HERB FORMULAS

DANG GUI NIAN TONG TANG

English: Tangkuei Decoction to Pry out Pain
Also Known As: Tang Kuei and Anemarrhena Combination
Decoction of Angelica Sinensis for Analgesia
Dang Gui Get Beyond the Pain Decoction

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. seu Rx. Notopterygii Qiang Huo 2.5-15g Expels Wind-Cold-Dampness, unblocks painful obstruction, alleviates pain and guides Qi to the Tai Yang and Du channels.
With Fang Feng, for pain due to External Wind-Dampness.
With Cang Zhu, For a heavy-headed sensation.
Rx. Saposhnikoviae Fang Feng 2-10g Expels Wind-Dampness and alleviates pain.
With Cang Zhu, for pain due to Wind-Dampness Bi with aching joints, heavy limbs and generalized aching discomfort.
With Qiang Huo and Dang Gui, for Wind-Cold-Damp Bi.
Rz. Cimicifugae Sheng Ma 1-6g Releases the exterior, clears Heat and relieves toxicity.
Rx. Puerariae Ge Gen 2-10g Discharges Exterior conditions, releases the muscles, especially of the neck and upper back, relieves Heat and generates fluids.
Rz. Atractylodis Macrocephalae Bai Zhu 2.5-12g Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism.
With Cang Zhu, for Damp Cold Painful Obstruction.
With Zhu Ling and Ze Xie, for edema due to Internal Dampness.
Corpus Radicis Angelicae Sinensis Dang Gui Shen 2.5-12g Tonifies the Blood.
Rz. Atractylodis Cang Zhu 2-10g Strongly dries Dampness, tonifies the Spleen, induces sweating, expels Wind-Dampness and clears Dampness from the Lower Jiao.
Rx. Ginseng Ren Shen 2-6g Tonifies Spleen and Stomach Qi, generates Body Fluids and stops thirst.
With Bai Zhu, tonifies the transformation and transportation functions of the Spleen.
(Rx. Codonopsis) (Dang Shen) (6g) (May substitute for Ren Shen)
Rx. Glycyrrhizae Gan Cao 1-15g Tonifies the Spleen, augments Qi, moderates spasms, alleviates pain, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.
Wine-fried Rx. Sophorae Flavescentis Jiu Chao Ku Shen 1-10g Disperses Wind, clears Heat and dries Dampness.
Dry-fried Rx. Scutellariae Chao Huang Qin 2.5-8g Clears Heat and dries Dampness.
With Qiang Huo, for Cold-Dampness at the Exterior with Heat in the Interior.
Wine-washed Rz. Anemarrhenae Jiu Xi Zhi Mu 2.5-9g Clears Heat and drains Fire.
Hb. Artemisiae Scopariae Yin Chen Hao 2.5-15g Clears Damp-Heat from the Liver and Gallbladder, clears Heat, facilitates the resolution of Dampness and clears and releases Dampness in the the exterior.
With Huang Qi, for Damp-Heat skin rashes.
Polyporus Zhu Ling 2.5-10g Promotes urination, leaches out Dampness and dispels Damp-Heat.
With Ze Xie, drains Damp, unblocks and drains urinary pathways and drains Heat from the Bladder.
Rz. Alismatis Ze Xie 2.5-9g Promotes urination and leaches out Dampness.

FORMULA ACTIONS

  • Resolves Dampness
  • Clears Heat
  • Disperses Wind
  • Stops pain
  • Activates the Blood
  • Tonifies Qi and Blood

SYNDROMES

  • Damp-Heat with External Wind Invasion
  • Damp-Heat Bi

CLINICAL MANIFESTATIONS

  • Generalized body aches and pains
  • Irritability
  • Heavy sensation in the shoulder and back
  • Discomfort or a constricted sensation in the area of the chest and diaphragm
  • Multiple sores, carbuncles furuncles or abscesses
  • Redness
  • Itching
  • Persistent swelling
  • Chest pain
  • Fever
  • Thirst
  • Aching and painful extremities
  • Aching and painful joints
  • Unbearable swelling and pain of the lower extremities
  • Shoulder stiffness
  • T: Normal
  • C: Greasy and slightly yellow
  • P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight

