HERB FORMULAS

QIANG ZHENG SAN - 牽正散 - LEAD TO SYMMETRY POWDER

English: Lead to Symmetry Powder
Also Known As: Restoring to the Normal Position Powder

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Typhonii Preparatum Zhi Bai Fu Zi 12-16g Dries Dampness, transforms Phlegm, expels Wind and stops spasms.
With Jiang Can and Quan Xie, for facial paralysis and hemiplegia due to Wind-Stroke and Phlegm Obstruction of the channels and post-stroke deviation of the eyes and mouth.
Bombyx Batryticatus Jiang Can 6-12g Extinguishes Wind, transforms Phlegm and stops spasms and convulsions.
Scorpio Quan Xie 3-6g Extinguishes Wind, stops tremors and convulsions, unblocks the collaterals and stops pain.
With Jiang Can, for Wind-Dampness.

FORMULA ACTIONS

  • Dispels Wind
  • Resolves Phlegm
  • Stops spasms

SYNDROMES

  • Wind-Stroke
  • Wind-Phlegm Obstructing the channels of the head and face

CLINICAL MANIFESTATIONS

  • Deviation of the eyes and mouth
  • Paralysis of the skin
  • Continuous, uncontrolled salivation
  • Fever
  • Sore, painful joints
  • Facial paralysis
  • Difficulty speaking
  • Intolerance of Cold
  • Spasms of the limbs
  • T: Normal
  • C: Thin and white
  • P: Wiry or Taut and thready or Floating and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • This formula should only be used for Wind-Stroke due to Wind-Cold and Phlegm.
  • Contraindicated unless modified for deviation of the mouth or hemiplegia due to Internal Liver Wind Rising.
  • Contraindicated unless modified for deviation of the mouth or hemiplegia due to Qi Deficiency and Blood Stagnation.
  • Bai Fu Zi and Wu Gong are toxic. Do not exceed a dosage of 6gt.
  • Contraindicated during pregnancy.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For facial paralysis:
 For facial paralysis caused by Wind-Cold:
+ Scolopendra Wu Gong + Rx. et Rz. Notopterygii Qiang Huo
+ Rx. Saposhnikoviae Fang Feng + Rx. Saposhnikoviae Fang Feng
+ Rx. et Rz. Notopterygii Qiang Huo or
+ Rx. Puerariae Ge Gen + Rx. Saposhnikoviae Fang Feng
+ Ram. Uncariae cum Uncis Gou Teng + Flos Lonicerae Jin Yin Hua
+ Sm. Persicae Tao Ren
or
 + Rz. Chuanxiong Chuan Xiong
+ Rx. Saposhnikoviae Fang Feng + Rx. Scutellariae Huang Qin
+ Flos Lonicerae Jin Yin Hua + Rx. Salviae Miltiorrhizae Dan Shen
+ Sm. Persicae Tao Ren
+ Rz. Chuanxiong Chuan Xiong + Periostracum Cicadae Chan Tui
+ Rx. Scutellariae Huang Qin + Rz. Bletillae Bai Ji
+ Rx. Salviae Miltiorrhizae Dan Shen + Rx. Rehmanniae Sheng Di Huang
+ Scolopendra Wu Gong
+ Periostracum Cicadae Chan Tui + Hb. Ephedrae Ma Huang
+ Rz. Bletillae Bai Ji + Rx. Asari Xi Xin
+ Rx. Rehmanniae Sheng Di Huang
For facial paralysis with Blood Stagnation:
+ Scolopendra Wu Gong + 10g Rx. et Rz. Notopterygii Qiang Huo
or
+ 10g Rx. et Rz. Notopterygii Qiang Huo + 10g Rx. Saposhnikoviae Fang Feng
+ 10g Rx. Saposhnikoviae Fang Feng + 10g Flos Carthami Hong Hua
+ 10g Pheretima Di Long
+ 10g Flos Carthami Hong Hua + 10g Rx. Paeoniae Rubra Chi Shao
+ 10g Pheretima Di Long
+ 10g Rx. Paeoniae Rubra Chi Shao + 6g Rx. Glycyrrhizae Gan Cao
+ 9g Rx. Angelicae Sinensis Dang Gui
