HERB FORMULAS

DANG GUI NIAN TONG TANG - 當歸拈痛湯 - DANG GUI DECOCTION TO PRY OUT PAIN

English: Tangkuei Decoction to Pry out Pain
Also Known As: Tang Kuei and Anemarrhena Combination
Decoction of Angelica Sinensis for Analgesia
Dang Gui Get Beyond the Pain Decoction

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. seu Rx. Notopterygii Qiang Huo 2.5-15g Expels Wind-Cold-Dampness, unblocks painful obstruction, alleviates pain and guides Qi to the Tai Yang and Du channels.
With Fang Feng, for pain due to External Wind-Dampness.
With Cang Zhu, For a heavy-headed sensation.
Rx. Saposhnikoviae Fang Feng 2-10g Expels Wind-Dampness and alleviates pain.
With Cang Zhu, for pain due to Wind-Dampness Bi with aching joints, heavy limbs and generalized aching discomfort.
With Qiang Huo and Dang Gui, for Wind-Cold-Damp Bi.
Rz. Cimicifugae Sheng Ma 1-6g Releases the exterior, clears Heat and relieves toxicity.
Rx. Puerariae Ge Gen 2-10g Discharges Exterior conditions, releases the muscles, especially of the neck and upper back, relieves Heat and generates fluids.
Rz. Atractylodis Macrocephalae Bai Zhu 2.5-12g Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism.
With Cang Zhu, for Damp Cold Painful Obstruction.
With Zhu Ling and Ze Xie, for edema due to Internal Dampness.
Corpus Radicis Angelicae Sinensis Dang Gui Shen 2.5-12g Tonifies the Blood.
Rz. Atractylodis Cang Zhu 2-10g Strongly dries Dampness, tonifies the Spleen, induces sweating, expels Wind-Dampness and clears Dampness from the Lower Jiao.
Rx. Ginseng Ren Shen 2-6g Tonifies Spleen and Stomach Qi, generates Body Fluids and stops thirst.
With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
(Rx. Codonopsis) (Dang Shen) (6g) (May substitute for Ren Shen)
Rx. Glycyrrhizae Gan Cao 1-15g Tonifies the Spleen, augments Qi, moderates spasms, alleviates pain, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.
Wine-fried Rx. Sophorae Flavescentis Jiu Chao Ku Shen 1-10g Disperses Wind, clears Heat and dries Dampness.
Dry-fried Rx. Scutellariae Chao Huang Qin 2.5-8g Clears Heat and dries Dampness.
With Qiang Huo, for Cold-Dampness at the Exterior with Heat in the Interior.
Wine-washed Rz. Anemarrhenae Jiu Xi Zhi Mu 2.5-9g Clears Heat and drains Fire.
Hb. Artemisiae Scopariae Yin Chen Hao 2.5-15g Clears Damp-Heat from the Liver and Gallbladder, clears Heat, facilitates the resolution of Dampness and clears and releases Dampness in the the exterior.
With Huang Qi, for Damp-Heat skin rashes.
Polyporus Zhu Ling 2.5-10g Promotes urination, leaches out Dampness and dispels Damp-Heat.
With Ze Xie, drains Damp, unblocks and drains urinary pathways and drains Heat from the Bladder.
Rz. Alismatis Ze Xie 2.5-9g Promotes urination and leaches out Dampness.

FORMULA ACTIONS

  • Resolves Dampness
  • Clears Heat
  • Disperses Wind
  • Stops pain
  • Activates the Blood
  • Tonifies Qi and Blood

SYNDROMES

  • Damp-Heat with External Wind Invasion
  • Damp-Heat Bi
  • Atrophy disorder (Wei Syndrome) due to Damp-Heat

CLINICAL MANIFESTATIONS

  • Generalized body aches and pains
  • Irritability
  • Heavy sensation in the shoulder and back
  • Discomfort or a constricted sensation in the area of the chest and diaphragm
  • Multiple sores, carbuncles furuncles or abscesses
  • Redness
  • Itching
  • Persistent swelling
  • Chest pain
  • Fever
  • Thirst
  • Aching and painful extremities
  • Aching and painful joints
  • Unbearable swelling and pain of the lower extremities
  • Shoulder stiffness
  • T: Normal
  • C: Greasy and slightly yellow
  • P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Wind-Cold-Damp Bi.
  • Avoid spicy, pungent, oily or greasy foods while taking this formula.
HERB/DRUG INTERACTIONS

NOTES

  • This is an anti-inflammatory and immune enhancing formula.

