Axillary pain






Prescription



Main formula



Wu wei xiao du yin


Five-Ingredient Decoction to Eliminate Toxin. This formula has function to eliminate the Toxin, subside the swelling and relieve the pain. Some other herbs to sedate the pain, such as Chuan Xiong Radix Ligustici Wallichii 10g, Yan Hu Suo Fructus Corydalis 10g, Qing Pi Pericarpium Citri Reticulatae Viride 5g and Chuan Lian Zi Fructus Meliae Toosendan 10g, etc, should be added to relieve the pain.


Alternative formula



Huang lian jie du tang


Coptis Decoction to Relieve Toxicity. This formula is good for clearing the Toxic and reducing the Fire, but its effect on the pain is not sufficient, so some other herbs have to added, such as Chuan Xiong Radix Ligustici Wallichii 10g, Yu Jin Tuber Curcumae 10g, and Bai Zhi Radix Angelicae Dahuricae 10g, etc., to relieve the pain.


Modifications





1. If there are severe chills, fever and headache, add Da Qing Ye Folium isatidis 12g to clear the Heat and reduce the fever


2. If the skin is red with a burning feeling owing to disturbance of the Blood by Toxic Heat, add Zi Cao Radix Arnebiae seu Lithospermi 10g, Sheng Di Huang Radix Rehmanniae Recens 10g, Chi Shao Radix Paeoniae Rubra 10g and Xuan Shen Radix Scrophulariae 10g to cool the Blood and reduce the pain


3. If there are hard glands and tenderness under the arm, add Xuan Shen Radix Scrophulariae 10g, Mu Li Concha Ostreae 15g and Zhe Bei Mu Bulbus Fritillariae Thunbergii 15g to soften the hardness


4. If there is deficiency of the Qi and Blood, add Dang Shen Radix Codonopsis Pilosulae 10g, Huang Qi Radix Astragali seu Hedysari 12g, Bai Shao Radix Paeoniae Alba 10g and Dang Gui Radix Angelicae Sinensis 10g to tonify the Qi and Blood and strengthen the body resistance.


Patent remedy


Niu Huang Jie Du Pian Cattle Gallstone Tablet to Resolve Toxin.







Stagnation of Qi and Blood



Symptoms and signs


Pain in the axillary fossa that is worsened by abduction of the arm and emotional upset, and is sometimes stabbing, aggravation of the pain at night or during rest, possible a normal or purplish tongue with a white coating and a deep and wiry pulse are symptoms and signs of stagnation of Qi and Blood.


Principle of treatment


Invigorate Qi and Blood circulation, open the channels and relieve the pain.





Prescription



Main formula



Shen tong zhu yu tang


Meridian Passage. This is a very good formula to regulate the Qi and Blood circulation, eliminate Blood stasis, harmonise the collateral, mainly in the superficial layer of the body, such as in the meridians, joints, Tendons and muscles.


Alternative formulas



Fu yuan huo xue tang


Revive Health by Invigorating the Blood Decoction. This formula was originally designed for stagnation of Blood in the meridians, joints, Tendons and muscles due to physical trauma, and the effect of SHEN TONG ZHU YU TANG is stronger than this formula. When there is postoperative pain in the axillary fossa, this formula could also be used.


Huo luo xiao ling dan


Fantastically Effective Pill to Invigorate the Collaterals. This formula is indicated in pain in the axillary fossa due to stagnation of Blood in the Vessels and collaterals, especially the Blood stagnation in the Interior with formation of hard masses.


Tao hong si wu tang and shi xiao san


Four-Substance Decoction with Safflower and Peach Pit and Sudden Smile Powder. When these two formulas are prescribed together, their effects on promoting the Blood circulation and eliminating the Blood stasis are very strong. Xiang Fu Rhizoma Cyperi Rotundi 10g, Yan Hu Suo Fructus Corydalis 10g and Qing Pi Pericarpium Citri Reticulatae Viride 5g, etc., could be added to promote the Qi circulation so as to promote the Blood circulation.

Jun 19, 2016 | Posted by in PAIN MEDICINE | Comments Off on Axillary pain

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