Prescription
Main formula
Juan bi tang
Alternative formula
Yi yi ren tang
Modifications
Patent remedies
Main points
Explanations
Alternative points
Modifications
Diagnosis
Principle of treatment
Acupuncture treatment
Explanations
Invasion of Toxic Fire
Symptoms and signs
Principle of treatment
Prescription
Main formula
Wu wei xiao du yin
Alternative formula
Bai hu jia gui zhi tang
Modifications
Patent remedies
Main points
Explanations
Alternative points
Modifications
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Heel pain
This formula, which dispels the Wind, eliminates the Cold, resolves the Damp, promotes the Qi and Blood circulation and relieves the pain, is indicated in heel pain due to invasion of Wind, Cold and Damp with stagnation of Qi and Blood. Chuan Xiong Radix Ligustici Chuanxiong 10g, Hai Feng Teng Caulis Piperis Futokadsurae 10g, Ji Xue Teng Caulis et Radix Milletiae 10g, Du Huo Radix Angelicae Pubescentis 10g, Huai Niu Xi Radix Achyranthis Bidentatae 10g, and Sang Zhi Fructus Gardeniae 10g should be added to relieve the pain.
Coicis Decoction. This formula has a strong function which dispels the Wind, eliminates the Cold, resolves the Damp and relieves the pain, specifically indicated in heel pain due to invasion of Wind, Cold and Damp. Huai Niu Xi Radix Achyranthis Bidentatae 10g and Qin Jiao Radix Gentianae Macrophyllae 10g, etc., could be added to relieve the pain.
1. If there is swelling of the joints on the foot, add Bi Xie Rhizoma Dioscoreae Septemlobae 15g to eliminate the Damp and reduce the swelling of the joints
2. If there is a stabbing pain, add Tao Ren Semen Persicae 10g and Hong Hua Flos Carthami 10g to regulate the circulation of Blood and remove the Blood stasis
3. If there is severe cold in the foot, add Zhi Fu Zi Radix Aconiti Praeparata 10g and Rou Gui Cortex Cinnamomi 5g to warm the channels, eliminate Cold-Damp and relieve the pain
4. If there is generalised tiredness, shortness of breath and frequent sweating due to deficiency of Qi, add Huang Qi Radix Astragali seu Hedysari 10g to tonify the Qi and relieve the tiredness
5. If the appetite is poor, add Ban Xia Rhizoma Pinelliae 10g and Fu Ling Poria 10g to harmonise the Stomach and improve the appetite.
Feng Shi Pian Wind-Damp Tablet
Jing Fang Bai Du Pian Schizonepeta and Ledebouriella Tablet to Overcome Pathogenic Toxin
Tian Ma Qu Feng Bu Pian Gastrodia Dispel Wind Formula Tablet.
TE-5 Waiguan, LI-4 Hegu, SI-4 Wangu, BL-58 Feiyang, BL-60 Kunlun, BL-63 Jinmen, BL-64 Jinggu, SP-6 Sanyinjiao and some local Ah Shi points. Reducing method is used on these points. Moxibustion should be applied on BL-60, BL63 and LI-4.
▪ TE-5 and LI-4 dispel Wind, Cold and Damp and relieve the External symptoms
▪ BL-58, the Connecting point, dispels the External Wind-Cold-Damp, harmonises the collateral, promotes the circulation of Qi and relieves the heel pain
▪ BL-60 and BL-63, the River point and the Accumulation point of the Bladder channel respectively, BL-64 and SI-4, the Source points of the Bladder channel and Small Intestine channel respectively, dispel Wind-Damp, promote the circulation of Qi and Blood in the channels and relieve the heel pain
▪ SP-6, the crossing point of the three Yin channels of the foot, together with the local Ah Shi points, promote the circulation of Blood, eliminate the Blood stasis and Damp and relieve the heel pain
▪ Moxibustion warms the channels, dispels the Cold and relieves the heel pain.
LU-7 Lieque, SP-9 Yinlingquan, LR-3 Taichong, GB-34 Yanglingquan and GB-40 Qiuxu, etc.