MODIFICATIONS

For generalized body aches and pains or severe pain in the joints and extremities: For red, swollen and hot painful obstruction:
+ Ram. Cinnamomi Gui Zhi + Flos Lonicerae Jin Yin Hua
+ Rx. Paeoniae Alba Bai Shao + Fr. Forsythiae Lian Qiao
For purulent skin lesions due to Toxic Heat:
 + Gypsum Fibrosum Shi Gao
+ Flos Lonicerae Jin Yin Hua
For intense body pain:
+ Fr. Forsythiae Lian Qiao + Rz. Curcumae Longae Jiang Huang
For pronounced swelling of the legs:
+ Cx. Erythrinae Hai Tong Pi
+ Rx. Stephaniae Tetrandrae Han Fang Ji
For eczema with the presence of Wind-Heat:
+ Fr. Chaenomelis Mu Gua + Rx. Rehmanniae Sheng Di Huang
For eczema with the presence of Damp-Heat:
+ Gypsum Fibrosum Shi Gao
+ Sm. Coicis Yi Yi Ren + Cx. Moutan Mu Dan Pi
+ Cx. Magnoliae Officinalis Hou Po
For eczema with the presence of Blood-Heat:
+ Sm. Phaseoli Chi Xiao Dou + Rx. Arnebiae/ Lithospermi Zi Cao
For eczema with the presence of Blood Deficiency with Wind-Dryness:
+ Flos Sophorae Huai Hua Mi
+ Rx. Polygoni Multiflori He Shou Wu + Cx. Lycii Di Gu Pi
+ Rx. Salviae Miltiorrhizae Dan Shen
For painful menstruation due to Damp-Heat and Blood Stasis:
+ Rx. Scrophulariae Xuan Shen
+ Four Substance Decoction
Si Wu Tang
For prolonged lochia:
+ Sudden Smile Powder
Shi Xiao San
+ Caulis Akebiae Mu Tong
For painful urinary dysfunction:
+ Rx. Rehmanniae Sheng Di Huang + Cx. Phellodendri Huang Bai
+ Cx. Moutan Mu Dan Pi + Hb. Dianthi Qu Mai
+ Cx. Phellodendri Huang Bai + Caulis Akebiae Mu Tong
For redness, swelling and inflammation:
For severe swelling and pain:
+ Rz. Coptidis Huang Lian
+Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
+ Gypsum Fibrosum Shi Gao
For skin ulcerations and abscesses:
For wet beriberi due to Stagnation of Damp-Heat in the channels with Stagnation of Qi and Blood:
+ Drain the Interior and Detoxify Decoction
Tuo Li Xiao Du Yin
+ More Rz. Atractylodis Cang Zhu
For more severe edema:
+ Less Rz. Anemarrhenae Zhi Mu + Poria Fu Ling
For reddening and feverish feeling in the joints:
+ Ram. Cinnamomi Gui Zhi
+ Rx. Stephaniae Tetrandrae Han Fang Ji
For anemia:
For fibromyalgia due to Qi and Blood Stagnation:
 + Rx. Paeoniae Alba Bai Shao
+ Major Saposhnikovia Decoction
Da Feng Fang Tang
+ Rx. Polygoni Multiflori He Shou Wu
+ Ephedra, Apricot Kernel, Coicis and Licorice Decoction
Ma Xing Yi Gan Tang
For fibromyalgia due to Phlegm Stagnation Blocking the channels:
For early-stage impetigo herpetiformis during the eruption of the lesions:
Pinellia, Atractylodis Macrocephala and Gastrodia Decoction
Ban Xia Bai Zhu Tian Ma Tang
- Rx. Angelicae Dahuricae Bai Zhi
