Prescription
Main formula
Juan bi tang
Alternative formulas
Yi yi ren tang
Ma xing yi gan tang
Jia wei xuan bi tang
Modifications
Patent remedies
Main Points
Explanations
Alternative points
Modifications
Downward flow of Damp-Heat
Symptoms and signs
Principle of treatment
Prescription
Main formula
Si miao san
Alternative formulas
Bai hu jia gui zhi tang and san miao wan
Modifications
Patent remedies
Main Points
Explanations
Alternative points
Modifications
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Leg pain
Remove Painful Obstruction Decoction. This formula could be used to treat leg pain due to invasion of Wind, Cold and Damp with stagnation of Qi and Blood in the channels and collaterals. Chuan Xiong Radix Ligustici Chuanxiong 10g, Hai Feng Teng Caulis Piperis Futokadsurae 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, and is specifically indicated in leg pain due to invasion of Wind, Cold and Damp.
Ephedra Apricot Kernel, Coicis and Licorice Decoction. This formula can be used to treat slight leg pain due to invasion of Wind, Cold and Damp.
Huai Niu Xi Radix Achyranthis Bidentatae 10g, Qin Jiao Radix Gentianae Macrophyllae 10g, Rou Gui Cortex Cinnamomi 6g, Cang Zhu Rhizoma Atractylodis 12g, Qiang Huo Rhizoma et Radix Notopterygii 12g and Du Huo Radix Angelicae Pubescentis 10g could be added to the prescription to eliminate the External pathogenic factors and relieve the leg pain.
Disband Painful Obstruction Decoction. This formula can clear the Heat, eliminate the Damp and relieve the pain indicated in leg pain due to invasion of Wind, Damp and Heat. Jiang Huang Rhizoma Curcumae Longae 15g, Hai Tong Pi Cortex Erythrinae 15g and Sang Zhi Ramulus Mori 15g, etc., should be added to the prescription.
1. If there is a severe aversion to cold and muscular spasm, add Fu Zi Radix Aconiti Lateralis Praeparata 10g to warm the channels and collateral and relieve the spasm
2. If there is swelling in the legs or a heavy sensation in the lower limbs, add Cang Zhu Rhizoma Atractylodis 10g and Fang Ji Radix Stephaniae Tetrandrae 10g to remove the Damp and sedate the pain
3. If there are cold limbs and lower back pain due to deficiency of Kidney-Yang, add Tu Si Zi Semen Cuscutae 10g and Du Zhong Cortex Eucommiae 10g to reinforce the Kidney-Yang
4. If there is a headache, add Man Jing Zi Fructus Viticis 10g to dispel the Wind and sedate the headache
5. If there is scanty urination, add Che Qian Zi Semen Plantaginis 10g to promote the urination and eliminate the Damp.
Han Shi Bi Chong Ji Cold-Damp Bi Syndrome Infusion
Jing Fang Bai Du Pian Schizonepeta and Ledebouriella Tablet to Overcome Pathogenic Influences
Tian Ma Qu Feng Bu Pian Gastrodia Dispel Wind Formula Tablet
Feng Shi Pian Wind-Damp Tablet.
TE-5 Waiguan, LI-4 Hegu, BL-12 Fengmen, GB-30 Huantiao, GB-31 Fengshi, GB-35 Yangjiao, SP-6 Sanyinjiao and some local Ah Shi points on the leg. Reducing method is used on these points. Moxibustion is used on LI-4, TE-5, GB-30 and GB-35.
▪ TE-5, LI-4 and BL-12 dispel External pathogenic Wind, Cold and Damp and relieve External symptoms
▪ GB-30, the meeting point of the Gallbladder and the Bladder channels, eliminates Wind-Damp, invigorates the circulation of Qi in the collateral, and removes obstructions in the channels so as to relieve the leg pain
▪ GB-31 dispels the External Wind and eliminates the Damp in the lower limbs
▪ GB-35, the Accumulation point of the Yang Linking Vessel, harmonises the collateral, promotes the Qi and Blood circulation and relieves the leg pain
▪ SP-6, the crossing point of the Kidney, Spleen and Liver channels, and the local Ah Shi points are suitable for regulating the circulation of Qi and Blood in the locality
▪ Moxibustion warms the channels and collaterals dispels the Cold.
LU-7 Lieque, GB-34 Yanglingquan, GB-43 Xiaxi and SP-9 Yinlingquan, etc.
When there is pain along certain channels, some corresponding points should be combined:
1. If there is leg pain along the Bladder channel, add BL-36, BL-58, BL-63 and BL-64 to harmonise the collateral and relieve the pain
2. If there is leg pain along the Gallbladder channel, add GB-36, GB-34, GB-40 and GB-41 to promote the Qi and Blood circulation in the channel and relieve the pain
3. If there is leg pain along the Stomach channel, add ST-30, ST-31, ST-34, ST-40 and ST-42 to promote the Qi and Blood circulation in the channel, relieve the blockage and arrest the pain
4. If there is leg pain along the Liver channel, add LR-3, LR-5, LR-11 and LR-12 to harmonise the collateral, promote the Qi and Blood circulation in the channel and relieve the pain
5. If there is leg pain along the Spleen channel, add SP-3, SP-4, SP-8 and SP-11 to promote the Qi and Blood circulation in the channel, harmonise the collateral and relieve the leg pain
6. If there is leg pain along the Kidney channel, add KI-4, KI-5, KI-8 and KI-10 to regulate the Qi and Blood circulation in the channel and relieve the leg pain
7. If there is a severe aversion to cold and muscular spasm, add moxibustion on CV-4 to warm the channels and collateral and relieve the spasm
8. If there is swelling or a heavy sensation in the lower limbs, add SP-9 to remove the Damp and sedate the pain
9. If there are cold limbs and lower back pain due to deficiency of Kidney-Yang, add KI-3 and BL-23 to reinforce the Kidney-Yang, dispel the Cold and strengthen the lower back
10. If there is a headache, add GB-20 to dispel the Wind and relieve the headache
11. If there is scanty urination, add BL-64, the Source point of the Bladder channel, to promote the urination and eliminate the Damp
12. If there is high fever, add GV14 and LI11 to clear the Heat and reduce the fever.
Gradual occurrence of leg pain with a burning and heavy sensation, which is aggravated by touching or worsens on hot or rainy days and is alleviated by movement, with redness, ulceration and swelling in the leg, accompanied by scanty and yellow urination, a yellow and greasy tongue coating, and a slippery and rapid pulse are symptoms and signs of this condition.
Clear the Heat, eliminate the Damp, regulate the channels, harmonise the collateral and sedate the pain.
Four-Marvel Powder. This formula is mainly indicated in Downward flow of Damp-Heat. Jiang Huang Rhizoma Curcumae Longae 15g, Hai Tong Pi Cortex Erythrinae 15g, Fang Ji Radix Stephaniae Tetrandrae 10g, Dang Gui Radix Angelicae Sinensis 10g and Ren Dong Teng Ramus Lonicerae Japonicae 15g, etc., should be added to eliminate Damp-Heat and relieve the pain.
White Tiger plus Ramulus Cinnamon Decoction and Three-Marvel Pill. When these two formulas are used together, their ability to clear the Heat, eliminate the Damp and relieve the pain will be much more effective. This combination is especially useful when there is predominance of Heat in the body. The same modifications as for the above formula could be applied.
