HERB FORMULAS

JIU WEI QIANG HUO TANG - 九味羌活湯 - NINE-HERB DECOCTION WITH NOTOPTERYGIUM

English: Nine-Herb Decoction with Notopterygium
Also Known As: Chianghuo Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. seu Rx. Notopterygii Qiang Huo 3-9g Releases the exterior, disperses Cold, expels Wind-Cold-Dampness, unblocks painful obstruction, alleviates pain and guides Qi to the Tai Yang and Du channels.
With Chuan Xiong, for headache and generalized body aches and pains associated with the common cold or painful obstruction.
With Fang Feng, for pain due to External Wind-Dampness.
With Fang Feng, Bai Zhi, Xi Xin and Chuan Xiong, for Wind-Cold with aversion to Cold, fever, headaches and muscle aches.
With Fang Feng, Bai Zhi and Cang Zhu, for Wind-Cold.
With Cang Zhu for a heavy-headed sensation.
Rx. Saposhnikoviae Fang Feng 3-9g Releases the Exterior, Expels Wind-Dampness, alleviates pain and stops spasms.
With Cang Zhu, for Wind-Cold-Dampness with chills, anhidrosis, headache, heavy head, lethargy, heavy limbs and stifling fullness in the chest and abdomen.
With Qiang Huo, for Wind-Dampness.
Rz. Atractylodis Cang Zhu 3-9g Induces sweating, expels Wind-Dampness, strongly dries Dampness and tonifies the Spleen.
With Chuan Xiong, Bai Zhi, Xi Xin and Qiang Huo, for Exterior Wind-Cold-Dampness.
Rx. Hb. cum Rx. Asari Xi Xin 1-6g Disperses Wind-Cold and Internal Cold, alleviates pain, warms the Lungs, transforms Phlegm and Thin Mucus, disperses and unblocks the Qi of the nasal orifices and relieves toothache.
With Sheng Di Huang, for headache and toothache due to Wind-Heat.
With Chuan Xiong and Fang Feng, for Bi syndrome.
Rz. Chuanxiong Chuan Xiong 2-9g Expels Wind and alleviates pain.
With Xi Xin, for Wind-Cold headache, toothache and Bi pain.
With Xi Xin and Fang Feng, for Wind-Cold Headaches.
Rx. Angelicae Dahuricae Bai Zhi 2-9g Expels Wind, eliminates Dampness, unblocks the nasal passages, dispels Cold and alleviates pain.
With Xi Xin, for Wind-Cold induced headaches, sinus headaches, orbital headaches and toothache aggravated by cold air.
With Chuan Xiong, for headache.
With Huang Qin, for Wind-Heat headache.
With Fang Feng and Qiang Huo, for Wind-Cold with headache and stuffy nose.
With Qiang Huo, for Wind-Cold Dampness causing fever, chills and headaches.
Rx. Scutellariae Huang Qin 2-9g Clears Heat and dries Dampness.
With Qiang Huo, for Cold-Dampness at the Exterior with Heat in the Interior.
Rx. Rehmanniae Sheng Di Huang 2-9g Clears Heat, cools the Blood, nourishes Yin and generates fluids.
Rx. Glycyrrhizae Gan Cao 2-6g Moistens the Lungs, resolves Phlegm, stops cough and moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Induces sweating
  • Expels Wind-Cold
  • Dispels Dampness
  • Drains Interior Heat

SYNDROMES

  • Wind-Cold-Dampness with Interior Heat

CLINICAL MANIFESTATIONS

  • Chills and fever (more chills than fever)
  • Anhidrosis
  • Headache
  • Stiff neck
  • Generalized aches and pains
  • Slight thirst
  • A bitter taste in the mouth
  • T: Normal
  • C: White
  • P: Floating

