cao 12g Clears Heat, cools the Blood, invigorates Blood circulation, relieves Fire toxins, encourages rashes, clears Damp-Heat from the skin and aids the healing of tissues.

FORMULA ACTIONS

  • Tonifies and nourishes Qi, Yin and Blood
  • Invigorates the Blood
  • Breaks up Stagnation
  • Clears Heat

SYNDROMES

  • Qi, Blood and Yin Deficiency with Blood Stagnation and Heat

CLINICAL MANIFESTATIONS

  • Fatigue
  • Loose stools
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Shortness of breath
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of low back
  • Spermatorrhea or premature ejaculation
  • Aching in bones
  • Aching in leg and heel
  • Pain, swelling and obvious tenderness in the superficial veins along the limbs or the thoracoepigastric walls
  • Hard cord-like swollen masses may be felt
  • In the affected areas, there is redness, swelling, pain, tenderness and cord-like masses,
  • T: Red or Pale or Pale, thin and dry
  • C: Little or None or Yellow
  • P: Thready and rapid or or Taut and rapid or Weak or Thin and choppy

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For initial-stage symptoms of fever, sore throat, macules and a red tongue: For muscle pain and aversion to Cold due to Yang Deficiency with Wind-Damp:
+ 12g Fol. Isatidis Da Qing Ye + 9g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ 12g Flos Lonicerae Jin Yin Hua
+ 18-30g Hb. Taraxaci Pu Gong Ying + 9g Hb. Epimedii Yin Yang Huo
For a chronic condition with more severe Blood Stagnation:
 + 9g Rx. et Rz. Notopterygii Qiang Huo
+9g Rx. Salviae Miltiorrhizae Dan Shen    
   
+ 9g Flos Carthami Hong Hua