HERB FORMULAS

SHEN TONG ZHU YU TANG - 身痛逐瘀湯 - CNIDIUM AND NOTOPTERYGIUM COMBINATION

English: Drive Out Blood Stasis from a Painful Body Decoction  
Also Known As: Cnidium and Notopterygium Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Gentianae Qin Jiao 3-9g Dispels Wind-Dampness and relaxes the sinews.
Rx. Chuanxiong Chuan Xiong 6-9g Invigorates the Blood and promotes the movement of Qi, expels Wind and alleviates pain.
With Dang Gui, for pain, numbness and paralysis from Wind-Dampness and Stagnant Qi blocking the Blood channels preventing nourishment from reaching the sinews.
Sm. Persicae Tao Ren 6-9g Breaks up Blood Stasis and invigorates Blood circulation.
With Dang Gui and Hong Hua for pain associated with Blood Stasis.
With Hong Hua, invigorates the Blood for all types of Blood Stagnation such as dysmenorrhea, amenorrhea with abdominal pain, clotting and scanty flow, swollen painful sores, chest pain due to Blood Stasis and Rheumatoid arthritis.
Flos Carthami Hong Hua 6-9g Invigorates Blood, dispels Blood Stasis and alleviates pain.
With Tao Ren, Invigorates the Blood for all types of Blood Stagnation such as dysmenorrhea, amenorrhea, swollen painful sores and chest and abdominal pain.
With Tao Ren and Dang Gui, for pain associated with Blood Stasis.
With Chuan Xiong, for chest and abdominal pain due to Qi and Blood Stasis.
Rx. Glycyrrhizae Gan Cao 3-6g Moderates spasms, alleviates pain and harmonizes.
Rz. & Rx. Notopterygii Qiang Huo 3-9g 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.
Myrrh Mo Yao 3-6g Invigorates Blood, dispels Stagnation, reduces swelling and alleviates pain.
With Hong Hua, for chest and abdominal pain, amenorrhea and dysmenorrhea due to Blood Stasis.
Rx. Angelicae Sinensis Dang Gui 6-9g Invigorates and harmonizes the Blood, disperses Cold and stops pain due to Blood Stasis.
With Chuan Xiong for pain , numbness and paralysis from Wind-Dampness and Stagnant Qi blocking the Blood channels preventing nourishment from reaching the sinews.
With Tao Ren and Hong Hua for pain associated with Blood Stasis.
With Gan Cao, moderates spasms and relieves abdominal pain.
Faeces Trogopterori Wu Ling Zhi 3-6g Invigorates the Blood, disperses Blood Stasis and alleviates pain.
With Xiang Fu for epigastric pain.
Rz. Cyperi Xiang Fu 1-3g Spreads and regulates Liver Qi and alleviates pain.
With Wu Ling Zhi for epigastric pain.
With Chuan Xiong, for Qi Stagnation combined with Blood Stasis.
Rx. Cyathulae Chuan Niu Xi 6-9g Expels Wind, invigorates the channels and Blood for pain due to Wind-Dampness.
Pheretima Di Long 3-6g Drains Heat and stops spasms and convulsions and unblocks and promotes movement in the channels and collaterals.

FORMULA ACTIONS

  • Invigorates the circulation of Qi and Blood
  • Removes Blood Stagnation in the channels and collaterals
  • Unblocks painful obstruction
  • Alleviates pain
  • Relieves arthralgia

SYNDROMES

  • Painful obstruction due to Qi and Blood Stagnation

CLINICAL MANIFESTATIONS

  • Muscle ache of the neck, back, legs and shoulder
  • Whole body pain
  • Shoulder pain
  • Elbow pain
  • Pain at the waist
  • Arm pain
  • Low back pain
  • Leg pain
  • Sciatica
  • T: Purple or Echymoses
  • C: Thin and white
  • P: Choppy

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated during pregnancy.
HERB/DRUG INTERACTIONS

NOTES

  • This formula works on the entire body.
  • This formula is often successful when other Bi syndrome formulas have failed.