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Warm pathogenic diseases.
  • Use with great caution for those who tend toward Yin Deficiency.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For upper back and shoulder pain: For absence of thirst or bitter taste in the mouth:
+ Rx. Gentianae Macrophyllae Qin Jiao
- Rx. Scutellariae
- Rx. Rehmanniae Sheng Di Huang
For pronounced thirst and irritability: For a dry or sore throat:
+ Gypsum Fibrosum Shi Gao + Rx. Platycodi Jie Geng
+ Rz. Anemarrhenae Zhi Mu + Fr. Arctii Niu Bang Zi
For epigastric distention and discomfort with a greasy tongue coat: + Hb. Menthae Bo He
For coughing up thick sputum:
- Rx. Rehmanniae Sheng Di Huang + Sm. Armeniacae Xing Ren
+ Hb. Agastaches Huo Xiang + Rx. Peucedani Qian Hu
+ Rz. Pinelliae Preparatum Zhi Ban Xia For severe pain due to Dampness:
+ More Rz. et Rx. Notopterygii Qiang Huo
For moderate or mild pain due to Dampness:
- Rx. Hb. cum Rx. Asari Xi Xin + More Rz. Atractylodis Cang Zhu
- Rz. Atractylodis Cang Zhu For a feeling of fullness and oppression in the chest due to Dampness:
For a severe headache:
+ Rz. Ligustici Gao Ben - Rx. Rehmanniae Sheng Jiang
For no bitter taste or thirst: + Fr. Aurantii Zhi Ke
+ Less or remove Rx. Rehmanniae Sheng Jiang + Cx. Magnoliae Officinalis Hou Po
+ Less or remove Rx. Scutellariae Huang Qin For clear or watery nasal discharge:
+ Magnoliae Flower Powder
Xin Yi San
For coughing:
+ Sm. Armeniacae Xing Ren For vomiting or thirst:
Stop Coughing Powder
Zhi Sou San
+ Fr. Aurantii Immaturus Zhi Shi
+ Rx. Platycodi Jie Geng
For stronger diaphoresis: For a headache:
+ Bul. Allii Fistulosi Cong Bai + Rx. Puerariae Ge Gen
+ Rz. Zingiberis Recens Sheng Jiang + Rx. Angelicae Sinensis Dang Gui
For a headache with severe dizziness: For a headache with generalized weakness and Deficiency:
+ Rx. Puerariae Ge Gen
+ Rx. Angelicae Sinensis Dang Gui + Rx. Puerariae Ge Gen
+ Rz. Gastrodiae Tian Ma + Rx. Angelicae Sinensis Dang Gui
+ Ram. cum Uncis Uncariae Gou Teng + Rx. Astragali Huang Qi
+ Rz. Atractylodis Macrocephalae Bai Zhu
+ Flos Chrysanthemi Ju Hua
For a chronic headache: + Rx. Codonopsis Dang Shen
+ Rx. Puerariae Ge Gen For a migraine headache:
+ Rx. Angelicae Sinensis Dang Gui + Rx. Puerariae Ge Gen
+ Sm. Persicae Tao Ren + Rx. Angelicae Sinensis Dang Gui
+ Flos Carthami Hong Hua + Rx. Bupleuri Chai Hu
+ Scorpio Quan Xie + Rx. Gentianae Long Dan Cao
For an occipital headache with neck stiffness and pain: For a vertex headache:
+ Rx. Puerariae Ge Gen
+ Rx. Puerariae Ge Gen + Rx. Angelicae Sinensis Dang Gui
+ Rx. Angelicae Sinensis Dang Gui + Rz. Ligustici Gao Ben
+ Fr. Viticis Man Jing Zi For acute urticaria due to drug allergy:
+ Ram. Cinnamomi Gui Zhi + Sm. Phaseoli Lu Dou
For acute urticaria with parasites: + More Rx. Glycyrrhizae (large dose) Gan Cao
+ Sm. Arecae Bing Lang
+ Fr. Mume Wu Mei For recurrent out breaks of acute urticaria:
For acute urticaria with Wind-Heat: + Periostracum Cicadae Chan Tui
- Hb. cum Rx. Asari Xi Xin + Hb. Spirodelae Fu Ping
    + Fr. Kochiae Di Fu Zi