+ 6g Rx. Glycyrrhizae Gan Cao
For facial paralysis caused by Wind-Damp: + 6g Rz. Chuanxiong Chuan Xiong
+ Scolopendra Wu Gong
For facial paralysis with Blood Stagnation with purplish lips:
For facial paralysis or twitching:
+ Scolopendra Wu Gong + Scolopendra Wu Gong
+ Rz. Gastrodiae Tian Ma + Rx. Saposhnikoviae Fang Feng
+ Pheretima Di Long + Rx. et Rz. Notopterygii Qiang Huo
For facial paralysis with Qi Deficiency:
 + Rx. Puerariae Ge Gen
+ Ram. Uncariae cum Uncis Gou Teng
+ Rx. Saposhnikoviae Fang Feng
+ Flos Lonicerae Jin Yin Hua
+ Sm. Persicae Tao Ren + Sm. Persicae Tao Ren
+ Rz. Chuanxiong Chuan Xiong + Flos Carthami Hong Hua
+ Rx. Scutellariae Huang Qin + Rx. Paeoniae Rubra Chi Shao
+ Rx. Salviae Miltiorrhizae Dan Shen
For facial paralysis with Qi Deficiency with shortness of breath:
+ Periostracum Cicadae Chan Tui + Scolopendra Wu Gong
+ Rz. Bletillae Bai Ji + Rx. Saposhnikoviae Fang Feng
+ Rx. Rehmanniae Sheng Di Huang + Rx. et Rz. Notopterygii Qiang Huo
+ Scolopendra Wu Gong + Rx. Puerariae Ge Gen
+ Rx. Quinquifolii Xi Yang Shen + Ram. Uncariae cum Uncis Gou Teng
For facial paralysis with spontaneous sweating:
+ 10g Flos Carthami Hong Hua + Rx. Astragali Huang Qi
+ 10g Pheretima Di Long + Rx. Codonopsis Dang Shen
+ 10g Rx. Paeoniae Rubra Chi Shao + Rx. Pseudostellariae Tai Zi Shen
+ Rz. Polygonati Huang Jing
+ 6g Rx. Glycyrrhizae Gan Cao
For facial paralysis with Internal Heat:
+ 18g Rx. Astragali Huang Qi + 10g Rx. Saposhnikoviae Fang Feng
+ 9g Ram. Cinnamomi Gui Zhi
For facial paralysis with severe tics and spasms:
 + 10g Flos Carthami Hong Hua
+ 10g Rx. et Rz. Notopterygii Qiang Huo + 10g Pheretima Di Long
+ 10g Rx. Paeoniae Rubra Chi Shao
+ 10g Rx. Saposhnikoviae Fang Feng
+ 6g Rx. Glycyrrhizae Gan Cao
+ 10g Flos Carthami Hong Hua + 15g Spica Prunellae Xia Ku Cao
+ 10g Pheretima Di Long + 9g Rx. Scutellariae Huang Qin
+ 10g Rx. Paeoniae Rubra Chi Shao + 9g Flos Chrysanthemi Ju Hua
For chronic facial paralysis:
+ 6g Rx. Glycyrrhizae Gan Cao + 10g Flos Carthami Hong Hua
+ 9g Rz. Gastrodiae Tian Ma + 10g Pheretima Di Long
+ 12g Ram. cum Uncis Uncariae Gou Teng + 10g Rx. Paeoniae Rubra Chi Shao
+ 12g Rx. Paeoniae Alba Bai Shao + 6g Rx. Glycyrrhizae Gan Cao
+ 12g Concha Haliotidis Shi Jue Ming + 3g Hirudo Shui Zhi
For facial paralysis with tongue stiffness, tremors and a greasy, yellow tongue coat:
+ 9g Sm. Vaccariae Wang Bu Liu Xing
+ 9g Concha Arcae Wa Leng Zi
+ Scolopendra Wu Gong + 6g Sm. Sinapis Bai Jie Zi
+ Rx. Saposhnikoviae Fang Feng + 6g Rz. Arisaematis Preparatum Zhi Tian Nan Xing
+ Rx. et Rz. Notopterygii Qiang Huo
+ Rx. Puerariae Ge Gen
For facial paralysis with weakness of the tongue and a white tongue coating:
+ Ram. Uncariae cum Uncis Gou Teng
+ Scolopendra Wu Gong
+ Arisaema cum Bile Dan Nan Xing + Rx. Saposhnikoviae Fang Feng
+ Rz. Acori Tatarinowii Shi Chang Pu + Rx. et Rz. Notopterygii Qiang Huo
+ Caulis Bambusae in Taeniam Zhu Ru + Rx. Puerariae Ge Gen
+ Rz. Pinelliae Preparatum Zhi Ban Xia + Ram. Uncariae cum Uncis Gou Teng
For facial paralysis with a red face and yellow tongue coating:
+ Rehmannia Decoction
Di Huang Yin Zi
+ Scolopendra Wu Gong