1. If there is a cold sensation in the heel, add moxibustion on BL-40 and BL-58 to warm the channels, promote the circulation of Qi, dispel the Cold and relieve the pain
2. If there is swelling of the heel, add SP-6 to promote the circulation of Qi, eliminate the Damp and relieve the swelling
3. If there is a numb heel, add Plum-Blossom needle on the heel to regulate the circulation of Qi and relieve the numbness
4. If there is heel pain along the Kidney channel, add KI-4 and KI-5 to harmonise the collateral, promote the Qi and Blood circulation and relieve the pain
5. If there is heel pain along the Bladder channel, add BL-59 and BL-62 to promote the Qi and Blood circulation, dispel Wind, Cold and Damp and relieve the heel pain
6. If there are painful toes, add Extra Bafeng to promote the circulation of Qi in the locality and relieve the pain
7. If there is a fever, add GV-14 to dispel the Wind, promote the sweating and reduce the fever
8. If there is a headache, add GB-20 to dispel the Wind-Cold and relieve the headache
9. If there is generalised body pain, add GB-35 to dispel Wind, Cold and Damp, harmonise the collateral and relieve the body pain.
A 35-year-old man had been suffering from painful heels on both sides for a month. His heel pain had started soon after being caught in a big snowstorm on a mountain during a trip. Besides the heel pain, he was also suffering from generalised body pain, neck pain, headache, an aversion to cold, a slight fever and a poor appetite. Because of the severe heel pain, he went to the doctor and was given some aspirin. Two days later, his cold was generally a lot better, but he still had the heel pain.
When he arrived at the acupuncture clinic, he had heel pain on both sides, obvious tenderness at the place where the Bladder channel passes through, difficulty in walking, aversion to exposing the heel to wind and cold, and a preference for keeping it warm, and no colour change on the heels. He also had a poor appetite, no thirst, clear urine, a thin and white tongue coating and a tight pulse.
Heel pain due to invasion of Wind, Cold and Damp.
Dispel external Wind, Cold and Damp, warm the channels and relieve the pain.
TE-5, SI-3, SI-4, BL-58, BL-59, BL-60, BL-63, BL-64 and SP-6. Reducing method was used on these points. Moxibustion was applied on BL-58, BL-59, BL-60, BL-63 and BL-64. Treatment was given once every 2 days.
▪ TE-5 and SI-3 dispel Wind, Cold and Damp and relieve External symptoms
▪ BL-58, the Connecting point, dispels External Wind-Damp, harmonises the collateral, promotes the circulation of Qi and relieves the heel pain
▪ BL-59, the Accumulation point of the Yang Heel Vessel, BL-60, the River point, BL-62, the Confluence point of the Yang Heel Vessel, BL-63, the Accumulation point, BL-64 and SI-4, the Source points, dispel Wind-Damp, promote the Qi and Blood circulation in the channels and relieve the heel pain
▪ SP-6, the crossing point of the three Yin channels of the foot, promotes the circulation of Blood, eliminates its stasis and Damp and relieves the heel pain
▪ Moxibustion dispels Cold, warms the channels, promotes the Qi and Blood circulation and relieves the heel pain.
Immediately after the first treatment, he felt that his heel pain had improved, and he could walk better. The pain came back after half a day. After the second session, his heel pain improved greatly, and stayed better for 2 days. After six treatments his heel pain had completely cleared and he did not need to take any more painkillers.
Acute occurrence of heel pain, which worsens in warmth and is better with cold, together with heat and burning, redness and swelling on the heel, formation of ulcers or even pus on the heel are the main symptoms. Other symptoms include fever, slight aversion to cold, thirst, restlessness, insomnia, yellow urine, constipation, a red tongue with a yellow and dry coating and a rapid and forceful pulse.
Clear the Fire, eliminate the Toxin, promote the Blood circulation and relieve the pain.
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Five-Ingredient Decoction to Eliminate Toxin. This formula, which clears the Heat, reduces the Fire, removes the Toxin, reduces the swelling and relieves the pain, is indicated in heel pain due to invasion of Toxic Fire. Huang Bai Cortex Phellodendrii 10g, Chuan Niu Xi Radix Cyathulae Officinalis 10g, Sang Zhi Ramulus Mori 10g, Luo Shi Teng Caulis Trachelospermi 15g, Da Qing Ye Folium isatidis 10g, etc., could be added to clear the Heat, remove the Toxin and relieve the pain.
White Tiger Ramulus Cinnamomi Decoction. This formula, which clears the Heat, reduces the Fire, removes the Toxin, reduces the swelling and relieves the pain, is indicated in heel pain due to invasion of Toxic Fire. Huang Bai Cortex Phellodendrii 10g, Chuan Niu Xi Radix Cyathulae Officinalis 10g, Jin Yin Hua Flos Lonicerae 10g, Sang Zhi Ramulus Mori 10g, Luo Shi Teng Caulis Trachelospermi 15g, Da Qing Ye Folium isatidis 10g, etc., could be added to clear the Heat, remove the Toxin and relieve the pain.
1. If there is redness and swelling of the feet, add Sheng Di Huang Radix Rehmanniae Recens 10g and Long Dan Cao Radix Gentianae 5g to clear Damp-Heat and reduce the swelling
2. If there is itching on the feet, add Bai Xian Pi Cortex Dictamni 10g and Ku Shen Radix Sophorae Flavescentis 10g to clear Damp-Heat and relieve the itching
3. If there is a stabbing pain at the heel, add Pu Huang Pollen Typhae 10g and Dan Shen Radix Salvia Miltiorrhizae 10g to promote the circulation of Blood and eliminate its stasis
4. If there is a wound on the heel, add San Qi Radix Notoginseng 10g to eliminate toxin and promote healing of the wound
5. If there is a fever, add Shi Gao Gypsum Fibrosum 20g and Zhi Mu Rhizoma Anemarrhenae 10g to clear the Heat and reduce the fever
6. If there is nervousness, add Xia Ku Cao Spica Prunellae 10g to clear the Heat in the Liver and calm the Liver-Fire
7. If there is a throat pain with swelling, add Ma Bo Lasiosphaera seu Calvatia 5g to benefit the throat and reduce the swelling in it
8. If there is coughing with expectoration of yellow phlegm, add Niu Bang Zi Fructus Arctii 5g to eliminate the Phlegm and relieve the cough
9. If there is restlessness and insomnia, add Dan Zhu Ye Herba Lophatgeri 10g to clear the Heat from the Heart
10. If there is constipation due to blockage of the Large Intestine by Heat, add Da Huang Radix et Rhizoma Rhei 10g to clear the Heat, promote defecation and relieve the constipation
Feng Shi Xiao Tong Wan Wind-Damp Dispel Pain Pill
Niu Huang Jie Du Pian Cattle Gallstone Tablet to Resolve Toxin.
TE-6 Zhigou, LI-4 Hegu, LI-11 Quchi, ST-44 Neiting, SP-6 Sanyinjiao, SP-10 Xuehai, BL-60 Kunlun, BL-63 Jinmen, SI-4 Wangu, KI-2 Rangu and some local Ah Shi points. Reducing method is used on these points.
▪ TE-6 promotes the function of the Triple Burner and eliminates the Heat and Toxin from the body.
▪ ST-44, the Spring point of the Stomach channel, clears the Heat and reduces the Fire so as to eliminate redness and swelling. It is also a Water point according to the Five Element theory, and Water controls Fire, so it is a suitable point.
▪ LI-4 and LI-11,the Source point and the Sea point of the Large Intestine channel respectively, have a function in relieving the Heat and circulating the channel so as to sedate the pain. In most cases with invasion of Toxic Heat, there could be fever. When these two points are applied together, the fever reduction will be greater.
▪ SP-6, the crossing point of the three Yin channels of the foot, and SP-10 cool the Blood, eliminate the Toxin, reduce the swelling and relieve the heel pain.
▪ KI-2, the Spring point of the Kidney channel, clears the Heat, reduces the fever and reduces the swelling of the heels.
▪ BL-60 and BL-63, the River point and the Accumulation point of the Bladder channel respectively, BL-64 and SI-4, the Source point of the Bladder channel and Small Intestine channel respectively, together with the local Ah Shi points, dispel Wind-Damp, promote the Qi and Blood circulation in the channels and relieve the heel pain.
LU-7 Lieque, TE-5 Waiguan, SP-9 Yinlingquan, LR-2 Xingjian, GB-34 Yanglingquan and GB-43 Xiaxi, etc.
1. If there is redness and swelling of the foot, add GB-43 to clear Damp-Heat and reduce the swelling
2. If there is heel pain along the Kidney channel, add KI-4 and KI-5 to harmonise the collateral, promote the Qi and Blood circulation and relieve the pain
3. If there is itching on the feet, add LR-2 to clear Damp-Heat and relieve the itching
4. If there is a stabbing pain at the heel, add KI-1 to sedate the heel pain
5. If there is a wound on the heel, add Extra Bafeng to eliminate the Toxin and promote the healing of the wound
6. If there is a fever, add GV-14 to clear the Heat and reduce the fever
7. If there is nervousness, add GB-20 to clear the Heat in the Liver and calm the Liver-Fire
8. If there is throat pain with swelling, add LU-10 to benefit the throat and reduce the swelling there
9. If there is coughing with expectoration of yellow phlegm, add LU-5 to eliminate the Phlegm and relieve the cough