1. If there is a red tongue, thirst, and restlessness, add Zhi Zi Rhizoma Gardeniae 10g and Huang Lian Rhizoma Coptidis 5g to clear the Heat and remove the Toxin
2. If there is scanty urination, add Ze Xie Rhizoma Alismatis 12g and Mu Tong Caulis Akebiae 6g to promote the urination and eliminate the Damp
3. If there is redness of the legs and ulceration, add Pu Gong Ying Herba Taraxaci 15g and Zi Hua Di Ding Herba Violae 15g to clear the Toxin, remove the Heat and promote the healing
4. If there is itching of the legs with oozing, add Di Fu Zi Fructus Kochiae 10g and Chi Shao Radix Paeoniae Rubra 10g to eliminate Damp-Heat and cool the Blood
5. If the appetite is poor, add Ban Xia Rhizoma Pinelliae 10g and Chen Pi Pericarpium Citri Reticulatae 10g to regulate the Qi in the Middle Burner and improve the appetite
6. If there is a thirst, add Xuan Shen Radix Scrophulariae 10g and Ge Gen Radix Puerariae 10g to clear the Heat and relieve the thirst
7. If there is irritability, add Deng Xin Cao Medulla Junci 15g to clear the Fire and calm the Shen
8. If there is constipation, add Da Huang Radix et Rhizoma Rhei 6g and Mang Xiao Natrii Sulfas 6g to eliminate the Heat, promote defecation and relieve the constipation.
San Miao Wan Three-Marvel Pill
Feng Shi Xiao Tong Wan Wind-Damp Dispel Pain Tablet.
TE-6 Zhigou, LI-4 Hegu, ST-40 Fenglong, SP-6 Sanyinjiao, SP-9 Yinlingquan, GB-34 Yanglingquan, ST-44 Neiting and some Ah Shi points on the leg. Reducing method is used on these points.
▪ TE-6 and LI-4 promote the circulation of Qi in the channels and collaterals, eliminate the Damp and reduce the Heat
▪ ST-40, the Connecting point of the Stomach channel, SP-6, the crossing point of the three Yin channels of the foot, and SP-9 and GB-34, the Sea point of the Spleen channel and Gallbladder channel respectively, eliminate the Damp in the body and channels, clear the Heat and relieve the pain
▪ BL-64, the Source point of the Bladder channel, promotes the urination, eliminates the Damp and relieves the leg pain
▪ ST-44, the Spring point of the Stomach channel, eliminates Damp-Heat and reduces the fever
▪ The Ah Shi points eliminate the Damp, clear the Heat, regulate the circulation of Qi and Blood in the channels and relieve the leg pain.
LI-11 Quchi, TE-4 Yangchi, ST-40 Fenglong, ST-42 Chongyang, SP-2 Dadu and GB-43 Xiaxi, etc.
When there is leg pain with involvement of different channels, the same modifications as above should be applied.
1. If there is a red tongue, thirst and restlessness, add SP-10 and HT-3 to clear the Heat and remove the Toxin
2. If there is a high fever, add GV-14 to clear the Heat and reduce the fever
3. If there is scanty urination, add CV-2 to promote the urination and eliminate the Damp
4. If there is redness on the legs and ulceration, add BL-66 and GB-43, the Spring point of the Bladder channel and Gallbladder channel respectively, to clear the Toxin, remove the Heat and promote the healing
5. If there is itching in the legs with oozing, add GB-41 to eliminate Damp-Heat and cool the Blood
6. If there is severe leg pain, add LR-3 to promote the Qi and Blood circulation and stop the pain
7. If the appetite is poor, add SP-3 to activate the Spleen, regulate the Qi in the Middle Burner and improve the appetite
8. If there is a thirst, add CV-12 to clear the Heat and relieve the thirst
9. If there is irritability, add GB-20 to clear the Fire and calm the Shen
10. If there is constipation, add ST-25, the Front Collecting point of the Large Intestine, to eliminate the Heat, promote the defecation and relieve the constipation.
A 35-year-old man had been suffering from leg pain in his right side with a heavy sensation for 6 months. He also had a slight sensation of heat in his right leg. The pain was aggravated by touching and worsened on rainy days and with limited movement. The pain was mainly along the Bladder Channel. His doctor told him that he had inflammation of the muscles in the leg and gave him some painkillers, but these did not much improve the leg pain.
Accompanying symptoms were: nausea, a bitter taste in the mouth, a thirst but no desire to drink, scanty yellow urine, constipation, a poor appetite, a yellow and greasy tongue coating and a slippery and rapid pulse.
