Prescription
Main formula
Juan bi tang
Alternative formulas
Ma huang fu zi xi xin tang
Qiang huo sheng shi tang
Dang gui si ni tang
Jia wei xuan bi tang
Modifications
Patent remedy
Explanations
Modifications
Diagnosis
Principle of treatment
Herbal treatment
Dang gui si ni tang
Explanations
Accumulation of Damp-Phlegm in the Channels
Symptoms and signs
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Wrist pain
Remove Painful Obstruction Decoction. 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 wrist 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 and Sang Zhi Fructus Gardeniae 10g should be added to relieve the pain.
Ephedra, Prepared Aconite, and Asarum Decoction. This formula, which has a strong effect, dispelling the Wind, eliminating the Cold and relieving the pain, is indicated in wrist pain due to invasion of Wind-Cold. Qiang Huo Rhizoma seu Radix Notopterygii 10g, Du Huo Radix Angelicae Pubescentis 10g, Hai Feng Teng Caulis Piperis Futokadsurae 10g and Chuan Xiong Radix Ligustici Wallichii 10g should be added to promote sweating and relieve the pain.
Notopterygium Dispelling Dampness Decoction. This formula, which is relatively good for dispelling the Wind, eliminating the Cold, resolving the Damp and relieving the pain, is indicated in wrist pain due to invasion of Wind, Cold and Damp. Xi Xin Herba Asari 5g, Yu Jin Tuber Curcumae 10g, Gui Zhi Ramulus Cinnamomi Cassiae 10g and Ji Xue Teng Caulis Milletiae Reticulatae 10g could be added to strengthen the effect on pain.
Angelica Four Rebellious Decoction. This formula, which warms the channels and collaterals, dispels the Cold, tonifies the Blood and relieves the pain, is indicated in wrist pain due to invasion of Wind-Cold with deficiency of Blood. Jiang Huang Rhizoma Curcumae Longae 10g, Chuan Xiong Radix Ligustici Chuanxiong 10g and Hai Feng Teng Caulis Piperis Futokadsurae 10g, etc., should be added to relieve the pain.
Disband Painful Obstruction Decoction. This formula clears the Heat, eliminates the Damp and relieves the pain, and is indicated in wrist 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., could be added into the prescription to relieve the pain.
1. If there is a severe aversion to wind, add Fang Feng Radix Ledebouriellae 10g to dispel the Wind and relieve the External symptoms
2. If the wrist is swollen, add Han Fang Ji Radix Stephaniae Tetrandrae 10g and Wu Jia Pi Cortex Acanthopanacis Radicis 10g to eliminate the Damp and reduce the swelling
3. If there is a severe aversion to cold and muscular spasm, add Rou Gui Cortex Cinnamomi 5g to warm the channels and collateral and relieve the spasm
4. If the wrist is rigid, add Di Long Lumbricus 10g and Jiang Can Bombyx Batryticatus 10g to relax the Tendons and resolve Damp in the channel
5. If there is generalised body pain, add Qiang Huo Rhizoma seu Radix Notopterygii 10g and Du Huo Radix Angelicae Pubescentis 10g to dispel Wind-Cold and relieve the pain.
Feng Shi Pian Wind-Damp Tablet.
LI-3 Sanjian, LI-4 Hegu, Lu-7 Lieque, SI-4 Wangu, TE-5 Waiguan, Extra Baxie and Ah Shi points. Reducing method is used on all these points. Moxibustion should be applied on the local points.
▪ LI-3 and LI-4, the Stream point and the Source point of the large Intestine channel respectively, dispel Wind, eliminate the Cold, promote the circulation in the channels and relieve the pain
▪ LU-7, the Connecting point of the Lung channels, dispels Wind-Cold and relieves the pain.
▪ SI-4, the Source point of the Small Intestine channel, and TE-5, the Connecting point of the Triple Burner channel, promote the circulation of Qi and Blood in the wrist and relieve pain
▪ The Extra Baxie and Ah Shi points, together with moxibustion, promote the circulation of Qi in the local channels and collateral and stop the pain.
1. If there is severe aversion to cold and muscular spasm, add moxibustion on LI-4, LU-7 and the Ah Shi points to warm the Tendons and muscles and relieve the spasm
2. If the wrist is swollen, add TE-6 to regulate the circulation of Qi, promote the discharge of excessive Water and reduce the swelling
3. If there is generalised body pain, add ST-40 and SP-21 to regulate the circulation of Qi and Blood and relieve the pain
4. If there is local redness and swelling, add LI-2 and SP-6 to clear the Heat, reduce the swelling and relieve the pain.
A 45-year-old woman had been suffering from wrist and finger pain on both sides for a year. She had a tense pain and in the morning there was rigidity in both wrists. She also had an aversion to cold, fatigue, a pale tongue with a white coating and a wiry pulse. At the hospital her complaint had been diagnosed as rheumatoid arthritis.
Invasion of Wind-Cold with deficiency of Qi.
Dispel Wind-Cold, regulate Qi circulation, tonify Qi and relieve the pain.
Angelica Four Rebellious Decoction
Gui Zhi Ramulus Cinnamomi 10g
Dang Gui Radix Angelicae Sinensis 10g
Bai Zhu Rhizoma Atractylodis Macrocephalae 10g
Dang Shen Radix Salviae Miltiorrhizae 10g
Qing Feng Teng Caulis Sinomenii 30g
Jiang Huang Rhizoma Curcumae Longae 10g
Xi Xin Herba Asari 3g
Chi Shao Radix Paeoniae Rubra 10g
Huang Qi Radix Astragali seu Hedysari 15g
Fu Zi Radix Aconiti Praeparata 10g
Zhi Gan Cao Radix Glycyrrhizae Praeparata 5g.
▪ Gui Zhi, Xi Xin and Fu Zi warm the channels and relieve the pain
▪ Dang Gui and Chi Shao promote the circulation of Blood and relieve the wrist pain
▪ Dang Shen, Huang Qi and Bai Zhu activate the Spleen and Stomach and tonify the Qi
▪ Qing Feng Teng and Jiang Huang are good at dispelling Wind-Cold and relieving the joint pain
▪ Zhi Gan Cao tonifies the Qi and harmonises the actions of the other herbs in the formula.
The patient was given daily treatment with this herbal decoction. She was also advised to warm her wrists with the moxa stick three times a day, for 5 to 10 minutes each time. After 1 month of treatment, her wrist and finger pain had disappeared. She was followed up 2 years later, and she stated that she had experienced no more pain since the herbal treatment.