+ Minor Blue-Green Dragon Decoction
Xiao Qing Long Tang
- Rx. Codonopsis Dang Shen
+ Rz. Smilacis Glabrae Tu Fu Ling
For impetigo herpetiformis during healing to relieve itching:
+ Hb. Violae Zi Hua Di Ding
+ Flos Chrysanthemi Indici Ye Ju Hua + Fr. Kochiae Di Fu Zi
+ Periostracum Cicadae Chan Tui
+ Flos Lonicerae Jin Yin Hua
For gout:
For Lyme disease due to Qi and Yin Deficiency with lingering Damp-Heat:
+ Rx. Polygoni Cuspidatae Hu Zhang
- Rx. Scutellariae Huang Qin + Lignum Pini Nodi Song Jie
- Polyporus Zhu Ling + Fr. Chaenomelis Mu Gua
+ 18g Rx. Rehmanniae Preparata Shu Di Huang + Caulis Lonicerae Ren Dong Teng
For Lyme disease due to Qi and Yin Deficiency with lingering Damp-Heat with Blood Stasis:
+ 18g Rx. Astragali Huang Qi
+ 9g Cx. Phellodendri Huang Bai - Rx. Scutellariae Huang Qin
+ 9g Fr. Chaenomelis Mu Gua - Polyporus Zhu Ling
+ 9g Poria Fu Ling + 18g Rx. Rehmanniae Preparata Shu Di Huang
For Lyme disease due to Qi and Yin Deficiency with lingering Damp-Heat with afternoon fever and vexatious Heat:
+ 18g Rx. Astragali Huang Qi
+ 9g Cx. Phellodendri Huang Bai
- Rx. Scutellariae Huang Qin + 9g Fr. Chaenomelis Mu Gua
- Polyporus Zhu Ling + 9g Poria Fu Ling
+ 18g Rx. Rehmanniae Preparata Shu Di Huang + 9g Cx. Moutan Mu Dan Pi
+ 9g Rx. Paeoniae Rubra Chi Shao
+ 18g Rx. Astragali Huang Qi
+ 9g Cx. Phellodendri Huang Bai
For rheumatoid arthritis with Blood Deficiency:
+ 9g Fr. Chaenomelis Mu Gua + 9g Rx. Rehmanniae Preparata Shu Di Huang
+ 9g Poria Fu Ling
+ 15g Cx. Lycii Di Gu Pi + 9g Rx. Angelicae Sinensis Dang Gui
+ 9g Cx. Moutan Mu Dan Pi
For rheumatoid arthritis with Qi Deficiency:
 + 6g Rz. Chuanxiong Chuan Xiong
+ more (20g) Rx. Astragali Huang Qi
For rheumatoid arthritis with inhibited movement:
+ 9g Rx. Codonopsis Dang Shen + 9g Caulis Piperis Kadsurae Hai Feng Teng
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu
+ 9g Caulis Trachelospermi Luo Shi Teng
For rheumatoid arthritis with severe pain and a cool sensation in the affected area:
+ 9g Rx. Clematidis Wei Ling Xian
+ 6g Rx. Aconiti Lateralis Preparata Zi Fu Zi
For rheumatoid arthritis with pain in the upper limbs:
+ 3g Hb. cum Rx. Asari Xi Xin + 9g Ram. Mori Sang Zhi
For rheumatoid arthritis with pain in the lower limbs:
For rheumatoid arthritis with joint rigidity and deformation:
+ 9g Rx. Achyranthis Bidentatae Niu Xi + 3g Scorpio Quan Xie
+ 3g Scolopendra Wu Gong
For rheumatoid arthritis with severe joint swelling:
 + 3g Zaocys Wu Shao She
+ 9g Rx. Dipsaci Xu Duan
+ 20g Sm. Coicis Yi Yi Ren
For rheumatoid arthritis with severe pain:
+ 9g Rz. Atractylodis Cang Zhu + 6g Olibanum Ru Xiang
    +6g Myrrh Mo Yao