MODIFICATIONS

For increased body temperature: For fatigue and weakness:
+ Rz. Atractylodis Cang Zhu + Rx. Astragali Huang Qi
+ Cx. Phellodendri Huang Bai
For lumbago:
For upper body pain:
+ Cx. Eucommiae Du Zhong
+Rx. Puerariae Ge Gen + Rx. Morindae Ba Ji Tian
For lower body pain:
For pain in the extremities:
+ Rx. Angelicae Pubescentis Du Huo + Ram. Mori Sang Zhi
For fibromyalgia due to Cold Stagnation Blocking the Channels:
 + Ram. Cinnamomi Gui Zhi
+ Pinellia Decoction to Extend Life
Yan Nian Ban Xia Tang
For fibromyalgia due to Qi and Blood Stagnation:
+ Aconite and Cinnamon Twig Decoction
Wu Tou Gui Zhi Tang
+ Tonify Yang to Restore Five-Tenths Decoction
Bu Yang Huan Wu Tang
For fibromyalgia due to Blood Deficiency:
+ Peony and Licorice Decoction
Shao Yao Gan Cao Tang
+ All-Inclusive Great Tonifying Decoction
Shi Quan Da Bu Tang
For fibromyalgia due to Qi Deficiency:
+ Kudzu Decoction
Ge Gen Tang
+ Tonify the Middle and Augment the Qi Decoction
Bu Zhong Yi Qi Tang
For fibromyalgia due to Phlegm Stagnation Blocking the channels:
+ Ephedra, Apricot Kernel, Coicis and Licorice Decoction
Ma Xing Yi Gan Tang
Clear the Lung Drink
Qing Fei Yin
For tendon Bi:
- Rx. Gentianae Qin Jiao
Tonify the Qi and Construct the Middle Decoction
Bu Qi Jian Zhong Tang
- Rx. Glycyrrhizae Gan Cao
- Faeces Trogopterori Wu Ling Zhi
For Bi syndrome with Qi Deficiency:
- Rz. Cyperi Xiang Fu
+ Rx. Astragali Huang Qi - Pheretima Di Long
+ Rx. Codonopsis Dang Shen + 9g Olibanum Ru Xiang
For Bi syndrome with Wind:
+ 15g Caulis Spatholobi Ji Xue Teng
+ Rx. Saposhnikoviae Fang Feng + 9g Fr. Liquidamberis Lu Lu Tong
+ Rx. Clematidis Wei Ling Xian
For Bi syndrome with Cold:
For Bi syndrome with Damp:
+ Rx. Aconiti Preparata Zhi Chuan Wu
+ Poria Fu Ling + Rx. Hb. cum Rx. Asari Xi Xin
+ Sm. Coicis Yi Yi Ren
For Bi syndrome with pain in the upper limbs:
For Bi syndrome with pain in the lower limbs:
 + Ram Cinnamomi Gui Zhi
+ Hb. Taxilli Sang Ji Sheng + Ram. Mori Sang Zhi
+ Rx. Dipsaci Xu Duan
For Bi syndrome with pain in the neck:
+ Rz. Cibotii Gou Ji + Rx. Puerariae Ge Gen
For Bi syndrome with stiff joints and deformation:
For Heat Bi:
- Rx. Gentianae Qin Jiao
+ Nidus Vespae Fang Feng - Rz. et Rx. Notopterygii Qiang Huo
+ Zaocys Wu Shao She - Rz. Chuanxiong Chuan Xiong
+ Scorpio Quan Xie + Flos Lonicerae Jin Yin Hua
+ Dry-fried Squama Manitis Chao Chuan Shan Jia + Rz. Atractylodis Cang Zhu
+ Cx. Phellodendri Huang Bai
For Damp-Heat Bi:
For Rheumatoid arthritis with Wind-Dampness:
- Rx. Achyranthis Bidentatae Niu Xi + Rx. Saposhnikoviae Fang Feng
+ Rx. Clematidis Wei Ling Xian
- Rx. Gentianae Qin Jiao
For Rheumatoid arthritis with Cold-Dampness:
- Rz. et Rx. Notopterygii Qiang Huo + Ram Cinnamomi Gui Zhi
- Rz. Chuanxiong Chuan Xiong + Rz. Zingiberis Gan Jiang
+ Rz. Coptidis Huang Lian + Poria Fu Ling
+ Flos Lonicerae Jin Yin Hua
For Rheumatoid arthritis with Damp-Heat:
+ Rx. Curcumae Yu Jin - Rx. Gentianae Qin Jiao
For Rheumatoid arthritis with Kidney Yin Deficiency:
 - Rz. et Rx. Notopterygii Qiang Huo
+ Rx. Scutellariae Huang Bai
- Rx. Gentianae Qin Jiao + Rx. Saposhnikoviae Fang Feng
- Rz. et Rx. Notopterygii Qiang Huo + Rz. Atractylodis Cang Zhu
+ Rx. Rehmanniae Preparata Shu Di Huang
For Rheumatoid arthritis with Kidney Yang Deficiency:
+ Fr. Lycii Gou Qi Zi - Rx. Gentianae Qin Jiao
+ Fr. Ligustri Lucidi Nu Zhen Zi - Rz. et Rx. Notopterygii Qiang Huo
For lumbago with Qi Deficiency:
 + Cx. Cinnamomi Rou Gui
+ Rx. Codonopsis Dang Shen + Fr. Corni Shan Zhu Yu
+ Rx. Astragali Huang Qi
For lumbago with severe pain:
For allergic purpura:
+ Rz. Corydalis Yan Hu Suo
- Rx. Cyathulae Chuan Niu Xi + Rx. Shefflerae Qi Ye Lian
+9g Rx. Achyranthis Bidentatae Niu Xi
For carpal tunnel syndrome:
- Rx. Gentianae Qin Jiao
For carpal tunnel syndrome with fatigue and weakness of the limbs:
 - Rx. Cyathulae Chuan Niu Xi
For severe, stabbing low back pain:
- Rx. Gentianae Qin Jiao + 10g Rx. Notoginseng San Qi
- Rx. Cyathulae Chuan Niu Xi
For low back pain due to persistent, prolonged exposure to Wind-Cold-Damp:
- Rx. Glycyrrhizae Gan Cao
+ Rx Glycyrrhizae Preparata Zhi Gan Cao + 10g Rx. Angelicae Pubescentis Du Huo
+ 15g Rx. Astragali Huang Qi + 10g Hb. Erodii seu Geranii Lao Guan Cao
For low back pain with weak knees and fatigue due to Kidney Jing Deficiency:
For low back pain with irregular menstruation:
+ 10g Hb. Leonuri Yi Mu Cao
+ 10g Cx. Eucommiae Du Zhong + 12g Rx. Paeoniae Alba Bai Shao
+ 12g Rx. Rehmanniae Preparata Shu Di Huang
For low back pain with cold limbs, a pale tongue and face and a deep, slow pulse:
For low back pain with abdominal pain:
 + 6g Ram. Cinnamomi Gui Zhi
+ 12g Rx. Aucklandiae Mu Xiang
or
+ 10g Rx. Curcumae Yu Jin + 6g Rz. Zingiberis Gan Jiang
For elbow pain:
For severe elbow pain at night:
- Myrrh Mo Yao - Rx. Cyathulae Chuan Niu Xi
- Rx. Cyathulae Chuan Niu Xi + 10g Rz. Curcumae Longae Jiang Huang
+ 10g Rz. Curcumae Longae Jiang Huang
+ 12g Rz. Corydalis Yan Hu Suo
For elbow pain and numbness:
For elbow pain with aversion to Cold:
- Myrrh Mo Yao - Myrrh Mo Yao
- Rx. Cyathulae Chuan Niu Xi - Rx. Cyathulae Chuan Niu Xi
+ 10g Rz. Curcumae Longae Jiang Huang + 10g Rz. Curcumae Longae Jiang Huang
+ 12g Rx. Aucklandiae Mu Xiang + 10g Rz. Zingiberis Gan Jiang
+ 6g Ram. Cinnamomi Gui Zhi + 5g Cx. Cinnamomi Rou Gui
For osteoarthritis:
For osteoporosis with severe Blood Stasis and stubborn pain:
- Rx. Glycyrrhizae Gan Cao
- Myrrh Mo Yao + 6g Eupolyphaga/ Steleophaga Tu Bie Chong
For osteoporosis with Qi and Blood Stasis due to Wind-Dampness:
+ 3g Scolopendra Wu Gong
+ 9g Rx. Angelicae Pubescentis Du Huo + 3g Scorpio Quan Xie
For osteoarthritis with trauma to the low back:
+ 9g Rx. Clematidis Wei Ling Xian + 3g Rx. Notoginseng San Qi
+ 9g Rz. Atractylodis Cang Zhu + 9g Olibanum Ru Xiang
For osteoarthritis with Spleen Deficiency:
 + 9g Lignum Sappan Su Mu
+ 15g Rx. Astragali Huang Qi
For osteoarthritis with Kidney Yin Deficiency:
+ 9g Poria Fu Ling - Rx. Cyathulae Chuan Nu Xi
For osteoarthritis with Kidney Yang Deficiency:
 + 6-9g Rx. Achyranthis Bidentatae Niu Xi
+ 9g Cx. Acanthopanacis Wu Jia Pi
+ 9g Hb. Taxilli Sang Ji Sheng
+ 9g Hb. Epimedii Yin Yang Huo + 9g Plastrum Testudinis Gui Ban
+ 9g Rx. Dipsaci Xu Duan
For severe osteoarthritis
For scapulohumeral periarthritis:
+ 9g Rz. Drynariae Gu Sui Bu - Myrrh Mo Yao
+ 9g Rx. Dipsaci Xu Duan - Faeces Trogopterori Wu Ling Zhi
+ 9g Plastrum Testudinis Gui Ban + 9g Olibanum Ru Xiang
+ 6g Rz. Curcumae Longae Jiang Huang
For scapulohumeral periarthritis with Blood Stasis due to enduring impediment with restricted movement:
For scapulohumeral periarthritis with Qi Deficiency:
- Myrrh Mo Yao - Myrrh Mo Yao
- Faeces Trogopterori Wu Ling Zhi - Faeces Trogopterori Wu Ling Zhi
+ 9g Olibanum Ru Xiang + 9g Olibanum Ru Xiang
+ 6g Rz. Curcumae Longae Jiang Huang + 6g Rz. Curcumae Longae Jiang Huang
+ 12g Hb. Pyrolae Lu Xian Cao + 15g Rx. Astragali Huang Qi
+ 12g Hb. Lycopodii Shen Jin Cao + 9g Rx. Codonopsis Dang Shen
+ 9g Rx. et Rz. Notopterygii Qiang Huo
For scapulohumeral periarthritis with Kidney Yin Deficiency:
For scapulohumeral periarthritis with Kidney Yang Deficiency:
 - Myrrh Mo Yao
- Myrrh Mo Yao - Faeces Trogopterori Wu Ling Zhi
- Faeces Trogopterori Wu Ling Zhi - Rx. Cyathulae Chuan Niu Xi
+ 9g Olibanum Ru Xiang + 9g Olibanum Ru Xiang
+ 6g Rz. Curcumae Longae Jiang Huang + 6g Rz. Curcumae Longae Jiang Huang
+ 9g Cx. Acanthopanacis Wu Jia Pi + 9g Hb. Taxilli Sang Ji Sheng
+ 9g Plastrum Testudinis Gui Ban
+ 9g Hb. Epimedii Yin Yang Huo
+ + 9g Rx. Dipsaci Xu Duan + 9g Rx. Achyranthis Bidentatae Niu Xi
For shoulder pain:
- Faeces Trogopterori Wu Ling Zhi
For severe shoulder pain:
- Rx. Cyathulae Chuan Niu Xi - Faeces Trogopterori Wu Ling Zhi
+ 10g Rz. Curcumae Longae Jiang Huang - Rx. Cyathulae Chuan Niu Xi
+ 10g Rz. Curcumae Longae Jiang Huang
+ 15g Rz. Corydalis Yan Hu Suo
or
 + 15g Rz. Corydalis Yan Hu Suo
- Myrrh Mo Yao + 10g Rx. Cynanchi Paniculati Xu Chang Qing
- Faeces Trogopterori Wu Ling Zhi
+ 9g Olibanum Ru Xiang + 15g Rx. Clematidis Wei Ling Xian
+ 6g Rz. Curcumae Longae Jiang Huang
For low back pain due to Blood Stagnation:
For shoulder pain with irritability and insomnia:
 - Rx. et Rz. Notopterygii Qiang Huo
- Faeces Trogopterori Wu Ling Zhi - Rx. Angelicae Sinensis Dang Gui
- Rx. Cyathulae Chuan Niu Xi +10g Pheretima Di Long
+ 10g Rz. Curcumae Longae Jiang Huang +10g Rz. Atractylodis Macrocephalae Bai Zhu
+ 15g Rz. Corydalis Yan Hu Suo +10g Cx. Phellodendri Huang Bai
+ 15g Sm. Zizyphi Spinosae Suan Zao Ren + 12g Rx. Astragali Huang Qi
For low back pain:
+ 15g Caulis Polygoni Multiflori Ye Jiao Teng - Myrrh Mo Yao
- Faeces Trogopterori Wu Ling Zhi
For low back pain from Qi and Blood Stagnation due to Wind-Damp:
 + 9g Olibanum Ru Xiang
+ 12g wine-fried Rx. Dipsaci Jiu Chao Xu Duan
- Myrrh Mo Yao
- Faeces Trogopterori Wu Ling Zhi + 9g Rz. Drynariae Gu Sui Bu
+ 9g Olibanum Ru Xiang
For low back pain due to trauma:
+ 12g wine-fried Rx. Dipsaci Jiu Chao Xu Duan - Myrrh Mo Yao
- Faeces Trogopterori Wu Ling Zhi
+ 9g Rz. Drynariae Gu Sui Bu + 9g Olibanum Ru Xiang
+ 9g Rx. Angelicae Pubescentis Du Huo + 12g wine-fried Rx. Dipsaci Jiu Chao Xu Duan
+ 9g Rx. Clematidis Wei Ling Xian + 9g Rz. Drynariae Gu Sui Bu
+ 9g Rx. Saposhnikoviae Fang Feng + 3g Rx. Notoginseng San Qi
For middle back pain with abnormal menstruation:
+ 12g Rx. Rubiae Qian Cao Gen
+ 9g Lignum Sappan Su Mu
+ 15g Hb. Leonuri Yi Mu Cao
or
For middle back pain with a feeling of fullness in the abdomen:
Chinese Patent Medicine: Yun Nan White Medicine
Yun Nan Bai Yao
+ 12g Rx. Aucklandiae Mu Xiang
For middle back pain with cold limbs:
For middle back pain with a fever at night:
 + 6g Ram. Cinnamomi Gui Zhi
+ 15g Hb. Artemisiae Annuae Qing Hao
For middle back pain with constipation:
+ 10g Rx. et Rz. Rhei Da Huang
For sharp pain anywhere in the whole body:
For whole body pain which is worse at night:
+ 10g Rz. Corydalis Yan Hu Suo + 6g Ram. Cinnamomi Gui Zhi
+ 10g Pollen Typhae Pu Huang + 3g Hb. Asari Xi Xin
For whole body pain with painful joints:
For hip pain with Blood Stagnation from trauma:
+ 20g Rz. Dioscoreae Nipponicae Chuan Shan Long + 10g Olibanum Ru Xiang
For hip pain with a bone fracture:
+ 10g Rz. Curcumae Longae Jiang Huang + 5g Sanguis Draconis Xue Jie
For hip pain with swelling and pus formation:
For severe hip pain with restlessness at night:
 + 10g Spina Gleditsiae Zao Jiao Ci
+ 20g Fossilia Ossis Mastodi Long Gu + 10g Hb. Taraxaci Pu Gong Ying
For prolonged hip pain with no results from normal Blood moving herbs:
   
   
+ Minor Invigorate the Collaterals Special Pill
Xiao Huo Luo Dan
(1 pill once daily)