HERB FORMULAS

DU HUO JI SHENG TANG

English: Angelica Pubescentis and Taxillus Decoction
Also Known As: Angelica Pubescens and Sangjisheng Decoction
Angelica Pubescens and Loranthus Decoction
Tuhuo and Loranthus Combination
Tuhuo and Vaeicum Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Angelica Pubescentis Du Huo 4.5-15g Disperses Wind-Cold-Dampness from the Lower Jiao, bones and sinews, vitalizes the vessels and alleviates pain.
With Xi Xin, for Shao Yin headache, with splitting pain that involves the teeth and cheeks due to External Wind-Cold and joint pain due to Wind-Cold-Dampness
With Xi Xin and Qin Jiao, for Wind-Damp Bi causing numbness, pain and soreness in the neck, back and lower extremities.
With Fang Feng, for numbness in the legs.
Hb. Asari Xi Xin 1-6g Releases exterior Wind-Cold, disperses Internal Cold, warms the Lungs transforms Phlegm and scours Wind-Dampness from sinews and bones to stop pain.
With Chuan Xiong, for Wind-Cold headache, toothache and Bi pain.
With Sheng Di Huang, for Headache and toothache due to Wind-Heat.
With Chuan Xiong and Fang Feng, for Bi syndrome.
With Du Zhong and Sang Ji Sheng, for Chronic low back and knee pain.
Rx. Saposhnikoviae Fang Feng 3-10g Expels Wind-Cold and Dampness and alleviates pain.
With Qin Jiao, for Wind-Damp Bi with spasms of the tendons or numbness of the limbs and pain due to Wind-Dampness in patients with Blood Deficiency.
Rx. Gentianae Macrophyllae Qin Jiao 3-10g Expels Wind-Dampness and relaxes sinews.
Hb. Taxilli Sang Ji Sheng 4.5-30g Expels Wind-Dampness, strengthens sinews and bones, tonifies Liver and Kidney Yin and nourishes the Blood.
With Du Zhong, and Niu Xi, expels Wind-Dampness and tonifies the Liver and Kidneys.
With Xu Duan, Dang Gui and Du Zhong, for restless fetus, and back pain due to Yin and Blood Deficiencies.
(Rx. Dipsaci) (Xu Duan) (4.5-30g) (Often substituted for San Ji Sheng.)
(With Du Zhong, tonifies Liver and Kidneys, strengthens the lower back and secures the Chong and Ren channels to treat aching in the lower back and knees, weakness of the legs which makes walking difficult and especially threatened miscarriage due to instability of the Chong and Ren channels and restless fetus or bleeding during pregnancy accompanied by lower back pain and a sense of dropping in the lower trunk.)
Cx. Eucommiae Du Zhong 3-10g Tonifies the Kidneys and Liver and strengthens sinews and bones.
With Xu Duan, for fractures.
With Sang Ji Sheng, Dang Gui and Chuan Xiong, for Low back pain during and after menstruation.
Rx. Achyranthis Bidentatae Niu Xi 3-10g Invigorates the Blood, strengthens the sinews and bones, benefits the joints and nourishes the Liver and Kidney Yin.
With Sang Ji Sheng and Du Zhong, directs the other herbs toward lower extremities.
With Du Zhong, for low back and extremity pain and weakness due to Bi pain or Kidney Deficiency.
With Sheng Di Huang, powerfully clears Deficiency Fire Blazing Upward with pain and swelling of the gums, epistaxis, hematemesis and other hemorrhage in the upper body and treats diabetes.
Cx. Cinnamomi Rou Gui 1-6g Warms Kidneys, strengthens Yang, strengthens Ming Men Fire, disperses deep Cold, warms and unblocks the channels and vessels to open the lower back and alleviates pain.
With Ren Shen and Shu Di Huang, for palpitations and shortness of breath due to Deficiencies of Heart and Kidneys.
With Dang Gui and Chuan Xiong, for dysmenorrhea, postpartum abdominal pain or amenorrhea due to Deficiency Cold of the Chong and Ren channels.
Rx. Angelica Sinensis Dang Gui 3-10g Tonifies, invigorates and harmonizes the Blood, disperses Cold and alleviates pain.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood, disperses Blood Stasis and treats abdominal pain.
With Chuan Xiong, Sheng Di Huang and Bai Shao, nourishes and invigorates the Blood.
With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood.
With Bai Shao and Fu Ling, for diarrhea during pregnancy with mild abdominal pain.
Rx. Chuanxiong Chuan Xiong 4.5-9g Activates Blood, regulates Qi, expels Wind-Cold and alleviates pain.
With Dang Gui, for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses, and amenorrhea. and Wind-Damp Invasion blocking the Blood vessels causing pain, numbness, and paralysis.
With Sheng Di Huang and Bai Shao, for headache due to Blood Deficiency.
With Rou Gui, for irregular menstruation with Cold in the Blood.
Rx. Rehmanniae Sheng Di Huang 3-10g Nourishes Yin and Blood and generates fluids.
With Bai Shao, for Blood Deficiency Heat.
(Baked Rx. Rehmanniae) (Shu Di Huang) (3-10g) (Often substituted for Sheng Di Huang due to its stronger nourishing properties.)
(With Dang Gui, for Blood Deficiency Heat.)
(With Ren Shen, for Qi, Blood and Yin Deficiencies.)
(With Dang Gui, Bai Shao and Chuan Xiong, for anemia.)
Rx. Paeoniae Alba Bai Shao 3-10g Nourishes Blood and alleviates pain.
With Fu Ling, strengthens the Spleen.
With Dang Gui, nourishes Yin and Blood.
With Dang Gui and Shu Di Huang, for dizziness, blurred vision, and dysmenorrhea due to Blood Deficiency or Stasis.
With Du Huo, Qin Jiao, Ren Shen, Dang Gui and Zhi Gan Cao, for chronic Bi Syndrome with injury to Qi and Blood leading to spasms of the extremities.
Rx. Ginseng Ren Shen 4.5-12g Tonifies Qi, calms the Spirit and generates Body Fluids.
(Rx. Codonopsis) (Dang Shen) 9-30g (Often substituted for Ren Shen.)
(With Fu Ling, for Spleen and Stomach Deficiencies with fatigue, a sensation of fullness in the abdomen, dizziness, lethargy, shortness of breath, anorexia and loose stools or diarrhea.)
Poriae Fu Ling 4.5-12g Promotes urination, resolves Dampness, strengthens the Spleen and harmonizes the Middle Jiao.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-6g Tonifies Middle Qi and moderates and harmonizes the harsh properties of the other herbs.
With Ren Shen and Fu Ling, strengthens the Spleen and augments Qi.

