HERB FORMULAS

BI SYNDROME #1

English:  
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Aconiti Carmichaeli Preparata Zhi Chuan Wu 9g Expels Wind-Dampness, disperses Cold, warms and activates the channels and stops pain.
Rx. Aconiti Kusnezoffii Preparata Zhi Cao Wu 9g Disperses Cold, scours out Wind, overcomes Dampness and stops pain.
Honey-fried Hb. Ephedrae Zhi Ma Huang 9g Disseminates and facilitates Lung Qi and warms and disperses Cold pathogens.
With Gui Zhi, for Wind-Cold-Damp Bi.
Ram. Cinnamomi Gui Zhi 12g Releases the Exterior, assists Yang, releases the muscle layer, warms the channels and collaterals to relieve pain, and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels.
With Fu Ling, unblocks Yang and facilitates the removal of congested fluids associated with Yang Deficiency edema.
With Zhi Chuan Wu and Zhi Cao Wu, for Bi syndrome.
Rz. Zingiberis Gan Jiang 9g Warms the Middle and expels Cold, dispels Wind-Dampness seeping into the Lower Jiao and warms the channels.
Rx. Astragali Huang Qi 15g Tonifies Qi and Blood, tonifies Wei Qi, stabilizes the Exterior, tonifies the Lungs, aids the circulation of moisture downward from the face and relieves numbness and pain.
Poriae Fu Ling 15g Promotes urination, leaches out Dampness and strengthens the Spleen.
With Gui Zhi, warms and transforms fluids, unblocks Yang and promotes urination.
Rz. Dioscoreae Hypoglaucae Bei Xie 15g Expels Wind-Dampness, relaxes the sinews and unblocks the Luo channels.
Myrrh Mo Yao 3g Invigorates the Blood, dispels Blood Stasis, alleviates pain and reduces swelling.
Honey-fried Rx. Glycyrrhizae Zhi Gan Cao 6g Tonifies the Spleen, augments Qi, moderates spasms, alleviates pain, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

FORMULA ACTIONS

  • Warms the channels
  • Activates Qi
  • Invigorates the Blood

SYNDROMES

  • Wind-Cold-Damp Bi, Cold Predominant

CLINICAL MANIFESTATIONS

  • Excruciating sharp, stabbing joint pain
  • Pain alleviated by warmth and aggravated by Cold
  • Pain with fixed location
  • Few joints are involved
  • The joints cannot be flexed or extended
  • No local redness or Heat
  • Painful area often feels cold to the touch
  • Pain worse at night and better during the day
  • Pain mostly affects low back and lower extremities
  • Pain intense but short lived
  • Pain changes over days or weeks
  • Ankylosis (stiffness) of joint
  • Aversion to Cold
  • Maybe chills with a slight fever
  • Anhidrosis
  • Frequent nocturnal urination
  • T: Pink or Pale
  • C: Thin and white (thicker than for Wind-Bi)
  • P: Superficial and tight or Wiry and tight - maybe slow

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe pain: For joint swelling:
+ 30g Rx. Zanthoxyli Liang Mian Zhen

+ 3g Rz. Arisaematis Preparatum

Zhi Tian Nan Xing
   
    + 30g Sm. Coicis Yi Yi Ren