TREATS

  • Neuromuscular disorders
  • Periarthritis of the shoulder
  • Rheumatoid arthritis
  • Peripheral neuritis
  • Fibromyalgia
  • Urinary tract infection
  • Hematuria associated with acute nephritis
  • Renal calculi
  • Beriberi
  • Wet beriberi wit oliguria
  • Acute rheumatism
  • Generalized pain and swelling
  • Gonorrhea
  • Genital eczema
  • Arthritis with inflammation and swelling
  • Neurodermatitis
  • Sciatica
  • Trigeminal neuralgia
  • Neuralgia
  • Herpetiformis
  • Eczema
  • Urticaria
  • Dermatitis
  • Dermatitis of the leg with suppuration and swelling
  • Impetigo
  • Primary dysmenorrhea
  • Irregular menstruation
  • Pyelonephritis
  • Leukorrhea
  • Prolonged lochia
  • Arthralgia
  • Scabies
  • Gout
  • Dysuria
  • Hematuria
  • Neuritis
  • Polyneuritis
  • Melasma
  • Periomarthritis
  • Paronychia
  • Folliculitis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Wind-Cold-Damp Bi.
  • Avoid spicy, pungent, oily or greasy foods while taking this formula.
HERB/DRUG INTERACTIONS

NOTES

  • This is an anti-inflammatory and immune enhancing formula.

MODIFICATIONS

For generalized body aches and pains or severe pain in the joints and extremities: For red, swollen and hot painful obstruction:
+ Ram. Cinnamomi Gui Zhi + Flos Lonicerae Jin Yin Hua
+ Rx. Paeoniae Alba Bai Shao + Fr. Forsythiae Lian Qiao
For purulent skin lesions due to Toxic Heat:
 + Gypsum Fibrosum Shi Gao
+ Flos Lonicerae Jin Yin Hua
For intense body pain:
+ Fr. Forsythiae Lian Qiao + Rz. Curcumae Longae Jiang Huang
For pronounced swelling of the legs:
+ Cx. Erythrinae Hai Tong Pi
+ Rx. Stephaniae Tetrandrae Han Fang Ji
For eczema with the presence of Wind-Heat:
+ Fr. Chaenomelis Mu Gua + Rx. Rehmanniae Sheng Di Huang
For eczema with the presence of Damp-Heat:
+ Gypsum Fibrosum Shi Gao
+ Sm. Coicis Yi Yi Ren + Cx. Moutan Mu Dan Pi
+ Cx. Magnoliae Officinalis Hou Po
For eczema with the presence of Blood-Heat:
+ Sm. Phaseoli Chi Xiao Dou + Rx. Arnebiae/ Lithospermi Zi Cao
For eczema with the presence of Blood Deficiency with Wind-Dryness:
+ Flos Sophorae Huai Hua Mi
+ Rx. Polygoni Multiflori He Shou Wu + Cx. Lycii Di Gu Pi
+ Rx. Salviae Miltiorrhizae Dan Shen
For painful menstruation due to Damp-Heat and Blood Stasis:
+ Rx. Scrophulariae Xuan Shen
+ Four Substance Decoction
Si Wu Tang
For prolonged lochia:
+ Sudden Smile Powder
Shi Xiao San
+ Caulis Akebiae Mu Tong
For painful urinary dysfunction:
+ Rx. Rehmanniae Sheng Di Huang + Cx. Phellodendri Huang Bai
+ Cx. Moutan Mu Dan Pi + Hb. Dianthi Qu Mai
+ Cx. Phellodendri Huang Bai + Caulis Akebiae Mu Tong
For redness, swelling and inflammation:
For severe swelling and pain:
+ Rz. Coptidis Huang Lian
+Coptis Decoction to Relieve Toxicity
Huang Lian Jie Du Tang
+ Gypsum Fibrosum Shi Gao
For skin ulcerations and abscesses:
For wet beriberi due to Stagnation of Damp-Heat in the channels with Stagnation of Qi and Blood:
+ Drain the Interior and Detoxify Decoction
Tuo Li Xiao Du Yin
+ More Rz. Atractylodis Cang Zhu
for more severe edema:
+ Less Rz. Anemarrhenae Zhi Mu + Poria Fu Ling
For reddening and feverish feeling in the joints:
+ Ram Cinnamomi Gui Zhi
+ Rx. Stephaniae Tetrandrae Han Fang Ji
For anemia:
For fibromyalgia due to Qi and Blood Stagnation:
 + Rx. Paeoniae Alba Bai Shao
+ Major Saposhnikovia Decoction
Da Feng Fang Tang
+ Rx. Polygoni Multiflori He Shou Wu
+ Ephedra, Apricot Kernel, Coicis and Licorice Decoction
Ma Xing Yi Gan Tang
For fibromyalgia due to Phlegm Stagnation Blocking the channels:
   
Pinellia, Atractylodis Macrocephala and Gastrodia Decoction
Ban Xia Bai Zhu Tian Ma Tang