FORMULA ACTIONS

  • Disperses Wind-Dampness
  • Stops Bi pain
  • Tonifies the Kidneys and Liver
  • Tonifies Qi
  • Nourishes Blood

SYNDROMES

  • Bi Syndrome with Kidney and Liver Deficiencies
  • Bi Syndrome with Qi and Blood Deficiencies
  • Invasion of the muscles and bones by Wind-Cold-Damp
  • Atrophy disorder (wasting of the lower extremities)

CLINICAL MANIFESTATIONS

  • Painful joints
  • Heavy and painful sensations at fixed locations in lower back and extremities with weakness and stiffness or hypertonicity and immobility
  • Aversion to Cold
  • Attraction to warmth
  • Palpitations
  • Pain in the midline and back during pregnancy
  • Pain worse at night General coldness
  • Sallow complexion
  • Wandering pain
  • Pale complexion
  • Shortness of breath
  • May be paresthesias and numbness
  • Cold pain in the low back and knees
  • Limited movement
  • Soreness, weakness and numbness of the joints
  • Tinnitus
  • Muscle spasms
  • Dizziness
  • T: Pale
  • C: Thin and white or White and moist
  • P: Thin, weak and slow or Deep, thready and weak or slippery

TREATS

  • Chronic lower back pain
  • Sciatica due to degenerative joint disease
  • Sequelae of poliomyelitis
  • Rheumatic sciatica
  • Chronic arthralgia or arthritis
  • Paralysis
  • Neck pain
  • Osteoarthritis
  • Prolapse of the lumbar intervertebral disk
  • Rheumatoid arthritis
  • Coxarthrosis
  • Bone spurs
  • Atrophy of the lower limbs
  • Stroke
  • Hemiplegia
  • Prolapse of lumbar intervertebral disc
  • Psoriasis
  • Dermatosclerosis
  • Dendrolimiasis
  • Hyperosteogeny
  • Ankylosing spondylitis
  • Postpartum ache and pains
  • Bone Bi
  • Vertebral arthrosis
  • Gonarthrosis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for Bi syndrome marked by strong Excess or Damp-Heat.
  • Contraindicated for Bi syndrome marked by Liver and Kidney Yin Deficiencies.
  • Use with caution during pregnancy.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe pain: For severe Cold Bi:
+ Agkistrodon/Bungarus Bai Hua She + Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Pheretima Di Long + Rz. Zingiberis Gan Jiang
+ Flos Carthami Hong Hua
For severe Dampness:
or
 + Rx. Aristolochiae Fangji Guang Fang Ji
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi + Rz. Atractylodes Cang Zhu
or
For sequelae of poliomyelitis:
+ Rx. Aconiti Preparata Zhi Chuan Wu + Rx. Notoginseng San Qi
+ Rx. Aconiti Kusnezoffii Zhi Cao Wu + Rx. Clematidis Wei Ling Xian
+ Agkistrodon/Bungarus Bai Hua She + Fr. Chaenomelis Mu Gua
+ Pheretima Di Long
For fixed Bi with more Dampness:
+ Flos Carthami Hong Hua - Rx. Rehmanniae (Rehmanniae Preparata) Sheng Di Huang (Shu Di Huang)
For signs of only mild Deficiency:
 + Rx. Stephaniae Tetrandrae Han Fang Ji
- Rx. Ginseng (Codonopsis) Ren Shen (Dang Shen) + Sm. Coicis Yi Yi Ren
- Rx. Paeoniae Alba Bai Shao + Rz. Atractylodes Cang Zhu
- Rx. Rehmanniae (Rehmanniae Preparata) Sheng Di Huang (Shu Di Huang)
For a sore back with painful knees:
For muscle weakness:
+ Rz. et Rx. Notopterygii Qiang Huo
+ Rx. Astragali Huang Qi + Rx. Dipsaci Xu Duan
+ Rz. Atractylodis Macrocephalae Bai Zhu
For Blood Stagnation:
For Qi and Blood Deficiencies with Liver and Kidney Deficiencies with Cold predominant:
 + Sm. Persicae Tao Ren
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi + Flos. Carthami Hong Hua
For Qi and Blood Deficiencies with Liver and Kidney Deficiencies with Heat predominant:
For Qi and Blood Deficiencies with Liver and Kidney Deficiencies with pronounced Dampness with loose stools:
+ Rx. Gentianae Macrophyllae Qin Jiao - Rx. Rehmanniae Preparata Shu Di Huang
+ Rx. Rehmanniae Preparata Shu Di Huang + Rz. Atractylodes Cang Zhu
+ Ram. Cinnamomi Gui Zhi + Rz. Atractylodes Macrocephalae Bai Zhu
+ Ram. Mori Sang Zhi
For Qi and Blood Deficiencies with Liver and Kidney Deficiencies with Blood Stasis:
For predominance of Cold with cold joints, extremely cold extremities, a pale tongue and a Deep and slow pulse:
+ Sm Persicae Tao Ren
+ Flos Carthami Hong Hua
+ 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
For Dampness predominant with edema, heaviness of the body and stiff joints:
+ 6g Rz. Zingiberis Gan Jiang + 9g Rz. Atractylodes Cang Zhu
+ 6g Rx. Aconiti Preparata Zhi Chuan Wu + 9g Rx. Stephaniae Tetrandrae Han Fang Ji
For extreme pain:
+ More Hb. Asari Xi Xin + 9g Rz. Alismatis Ze Xie
+ 9g Zaocys Wu Shao She
For Heat due to Damp Stagnation:
+ 9g Agkistrodon/Bungarus Bai Hua She - Cx. Cinnamomi Rou Gui
+ 2g Scolopendra Wu Gong - Hb. Asari Xi Xin
+ 9g Flos Carthami Hong Hua + Caulis Lonicerae Ren Dong Teng
For Deficient Bi:
 + Ram. Mori Sang Zhi
- Hb. Asari Xi Xin + Rx. Scrophulariae Xuan Shen
- Rx. Saposhnikoviae Fang Feng
For Deficient Bi with Kidney Yang Deficiency:
- Rx. Achyranthis Bidentatae Niu Xi - Rx. Saposhnikoviae Fang Feng
- Cx. Cinnamomi Rou Gui - Rx. Achyranthis Bidentatae Niu Xi
- Rx. Rehmanniae Sheng Di Huang - Cx. Cinnamomi Rou Gui
+ 10g Rx. Dipsaci Xu Duan - Rx. Rehmanniae Sheng Di Huang
+ 12g Rx. Astragali Preparata Zhi Huang Qi + 10g Rx. Dipsaci Xu Duan
For Deficient Bi with Kidney Yin Deficiency:
 + 12g Rx. Astragali Preparata Zhi Huang Qi
- Hb. Asari Xi Xin
- Rx. Saposhnikoviae Fang Feng + 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
- Rx. Achyranthis Bidentatae Niu Xi + 6g Cornu Cervi Pantotrichum Lu Rong
- Cx. Cinnamomi Rou Gui
For Deficient Bi with joint deformity:
+ 10g Rx. Dipsaci Xu Duan - Hb. Asari Xi Xin
+ 12g Rx. Astragali Preparata Zhi Huang Qi - Rx. Saposhnikoviae Fang Feng
+ 20g Plastrum Testudinis Gui Ban - Rx. Achyranthis Bidentatae Niu Xi
+ 10g Fr. Ligustri Lucidi Nu Zhen Zi - Cx. Cinnamomi Rou Gui
    - Rx. Rehmanniae Sheng Di Huang
    + 10g Rx. Dipsaci Xu Duan
    + 12g Rx. Astragali Preparata Zhi Huang Qi
   
    + 10g Pheretima Di Long
    + 10g Zaocys Wu Shao She
    + 6g Squama Manitis Chuan Shan Jia
    + 6g Eupolyphaga Tu Bie Chong