Bu Yang Huan Wu Tang 补阳还五汤
Tonify the Yang Restore Five (-Tenths) Decoction

Tradition:

TCM

Source / Author:

Correction of Errors Among Physicians (1830)

Herb Name

Latin

Amount

Huang Qi (Astragalus)

Astragalus membranaceus

120 grams

Dang Gui (Chinese angelica)

Angelica sinensis *

6 grams

Chuan Xiong (Sichuan lovage)

Ligusticum chuanxiong

3 grams

Chi Shao (Red Peony)

Paeonia lactiflora

4 ½ grams

Tao Ren (Peach seed)

Prunus persica

Hong Hua (Safflower)

Carthamus tinctorius

Di Long (Earthworm)

Pheretima spp.

3 grams ea.

* Dang Gui Wei, the tail or rootlets are used, these being stronger to move the Blood. If unavailable regular Dang Gui root can still be used.

Preparation:

Decoction

Function:

Tonify Qi and Yang, Move the Blood, open Obstructions

Use:

Paralysis, Hemiplegia or weakness or atrophied legs associated with deficiency and Blood stagnation with a moderate or weak and soft pulse (not wiry or strong)
1. Hemiplegia
2. Paralysis; Facial Paralysis
3. Deviation of the Eyes or Mouth
4. Aphasia; Loss of Speech; Difficult Speech
5. Weakness of the Legs; Atrophied Legs
6. Incontinence
7. Raynaud’s Disease
8. Thromboangitis obliterans
9. Brain Trauma; Stroke; CVA; Post Stroke Sequelae
10. Cerebral Atherosclerosis
11. Coronary Heart Disease
12. Chronic Nephritis; Chronic Prostatitis
13.
Varicose veins
14. Deep vein Thrombosis

Dose:

The above prepared as a decoction is taken over the course of a day.
As a powder, 3–6 grams can be taken 2–3 times daily

Cautions:

1. Not used if there is Liver Yang (Liver Heat) rising; Yin-deficient Heat; of Phlegm stagnation.
2. Not used in excess conditions marked by strong and forceful pulse
3. Not used immediately after Stroke while there is still bleeding

Modifications:

1. Slurred Speech, Loss of Speech or impaired Mental function, add Calamus
2. Facial Paralysis, add Scorpion
3. Chronic Hemiplegia, add Leech
4. Paralysis of the Legs, add Eucommia Du Zhong and Achyranthes Niu Xi
5. With Cold symptoms, add Cinnamon
6. With excess Phlegm, add Pinella Ban Xia, Calamus and Tabasheer
7. Coronary Heart disease, add Notoginseng San Qi


INTRACEREBRAL HEMORRHAGE:
Buyang Huanwu Decoction: A Traditional Chinese Medicine, Promotes Lactate-Induced Angiogenesis in Experimental Intracerebral Hemorrhage.
CEREBRAL ISCHEMIA:
Elucidating the mechanisms of Buyang Huanwu Decoction in treating chronic cerebral ischemia: A combined approach using network pharmacology, molecular docking, and in vivo validation.
Therapeutic Effect of Buyang Huanwu Decoction on the Gut Microbiota and Hippocampal Metabolism in a Rat Model of Cerebral Ischemia.
Construction of a circRNA-miRNA-mRNA network revealed the potential mechanism of Buyang Huanwu Decoction in the treatment of cerebral ischemia.
Unraveling the Action Mechanism of Buyang Huanwu Tang (BYHWT) for Cerebral Ischemia by Systematic Pharmacological Methodology.
DEMENTIA:
Efficacy and safety of Buyang-Huanwu-Tang (Boyang-Hwano-Tang) in patients with vascular dementia: A systematic review and meta-analysis.
STROKE RECOVERY:
Buyang huanwu decoction combined with probiotics or prebiotics for functional recovery from stroke: A meta-analysis protocol for systematic review.
A Systematic Review and Meta-Analysis of the Effects of Herbal Medicine Buyang Huanwu Tang in Patients with Poststroke Fatigue.
Buyang Huanwu Tang (Boyang Hwano Tang) for the treatment of post-stroke fatigue: Protocol for a systematic review of randomized controlled trials.
SPINAL INJURY:
Deciphering Pharmacological Mechanism of Buyang Huanwu Decoction for Spinal Cord Injury by Network Pharmacology Approach.
PULMONARY FIBROSIS:
Buyang Huanwu Tang inhibits cellular epithelial-to-mesenchymal transition by inhibiting TGF-β1 activation of PI3K/Akt signaling pathway in pulmonary fibrosis model in vitro.
MYOCARDIAL INFARCTION:
Effects of buyang huanwu decoction on ventricular remodeling and differential protein profile in a rat model of myocardial infarction.

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