HERB FORMULAS

MIAN TONG FANG SI HAO - 面痛方四号 - FACIAL PAIN FORMULA #4

English: Facial Pain Formula #4
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Astragali Huang Qi 15g Tonifies Qi and Blood, strengthens the Spleen, raises the Yang Qi of the Spleen and Stomach, tonifies Wei Qi, stabilizes the Exterior, tonifies the Lungs, aids the circulation of moisture downward from the face and relieves numbness and pain.
With Dang Gui, for Qi and Blood Deficiency with numbness, painful obstruction and paresthesia.
Caulis Spatholobi Ji Xue Teng 15g Invigorates and tonifies the Blood, activates the channels and relaxes the sinews.
Rz. Chuanxiong Chuan Xiong 9g Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain.
With Dang Gui, for Wind-Damp Invasion blocking the Blood vessels causing pain, numbness and paralysis.
Rx. Paeoniae Rubra Chi Shao 9g Invigorates the Blood, dispels Blood Stasis and relieves pain.
Rx. Angelicae Sinensis Dang Gui 9g Tonifies, invigorates and harmonizes the Blood, reduces swelling and alleviates pain.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rx. Salviae Miltiorrhizae Dan Shen 9g Invigorates the Blood and dispels Blood Stasis.
Rx. Cyathulae Chuan Niu Xi 9g Invigorates the Blood, dispels Blood Stasis, expels Wind, drains Dampness, tonifies the Kidneys and Liver and strengthens the tendons and bones.
Rz. Gastrodiae Tian Ma 6g Extinguishes Wind, calms the Liver, stops spasms and tremors and alleviates pain.
With Chuan Xiong, for overwhelming attacks of Wind leading to migraines and dizziness so severe that the person feels as if they are about to fall over.
Flos Carthami Hong Hua 6g Invigorates the Blood, dispels Blood Stasis, opens the channels and alleviates pain.
Rz. Curcumae Longae Jiang Huang 6g Invigorates the Blood, eliminates Blood Stasis, promotes the movement of Qi, opens the channels and collaterals to alleviate pain, expels Wind, invigorates the Blood and reduces swelling.
Poria Fu Ling 6g Promotes urination, leaches out Dampness and strengthens the Spleen.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3g Tonifies the Spleen, augments Qi, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

FORMULA ACTIONS

  • Tonifies Qi
  • Invigorates the Blood
  • Transforms Stasis
  • Unblocks the channels
  • Alleviates pain

SYNDROMES

  • Qi Deficiency with Blood Stagnation

CLINICAL MANIFESTATIONS

  • Chronic pain
  • Enduring attacks
  • Severe, lancinating, fixed pain
  • Pain worse at night
  • Possible spasms
  • A somber, white facial complexion
  • Scaly skin
  • Aversion to Wind
  • Spontaneous perspiration
  • Shortness of breath
  • Disinclination to speak
  • Fatigue
  • Lassitude
  • T: Pale with possible maculae or static spots
  • C: Thin and white
  • P: Deep, choppy and weak

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For uneasy opening and closing of the mouth or severe pain: For severe Qi Deficiency:
+ 9g Rx. Codonopsis` Dang Shen
+ 15g Pheretima Di Long + 9g Rz. Atractylodis Macrocephalae Bai Zhu
For a poor appetite:
+ 9g Fr. Hordei Germinatus Mai Ya For abdominal fullness:
+ 9g Cx. Magnoliae Officinalis Hou Po
+ 9g Massa Medicata Fermentata Shen Qu
+ 9g Rx. Aucklandiae Mu Xiang
For sliminess in the mouth, a slimy tongue coat and a heavy head or body: For stubborn facial pain:
+ Scorpio Quan Xie
+ 9g Rz. Atractylodis Cang Zhu + Scolopendra Wu Gong
+ 9g Hb. Agastaches Huo Xiang + Bombyx Batryticatus Jiang Can
    + Pheretima Di Long
    + Eupolyphaga/ Steleophaga Tu Bie Chong