For facial paralysis with excessive salivation:
+ Rx. Saposhnikoviae Fang Feng + Scolopendra Wu Gong
+ Rx. et Rz. Notopterygii Qiang Huo + Rx. Saposhnikoviae Fang Feng
+ Rx. Puerariae Ge Gen + Rx. et Rz. Notopterygii Qiang Huo
+ Ram. Uncariae cum Uncis Gou Teng + Rx. Puerariae Ge Gen
+ Ram. Uncariae cum Uncis Gou Teng
+ Gypsum Fibrosum Shi Gao
+ Flos Lonicerae Jin Yin Hua + Rz. Atractylodis Macrocephalae Bai Zhu
+ Fr. Forsythiae Lian Qiao
For facial paralysis with a headache:
+ Poria Fu Ling
+ Scolopendra Wu Gong
For facial paralysis with Exterior Wind-Heat:
+ Rx. Saposhnikoviae Fang Feng + Rx. Saposhnikoviae Fang Feng
+ Rx. et Rz. Notopterygii Qiang Huo + Flos Lonicerae Jin Yin Hua
+ Rx. Puerariae Ge Gen + Sm. Persicae Tao Ren
+ Ram. Uncariae cum Uncis Gou Teng + Rz. Chuanxiong Chuan Xiong
+ Rx. Scutellariae Huang Qin
+ Flos Chrysanthemi Ju Hua + Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Angelicae Dahuricae Bai Zhi
+ Periostracum Cicadae Chan Tui
+ Rx. Bupleuri Chai Hu + Rz. Bletillae Bai Ji
+ Rz. Chuanxiong Chuan Xiong + Rx. Rehmanniae Sheng Di Huang
For facial paralysis with Blood Deficiency:
 + Scolopendra Wu Gong
+ Rx. Saposhnikoviae Fang Feng + Fol. Mori Sang Ye
+ Flos Lonicerae Jin Yin Hua + Hb. Menthae Bo He
+ Sm. Persicae Tao Ren
For chronic facial paralysis with Phlegm Obstructing the Channels and Collaterals:
+ Rz. Chuanxiong Chuan Xiong
+ Rx. Scutellariae Huang Qin + Rx. Saposhnikoviae Fang Feng
+ Rx. Salviae Miltiorrhizae Dan Shen + Flos Lonicerae Jin Yin Hua
+ Sm. Persicae Tao Ren
+ Periostracum Cicadae Chan Tui + Rz. Chuanxiong Chuan Xiong
+ Rz. Bletillae Bai Ji + Rx. Scutellariae Huang Qin
+ Rx. Rehmanniae Sheng Di Huang + Rx. Salviae Miltiorrhizae Dan Shen
+ Scolopendra Wu Gong
+ Rx. Angelicae Sinensis Dang Gui + Periostracum Cicadae Chan Tui
+ Rx. Paeoniae Alba Bai Shao + Rz. Bletillae Bai Ji
For chronic facial paralysis with Wind-Phlegm Obstructing the Channels and Collaterals:
+ Rx. Rehmanniae Sheng Di Huang
+ Scolopendra Wu Gong
+ Rx. Saposhnikoviae Fang Feng + Rz. Gastrodiae Tian Ma
+ Flos Lonicerae Jin Yin Hua + Lapis Chloriti Qing Meng Shi
+ Sm. Persicae Tao Ren
For facial paralysis due to rheumatic diseases:
+ Rz. Chuanxiong Chuan Xiong + Scolopendra Wu Gong
+ Rx. Scutellariae Huang Qin + Rz. Gastrodiae Tian Ma
+ Rx. Salviae Miltiorrhizae Dan Shen
For migraine headache with Blood Deficiency:
+ Eight-Treasure Decoction
Ba Zhen Tang
+ Periostracum Cicadae Chan Tui
+ Rz. Bletillae Bai Ji
For trigeminal neuralgia:
+ Rx. Rehmanniae Sheng Di Huang + Rx. Angelicae Sinensis Dang Gui
+ Scolopendra Wu Gong + Periostracum Cicadae Chan Tui
+ Ram. Uncariae cum Uncis Gou Teng
For trigeminal neuralgia with Wind-Heat:
+ Rx. Angelicae Sinensis Dang Gui
+ Rx. Aconiti Preparata Zhi Chuan Wu + Periostracum Cicadae Chan Tui
For trigeminal neuralgia with Wind-Cold
+ Rx. Scutellariae Huang Qin
+ Rx. Angelicae Sinensis Dang Gui + Ram. Uncariae cum Uncis Gou Teng
+ Periostracum Cicadae Chan Tui
+ Rz. Typhonii Preparatum Zhi Bai Fu Zi + Gypsum Fibrosum Shi Gao
For trigeminal neuralgia with Yin Deficiency and Blood Heat:
+ Hb. Ephedrae Ma Huang
+ Rx. Asari Xi Xin + Rx. Angelicae Sinensis Dang Gui
For trigeminal neuralgia with Blood Stagnation and Phlegm Obstruction:
+ Periostracum Cicadae Chan Tui
+ Rx. Rehmanniae Sheng Di Huang
+ Rx. Angelicae Sinensis Dang Gui + Cx. Moutan Mu Dan Pi
+ Periostracum Cicadae Chan Tui + Plastrum Testudinis Gui Ban
+ Sm. Persicae Tao Ren + Fr. Ligustri Lucidi Nu Zhen Zi
+ Flos Carthami Hong Hua
For eliminating Wind:
+ Rz. Pinelliae Preparatum Zhi Ban Xia + Hb. Schizonepetae Jing Jie
For Blood Stasis:
+ Arisaema cum Bile Dan Nan Xing + Flos Carthami Hong Hua
For Bell's palsy (topical):
For Tourette syndrome:
+ Rx. Aconiti Preparata Zhi Chuan Wu
+ Bupleurum Powder to Spread the Liver
Chai Hu Shu Gan Tang
+ Rx. Aconiti Kusnezoffii Preparatum Zhi Cao Wu
For stroke with hemiplegia:
+ Rz. Pinelliae Preparatum Zhi Ban Xia - Rz. Typhonii Preparata Zhi Bai Fu Zi
+ 12g Sm. Sinapis Bai Jie Zi
+ Rx. Clematidis Wei Ling Xian + 12g Rz. Pinelliae Preparatum Zhi Ban Xia
+ Rz. Bletillae Bai Ji
+ Per Citri Reticulatae Chen Pi + 10g Rz. Arisaematis Preparatum Zhi Tian Nan Xing
+ Ginger Juice Jiang Zhi
For stroke:
+ 12g Rz. Gastrodiae Tian Ma
- Rz. Typhonii Preparata Zhi Bai Fu Zi + 24g Ram. cum Uncis Uncariae Gou Teng
+ 12g Sm. Sinapis Bai Jie Zi
+ 12g Rz. Pinelliae Preparatum Zhi Ban Xia + 10g Rz. Acori Tatarinowii Shi Chang Pu
+ 10g Rz. Arisaematis Preparatum Zhi Tian Nan Xing + 12g Rx. Curcumae Yu Jin
+ 12g Rx. Polygalae Yuan Zhi
+ 12g Rz. Gastrodiae Tian Ma + 20g Rx. Paeoniae Alba Bai Shao
+ 24g Ram. cum Uncis Uncariae Gou Teng + 20g Hb. Siegesbeckiae Xi Xian Cao
+ 10g Rz. Acori Tatarinowii Shi Chang Pu
For stroke with Liver Wind:
- Rz. Typhonii Preparata Zhi Bai Fu Zi
+ 12g Rx. Curcumae Yu Jin + 12g Sm. Sinapis Bai Jie Zi
+ 12g Rx. Polygalae Yuan Zhi + 12g Rz. Pinelliae Preparatum Zhi Ban Xia
or
+ 10g Hb. Schizonepetae Jing Jie + 10g Rz. Arisaematis Preparatum Zhi Tian Nan Xing
+ 10g Rx. Saposhnikoviae Fang Feng + 12g Rz. Gastrodiae Tian Ma
+ 24g Ram. cum Uncis Uncariae Gou Teng
+ 10g Flos Carthami Hong Hua
+ 10g Rz. Acori Tatarinowii Shi Chang Pu
+ 10g Pheretima Di Long
+ 10g Rx. Paeoniae Rubra Chi Shao + 12g Rx. Curcumae Yu Jin
+ 12g Rx. Polygalae Yuan Zhi
+ 6g Rx. Glycyrrhizae Gan Cao + Concha Haliotidis Shi Jue Ming
For facial numbness:
 + Concha Ostreae Mu Li
+ Guide Out Phlegm Decoction
Dao Tan Tang
For aphasia:
+ 6g Pheretima Di Long
+ 5g Pheretima Di Long + 9g Arisaemae cum Bile Dan Nan Xing
For facial pain:
 + 6g Rz. Acori Tatarinowii Shi Chang Pu
- Bombyx Batryticatus Jiang Can
- Scorpio Quan Xie + 6g Poria Fu Ling
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia + 6g Exocarpium Citri Reticulatae Rubrum Ju Hong
+ 10g Ram. Cinnamomi Gui Zhi + 6g Caulis Bambusae in Taeniam Zhu Ru
+ 5g Arisaemae cum Bile Dan Nan Xing
+ 10g Rz. Chuanxiong Chuan Xiong + 6g Rx. Glycyrrhizae Gan Cao
+ 10g Rx. Angelicae Dahuricae Bai Zhi
For facial pain and spasms:
- Bombyx Batryticatus Jiang Can
For severe facial pain:
 - Scorpio Quan Xie
- Bombyx Batryticatus Jiang Can + 10g Rz. Pinelliae Preparatum Zhi Ban Xia
- Scorpio Quan Xie
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia + 10g Ram. