HERB FORMULAS

QIANG HUO SHENG SHI TANG - 羌活勝濕湯 - NOTOPTERYGIUM DECOCTION TO OVERCOME DAMPNESS

English: Notopterygium Decoction to Overcome Dampness
Also Known As: Notopterygium Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. et Rz. Notopterygii Qiang Huo 3-10g Releases the Exterior, disperses Cold, expels Wind-Damp from the upper Tai Yang, unblocks Painful Obstruction, alleviates pain and guides Qi to the Tai Yang and DU channels.
With Du Huo, for systemic Wind-Dampness.
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, Gao Ben and Chuan Xiong, for Wind-Damp headache.
Rx. Angelicae Pubescentis Du Huo 3-10g Releases the exterior, disperses Cold, expels Wind-Cold-Dampness, unblocks Painful Obstruction (Bi) from the lower Tai Yang alleviates pain, increases joint mobility and guides Qi to the Tai Yang and Du Channels.
With Qiang Huo, Gao Ben and Man Jing Zi for Wind-Cold-Damp headache.
With Fang Feng, for numbness in the legs.
With Qiang Huo, Fang Feng, Man Jing Zi and Gao Ben, for Wind-Cold-Dampness with headache, chills and fever and muscle and joint pain.
Rz. et Rx. Ligustici Gao Ben 1.5-6g Expels Wind-Cold and Damp and alleviates pain.
With Fang Feng, expels Wind-Dampness from the Tai Yang and reinforces Qiang Huo especially for headaches.
With Qiang Huo, for headache and stiffness of the nape of the neck due to Wind-Dampness in the Du channel.
With Fang Feng and Qiang Huo, for External Wind-Cold-Dampness.
Rx. Saposhnikoviae Fang Feng 1.5-6g Releases the exterior, expels Wind-Cold-Dampness, stops pain, expels Internal Wind, stops spasms, Moves Qi, tonifies the Spleen and treats gout.
Rz. Ligustici Chuanxiong Chuan Xiong 1-6g Activates Blood, regulates Qi, expels Wind-Cold and alleviates pain - good for headaches.
With Fang Feng, Qiang Huo and Gao Ben, for Wind-Damp lateral headache.
Fr. Viticis Man Jing Zi 0.9-6g Disperses Wind, clears Heat, Dispels Wind-Heat in the Liver channel, clears and benefits head and eyes, drains Dampness, expels Wind and relieves pain.
With Qiang Huo, Du Huo and Gao Ben, for superficial Wind-Dampness with a heavy and painful head and generalized heaviness.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 1-3g Moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Dispels Wind
  • Eliminates Dampness
  • Relieves the Exterior
  • Alleviates pain

SYNDROMES

  • Superficial Wind-Dampness

CLINICAL MANIFESTATIONS

  • Heavy, painful head
  • Generalized sensation of heaviness
  • Back pain
  • Generalized pain or muscle ache
  • Difficulty bending or rotating trunk
  • Mild fever
  • Slight aversion to Wind and Cold
  • Dizziness
  • Anorexia
  • Anhidrosis
  • Stiffness of the neck
  • Sciatica
  • Chest oppression
  • Chills
  • No perspiration
  • Aversion to Cold
  • Lassitude
  • Scanty urination
  • T: Pink
  • C:White or Greasy and white
  • P: Superficial or Superficial and slow or Superficial and soft or Superficial and tight

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with weak and Deficient Conditions.
  • Use caution for those with constitutional Yin Deficiency.
  • Use caution for those with any condition with Heat.
  • Contraindicated for those with weakness.
  • Contraindicated for those with Wind-Heat.
  • Large doses may cause excess perspiration Common cold with perspiration and injure Fluids and Yang.
HERB/DRUG INTERACTIONS

NOTES

  • This condition is usually found in people who have caught cold after sweating profusely or who live in a damp environment.
  • Recent research shows this formula to be effective in relieving pain, inducing diaphoresis, activating Blood, inducing diuresis, and resisting viruses.

MODIFICATIONS

For Cold and Damp accumulation in Tai Yang with fever and stiff neck or lumbago: For hot, painful joints:
+ Rx. Stephaniae Tetrandrae Han Fang Ji + Cx. Phellodendri Huang Bai
+ Rx. Aconiti Lateralis Preparatum Zhi Fu Zi + Rx. Aristolochiae Guang Fang Ji
or
 + Sm. Coicis Yi Yi Ren
+ Rx. Stephaniae Tetrandrae Han Fang Ji
For severe cases:
+ Rx. Aconiti Preparata Zhi Chuan Wu + Rx. Aconiti Lateralis Preparatum Zhi Fu Zi
For nausea and vomiting:
For migraines:
+ 9g Rz. Pinelliae Preparatum Zhi Ban Xia + Rx. Bupleuri Chai Hu
For hypertensive headaches or stiffness and pain in the head and shoulders:
 + Rx. Scutellariae Huang Qin
+ Rx. Puerariae Ge Gen
For Rheumatoid arthritis:
+ Rx. Paeoniae Rubra Chi Shao + Rx. Gentianae Macrophyllae Qin Jiao
For Excess Dampness:
 + Rx. Stephaniae Tetrandrae Han Fang Ji
+ 9g Rz. Atractylodis Cang Zhu
For sinusitis:
+ 9g Cx. Magnoliae Officinalis Hou Po + Fr. Xanthii Cang Er Zi
For Wind-Cold:
For Wind-Damp-Heat Bi:
+ Hb. Schizonepetae Jing Jie + 10g Cx. Phellodendri Huang Bai
+ Rz. Zingiberis Recens Sheng Jiang + 10g Rz. Atractylodis Cang Zhu
For Wind-Damp with Qi Deficiency:
For generalized pain due to Damp-Heat:
+ 10g Rx. Astragali Huang Qi - Fr. Viticis Man Jing Zi
+ 6g Rz. Cimicifugae Sheng Ma - Rz. et Rx. Ligustici Gao Ben
+ 6g Rx. Bupleuri Chai Hu - Rz. Ligustici Chuanxiong Chuan Xiong
+ 10g Rx. Codonopsis Dang Shen - Rx. Angelicae Pubescentis Du Huo
+ 3g Hb. Menthae Bo He + 10g Rz. Atractylodis Cang Zhu
+ 3g Hb. cum Rx. Asari Xi Xin + 10g Cx. Phellodendri Huang Bai
For joint inflammation:
 + 10g Scl. Polypori Zhu Ling
+ Cx. Phellodendri Huang Bai + 10g Rz. Alismatis Ze Xie
+ Rz. Atractylodis Cang Zhu
For arthritis:
+ Sm. Coicis Yi Yi Ren + Rx. Clematidis Wei Ling Xian
For edema with Qi Deficiency:
+ Zaocys Wu Shao She
+ Rx. Codonopsis Dang Shen
For edema with scanty urination:
+ Dry-fried Rz. Atractylodis Macrocephalae Chao Bai Zhu + Cx. Poria Fu Ling Pi
+ Rz. Alismatis Ze Xie
For edema with Food Stagnation:
+ Sm. Plantaginis Che Qian Zi
+ Fr. Oryzae Germinatus Gu Ya + Caulis Akebiae Mu Tong
+ Fr. Hordei Germinatus Mai Ya
For edema with Kidney Yang Deficiency:
+ Dry-fried Sm. Raphani Chao Lai Fu Zi + Rx. Morindae Officinalis Ba Ji Tian
+ Fr. Crataegi Shan Zha
For cervical disorders with blurred vision:
+ Hb. Epimedii Yin Yang Huo
+ Fr. Lycii Gou Qi Zi
For cervical disorders with facial muscle stiffness:
+ Sm. Astragali Complanati Sha Yuan Zi
+ Rx. Gentianae Macrophyllae Qin Jiao
For cervical disorders with difficulty swallowing:
+ Scorpio Quan Xie
+ Cx. Magnoliae Officinalis Hou Po +Scolopendra Wu Gong
For cervical disorders with numbness of the tongue:
+ Caulis Perillae Zi Su Geng
For cervical disorders with headache and hypotension:
+ Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Ginseng Ren Shen + Bombyx Batryticatus Jiang Can
+ Rx. Astragali Huang Qi + Scorpio Quan Xie
+ Rz. Cimicifugae Sheng Ma
For cervical disorders with headache and hypertension:
For severe Dampness with headache:
+ 6g Rz. Atractylodis Cang Zhu + Poria Fu Ling
+ 6g Rx. Angelicae Dahuricae Bai Zhi + Rz. Alismatis Ze Xie
+ Sm. Plantaginis Che Qian Zi
For Summerheat and Dampness with headache:
+ Rx. Achyranthis Bidentatae Niu Xi
- Rz. Notopterygii Qiang Huo
- Rx. Angelicae Pubescentis Du Huo For carpal tunnel syndrome:
- Fr. Viticis Man Jing Zi
- Rx. Saposhnikoviae Fang Feng + 9g Ram. Cinnamomi Gui Zhi
+ 9g Hb. Agastaches Huo Xiang + 9g Ram. Mori Sang Zhi
+ 9g Rz. Atractylodis Cang Zhu + 6g Rx. Clematidis Wei Ling Xian
+ 9g Hb. Eupatorii Pei Lan + 6g Rz. Atractylodis Cang Zhu
For low back pain with Wind-Cold: For low back pain with severe Dampness:
+ 6g Ram. Cinnamomi Gui Zhi + 9g Rz. Atractylodis Cang Zhu
+ 6g Rx. Ephedrae Ma Huang For low back pain with severe pain:
For heavy-headedness: + 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ 9g Rz. Atractylodis Cang Zhu
For heavy-headedness with nausea and vomiting: For heavy-headedness with fever and chills:
+ 9g Rz. Atractylodis Cang Zhu
+ 9g Rz. Atractylodis Cang Zhu + 9g Rx. Angelicae Dahuricae Bai Zhi
+ 9g Ginger-fried Cx. Magnoliae Officinalis Hou Po
+ 3g Hb. cum Rx. Asari Xi Xin
+ 9g Ginger-fried Rz. Pinelliae Preparatum Zhi Ban Xia For heavy-headedness with thirst and a bitter taste in the mouth:
For low back pain with nasal discharge and sneezing:
+ 9g Rz. Atractylodis Cang Zhu
+ 6g Rx. Scutellariae Huang Qin
+ 12g Hb. Agastaches Huo Xiang
For low back pain with an aversion to Cold and cold limbs:
For low back pain with a Cold sensation:
+ 10g Rx. Aconiti Lateralis Preparata Zhi Fu Zi + 10g Ram. Cinnamomi Gui Zhi
For low back pain with a heavy sensation:
+ 10g Rx. Angelicae Pubescentis Du Huo + 10g Rz. Atractylodis Cang Zhu
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji
For low back pain with a poor appetite and a feeling of fullness in the abdomen:
For low back pain with diarrhea:
+ 5g Fr. Amomi Sha Ren + Poria Fu Ling
For polyneuritis: For periarthritis of the shoulder:
+ 10g Colla Cervi Cornus Lu Jiao Jiao + 6g Rz. Curcumae Longae Jiang Huang
+ 5g Hb. cum Rx. Asari Xi Xin For periarthritis of the shoulder with severe restriction of joint mobility:
+ 5g Cx. Cinnamomi Rou Gui
+ 5g Flos Carthami Hong Hua + 6g Rz. Curcumae Longae Jiang Huang
+ 6g Hb. Ephedrae Ma Huang
+ 10g Rz. Zingiberis Gan Jiang + 9g Hb. Lycopodii Shen Jin Cao
For periarthritis of the shoulder with a severe Cold sensation in the shoulder: + 9g Caulis Trachelospermi Luo Shi Teng
- Fr. Viticis Man Jing Zi For neck pain and stiffness:
+ 6g Rz. Curcumae Longae Jiang Huang - Fr. Viticis Man Jing Zi
+ 12g Rx. Puerariae Ge Gen
+ 9g Ram. Cinnamomi Gui Zhi + 6g Rx. Clematidis Wei Ling Xian
+ 6g Rx. Aconiti Preparata Zhi Chuan Wu + 9g Ram. Cinnamomi Gui Zhi
+ 6g Rz. Atractylodis Cang Zhu
For upper back pain: For shoulder pain:
+ 9g Rx. Gentianae Macrophyllae Qin Jiao + 6g Rz. Curcumae Longae Jiang Huang
+ 9g Rz. Atractylodis Cang Zhu For neck pain:
For neck pain with a headache: + 15g Rx. Puerariae Ge Gen
+ 15g Rx. Puerariae Ge Gen For neck pain with a heavy sensation in the body:
+ 10g Rx. Angelicae Dahuricae Bai Zhi
+ 15g Rx. Puerariae Ge Gen
For neck pain with a poor appetite: + 15g Poria Fu Ling
+ 15g Rx. Puerariae Ge Gen + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+10g Rz. Pinelliae Preparatum Zhi Ban Xia
For upper and middle back pain nasal discharge and sneezing:
+ 10g Sm. Coicis Yi Yi Ren
+ 6g Fr. Amomi Sha Ren + 12g Hb. Agastaches Huo Xiang
For upper and middle back pain with a poor appetite: For upper and middle back pain with diarrhea:
+ 10g Poria Fu Ling
+ 30g Fr. Hordei Germinatus Mai Ya + 10g Fol. Perillae Zi Su Ye
+ 15g Endothelium Corneum Gigeriae Galli Ji Nei Jin For middle back pain with a feeling of fullness in the abdomen:
For whole body pain with a headache: + 5g Per. Citri Reticulatae Chen Pi
+ 10g Rx. Angelicae Dahuricae Bai Zhi
+ 10g Rz. Atractylodis Macrocephalae Bai Zhu
+ 6g Hb. Menthae Bo He
For whole body pain with swelling of the joints: For whole body pain with a heavy sensation:
+ 10g Fr. Chaenomelis Mu Gua + 10g Faeces Bombycis Can Sha
+ 10g Sm. Coicis Yi Yi Ren + 15g Rz. Alismatis Ze Xie
For whole body pain with a low-grade fever: For whole body pain with a poor appetite:
+ 6g Hb. Agastaches Huo Xiang + 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 6g Hb. Eupatorii Pei Lan
For foot pain: + 6g Fr. Amomi Sha Ren
+ 10g Rz. Atractylodis Cang Zhu For foot pain with cold sensations on the feet:
+ Rx. Cyathulae Chuan Niu Xi + 10g Rz. Atractylodis Cang Zhu
For foot pain with swelling of the feet: + Rx. Cyathulae Chuan Niu Xi
+ 10g Rz. Atractylodis Cang Zhu + 10g Ram. Cinnamomi Gui Zhi
+ Rx. Cyathulae Chuan Niu Xi For foot pain with a poor appetite:
+ + 10g Rz. Alismatis Ze Xie + 10g Rz. Atractylodis Cang Zhu
+ 10g Poria Fu Ling + Rx. Cyathulae Chuan Niu Xi
For foot pain with nasal discharge: + 15g Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ 10g Rz. Atractylodis Cang Zhu
+ Rx. Cyathulae Chuan Niu Xi + 10g Fr. Hordei Germinatus Mai Ya
+ 12g Hb Agastaches Huo Xiang
For foot pain with diarrhea: For a headache:
+ 10g Rz. Atractylodis Cang Zhu + 15g Poria Fu Ling
+ Rx. Cyathulae Chuan Niu Xi + 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 10g Poria Fu Ling
For a headache with a heavy sensation in the body: For a headache with lassitude:
+ 15g Poria Fu Ling
+ 15g Poria Fu Ling + 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 10g Hb. Moslae Xiang Ru
+ 10g Rz. Atractylodis Cang Zhu + 10g Cx. Magnoliae Officinalis Hou Po
For a headache with a sensation of fullness in the chest:
For a headache with a poor appetite:
+ 15g Poria Fu Ling + 15g Poria Fu Ling
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia + 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 10g Hb. Moslae Xiang Ru + 10g Hb. Moslae Xiang Ru
+ 12g Hb. Agastaches Huo Xiang + 15g Endoconcha Corneum Gigeriae Galli Ji Nei Jin
+ 5g Fr. Amomi Rotundus Bai Dou Kou
+ 15g Fr. Hordei Germinatus Mai Ya
For a headache with loose stools:
+ 15g Poria Fu Ling    
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia    
+ 10g Hb. Moslae Xiang Ru    
+ 10g Rz. Atractylodis Cang Zhu    
+ 10g Cx. Magnoliae Officinalis Hou Po