Juan Bi Tang 蠲痺汤
Remove Painful Obstruction Decoction

Tradition:

TCM

Source / Author:

Medical Revelationr (Yi Xue Xin wu)

Herb Name

Latin

Amount

Qiang Huo (Notopterygium)

Notopterygium incisum

Du Huo (Pubescent Angelica)

Angelica pubescens

Qin Jiao (Large-leaf Gentian)

Gentiana macrophylla

3–9 grams ea.

Sang Zhi (Mulberry twig)

Morus alba

Hai Feng Teng (Kadsura Pepper)

Piper kadsura

9–30 grams ea.

Dang Gui (Chinese Angelica)

Angelica sinensis

6–9 grams

Chuan Xiong (Chinese Lovage)

Ligusticum chuanxiong

3–9 grams

Ru Xiang (Frankincense)

Olibanum carterii

2–7 grams

Mu Xiang (Costus)

Saussurea lappa

3–9 grams

Rou Gui (Cinnamon) *

Cinnamomum cassia

3 grams

Zhi Gan Cao (Fried Licorice)

Glycyrrhiza uralensis

1.5–3 grams ea.

* Cinnamon twig (Gui Zhi) can be used in place of Rou Gui. The twig is better to warm and open the channels, whereas the bark is better in more severe cold.

Preparation:

Prepare a standard decoction.
In modern times, the doses are usually increased.

Function:

Clears Wind and Damp, Opens Obstructions, Eases Pain

Use:

Joint pain aggravated by Cold, with numbness, heaviness, thick white tongue coating and a slow pulse.
1. Joint Pian
2. Chronic Lumbago
3. Arthritis
4. Osteoarthritis
5. Rheumatoid Arthritis
6. Bursitis
7. Frozen Shoulder
8. Fibromyalgia
9. Rheumatic Fever

Dose:

The above decoction is divided into 3 equal doses to be taken over the course of a day.

Comment:

There are several formulas that go by this name. Another version from Selected Formulas (Bai Yi Xuan Feng):
Notopterygium Qiang Huo
Turmeric (Jiang Huang)
Dang Gui
Honey-fried Astragalus (Huang Qi)
Red Peony (Chi Shao)
Saposhnikovia Fang Feng 45 grams ea.
Honey-fried Licorice 15 grams
This is coarsely ground and taken as a draft with fresh Ginger infusion.

Cautions:

Not used for Yin Deficiency

Modifications:

1. Cinnamon twig (Gui Zhi) is often substituted for Cinnamon bark (Rou Gui). The former is better for joint pain of the extremities, the latter is better for marked Coldness and Kidney Yang deficiency.
2. Wind (moving) type Arthritis, add Saposhnikovia Fang Feng
3. Damp type Arthritis, add Jobs Tears (Yi Yi Ren) and Dark Atractylodes Cang Zhu
4. Joint Pain with Blood Stasis, add Turmeric Huang Jiang, Frankincense (Ru Xiang), Myrrh (Mo Yao)
5. Chronic Arthritis, add Acanthopanax Wu Jia Pi, Eucommia Du Zhong, Mistletoe (Sang Ji Sheng)
6. Lower Back Pain, add Eucommia Du Zhong and Cibotium Gou Ji
7. Leg Pain, add Achyranthes Niu Xi, Dipsacus Xu Duan
8. Frozen Shoudler, add Costus Mu Xiang, Turmeric Huang Jiang, Paeonia Bai Shao, Astragalus Huang Qi, Trachelospemum Luo Shi Teng
9. Rheumatic Fever, add Frankincense (Ru Xiang), Costus Mu Xiang, Spatholobus Ji Xue Teng


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