HERB FORMULAS

BU YANG HUAN WU TANG

English: Tonify Yang to Restore Five-Tenths Decoction
Also Known As: Astragalus and Peony Combination
Reinforce Yang and Restore the Normal Functioning of the Five Viscera Decoction
Dang Gui, Astragalus and Lumbricus Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Astragali Huang Qi 10-120g Tonifies source Qi, strengthens the Spleen, raises the Yang Qi of the Spleen and Stomach, tonifies Wei Qi, stabilizes the exterior, and tonifies the Blood.
With Dang Gui, for Qi and Blood Deficiency with chronic non-healing sores, numbness, painful obstruction and paresthesias.
Rx. Angelicae Sinensis Tails Dang Gui Wei 1-10g Invigorates, harmonizes and nourishes the Blood and alleviates pain.
With Huang Qi, for many Blood Deficiency patterns.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rx. Chuanxiong Chuan Xiong 0.5-10g Invigorates the Blood, promotes Qi movement, expels Wind and relieves pain.
.With Dang Gui Wei, for Wind-Damp Invasion blocking the Blood vessels causing pain, numbness, and paralysis.
With Huang Qi and Di Long, for numbness of the limbs
Rx. Paeoniae Rubrae Chi Shao 0.5-12g Clears Heat, cools and invigorates the Blood, the Blood, dispels Blood Stasis and eliminates pain.
Sm. Persicae Tao Ren 0.5-9g Dispels Blood Stasis, invigorates Blood circulation, descends Qi, and relieves spasms.
With Hong Hua, for rheumatoid arthritis.
With Hong, Hua, Dang Gui, and Chi Shao, for trauma with pain.
Flos Carthami Hong Hua 0.5-9g Invigorates the Blood, dispels Blood Stasis and alleviates pain.
With Tao Ren, Invigorates the Blood for all types of Blood Stagnation.
Pheretima Di Long 0.5-9g Unblocks and invigorates the channels, drains Heat, stops spasms and convulsions.
With Huang Qi, moves Qi throughout the whole body.
With Huang Qi, Dang Gui, and Chi Shao, for hemiplegia due to Wind-Stroke.

FORMULA ACTIONS

  • Tonifies Qi
  • Invigorates the Blood
  • Unblocks the channels
  • Promotes movement in the limbs

SYNDROMES

  • Sequelae of Wind-Stroke (post cerebral apoplexy syndrome)
  • Qi and Yang Deficiency with Blood Stasis Obstructing the Channels
  • Wind-Phlegm causing Qi and Blood Stagnation
  • Atrophy due to Qi Deficiency with Blood Stasis

CLINICAL MANIFESTATIONS

  • Hemiplegia
  • Paralysis
  • Atrophy of the lower limbs
  • Facial paralysis
  • Slurred speech
  • Drooling
  • Dry stools
  • Frequent urination
  • Urinary incontinence
  • Deviation of the eyes and mouth
  • Excess salivation
  • Cold extremities
  • Asthenia
  • T: Normal
  • C: White
  • P: Moderate

TREATS

  • Sequelae of cerebrovascular accident
  • Ischemic cerebrovascular disorder
  • Cerebral atherosclerosis
  • Sequelae of poliomyelitis
  • Acute myelitis
  • Sciatica
  • Thromboangiitis obliterans
  • Thrombophlebitis
  • Post-stroke hemiplegia
  • Epilepsy
  • Neuroses
  • Hypertension
  • Chronic nephritis
  • Benign prostatic hypertrophy
  • Vascular headache
  • Raynaud's disease
  • Numbness
  • Acute obstructive cerebral vascular disease
  • Apoplexy
  • Cerebral infarction
  • Brain trauma
  • Hemiplegia
  • Paraplegia
  • Arteriosclerosis obliterans
  • Nodular erythema
  • Panniculitis
  • Bell's palsy
  • Neuralgia
  • Coronary artery disease
  • Cor pulmonale
  • Deep vein thrombosis
  • Varicose veins
  • Diabetes
  • Polyneuritis
  • Chronic prostatitis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated immediately after a stroke due to cerebral hemorrhage.
  • Contraindicated for those with Wind-Stroke with a big, forceful or firm, wiry, forceful pulse.
  • Contraindicated for those with Yin Deficiency.
  • Contraindicated for those with Blood Heat.
  • Contraindicated for those with Phlegm Stagnation.
  • Contraindicated during pregnancy.
  • Be sure consciousness is returned and the temperature is normal.
  • Be sure there is no hemorrhage present and there is a moderate pulse.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For Cold predominating: For Spleen and Stomach Deficiency predominating:
+ Rx. Lateralis Aconiti Praeparata Zhi Fu Zi + Rx. Codonopsis Dang Shen
For profuse sputum:
+ Rz. Atractylodes Macrocephalae Bai Zhu
+ Rz. Pinelliae Preparatum Zhi Ban Xia
For slurred speech:
+ Concretio Bambusae Silicea Tian Zhu Huang + Rz. Acori Tatarinowii Shi Chang Pu
For facial paralysis:
 + Rx. Polygalae Yuan Zhi
+ Rz. Typhonii Zhi Bai Fu Zi + Rx. Curcumae Yu Jin
+ Bomb. Batryticatus Bai Jiang Can
For chronic hemiplegia (mild);
+ Scorpio Quan Xie + Hirudo Shui Zhi
For paralysis of the lower extremities:
+ Tabanus Meng Chong
+ Cx. Eucommiae Du Zhong
For epigastric distention and labored breathing:
+ Rx. Achyranthis Bidentatae Niu Xi + Rx. Linderae Wu Yao
For anorexia and a stifling sensation in the chest:
+ Per. Citri Reticulatae Viride Qing Pi
+ Fr. Aurantii Zhi Ke
For insomnia and irritability with a wiry, deficient, and rapid pulse:
+ Per. Citri Reticulatae Chen Pi + Fr. Gardeniae Zhi Zi
For weak legs:
 + Dry-fried Sm. Zizyphi Spinosae Chao Suan Zao Ren
+ 9g. Rx. Dipsaci Xu Duan
For constipation:
+ 9g. Hb. Taxilli Sang Ji Sheng + 15g. Sm. Cannabis Huo Ma Ren
+ 9g. Rx. Achyranthis Bidentatae Niu Xi + 9g. Sm. Armeniacae Xing Ren
For cold extremities:
For an acute case (with no Qi Deficiency):
+ Rx. Lateralis Aconiti Praeparata Zhi Fu Zi + Less Rx. Astragali Huang Qi
+ Fr. Evodiae Wu Zhu Yu
For use of over 30g. of Rx. Astragali Huang Qi:
For a stronger Blood Invigorating effect:
+ Gypsum Fibrosum Shi Gao
+ Rx. Salviae Miltiorrhizae Dan Shen + Hematitum Dai Zhe Shi
For panniculitis or nodular erythema:
For the initial onset of hemiplegia:
+ 15g. Fr. Forsythiae Lian Qiao + Rx. Saposhnikoviae Fang Feng
+ 15g. Fr. Chaenomelis Mu Gua
For impaired mental function:
+ 9g. Sm. Arecae Bing Lang + Rz. Acori Tatarinowii Shi Chang Pu
+ 9g. Rz. Cyperi Xiang Fu +Fol. Ginkgo Bai Guo Ye
For severe Cold:
+Hb. Ocimi Basilici Jiu Ceng Ta
+ Rx. Lateralis Aconiti Praeparata Zhi Fu Zi
For angina and cardiac infarction:
+ Cx. Cinnamomi Rou Gui + Rx. Pseudoginseng San Qi
+ Rx. Morindae Ba Ji Tian + Rx. Salviae Miltiorrhizae Dan Shen
For fibromyalgia due to Damp Stagnation Blocking the Channels:
For fibromyalgia due to Qi and Blood Stagnation:
+ Three Painful Obstruction Decoction
San Bi Tang
+ Peony and Licorice Decoction
Shao Yao Gan Cao Tang
+ Calm the Stomach and Poria Decoction
Wei Ling Tang
+ Drive Out Blood Stasis from a Painful Body Decoction
Shen Tong Zhu Yu Tang  
or
   
+ Ephedra, Apricot Kernel, Coicis and Licorice Decoction
Ma Xing Yi Gan Tang
   
+ Prepared Aconite Pill to Regulate the Middle
Fu Zi Li Zhong Tang