HERB FORMULAS

JIA WEI XUAN BI TANG - 加味宣痺湯 - MODIFIED DISBAND PAINFUL OBSTRUCTION DECOCTION

English: Modified Disband Painful Obstruction Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Stephaniae Tetrandrae Han Fang Ji 15g Expels Wind-Dampness, purges Damp-Heat, alleviates pain, promotes urination and reduces edema.
With Yi Yi Ren and Can Sha, for Wind-Damp Bi and Wind-Damp-Heat Bi.
Sm. Armeniacae Xing Ren 9g Regulates the Lung's water metabolism function.
Sm. Coicis Yi Yi Ren 15g Promotes urination, strengthens the Spleen, clears Heat, expels Wind-Dampness, soothes numbness and clears Damp-Heat.
With Can Sha, strengthens the Spleen, resolves Dampness and treats painful obstruction.
Faeces Bombycis Can Sha 9g Dispels Wind Dampness, harmonizes the Stomach and transforms turbid Dampness.
With Han Fang Ji, Yi Yi Ren and Lian Qiao, for Damp-Heat Bi and Wind-Damp Bi.
Rz. Pinelliae Preparatum Zhi Ban Xia 9g Dries Dampness, transforms Phlegm, descends Rebellious Qi, and reduces swelling.
With Can Sha, dries Dampness and eliminates turbidity.
Fr. Forsythiae Lian Qiao 9g Clears relatively superficial Heat.
Fr. Gardenia Zhi Zi 9g Clears Heat, eliminates irritability, drains Damp-Heat and reduces swelling.
With Hua Shi, Lian Qiao and Chi Xiao Dou, assists in clearing Heat and draining Dampness through the urine.
Talcum Hua Shi 15g Promotes urination and expels Damp-Heat.
Sm. Phaseoli Chi Xiao Dou 15g Promotes urination, clears Heat, clears Damp Heat and reduces swelling.
Rz. Curcumae Longae Jiang Huang 15g Invigorates Blood, promotes movement of Qi, alleviates pain and expels Wind.
Cx. Erythrinae Hai Tong Pi 15g Expels Wind-Dampness, unblocks the channels, clears Heat, promotes urination and reduces edema.
Ram. Mori Sang Zhi 15g Dispels Wind-Dampness especially in the upper extremities, unblocks the channels, benefits the joints, stops spasms, regulates water metabolism and reduces edema.

FORMULA ACTIONS

  • Clears Heat
  • Eliminates Dampness
  • Invigorates the collaterals
  • Stops pain

SYNDROMES

  • Bi Syndrome due to Damp-Heat in the Channels and Collaterals
  • Wei Syndrome due to Accumulation of Damp-Heat

CLINICAL MANIFESTATIONS

  • Heat and pain in the joints and muscles
  • Severe limitation of movement
  • Fever and shaking chills
  • Lusterless yellow complexion
  • Scanty, dark urine
  • Pain worse on cloudy or rainy days
  • Arthralgia involving one or several joints
  • Local redness and Heat of the extremities
  • Swelling with excruciating pain
  • Pain better during the day and worse at night
  • Numbness of the muscles
  • Thirst
  • Dryness of the mouth
  • Irritability
  • Muscular atrophy
  • Restlessness
  • Anorexia
  • Desire for Cold drinks
  • Loose stools
  • Aversion to Heat
  • Fullness of the chest
  • Pain improved with Cold and worse with Heat
  • Muscular swelling
  • Muscle redness
  • General heaviness
  • T:Red, maybe flabby
  • C: Yellow and greasy
  • P: Slippery and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Bi Syndrome due to Wind-Cold-Damp
  • Contraindicated for those with Wei Syndrome not caused by Damp-Heat
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe pain: For fever:
+ 12g Zaocys Wu Shao She + 15g Caulis Lonicerae Ren Dong Teng
+ 6gScorpio Quan Xie

+ 20g Gypsum Fibrosum Recens

Sheng Shi Gao
For muscle and joint swelling:
For Wei Syndrome of long duration:
+ 10g Rz. Atractylodes Cang Zhu + 12g Rx. Astragali Recens Sheng Huang Qi
+ 10g Cx Phellodendri i Huang Bai + Rx. Codonopsis Dang Shen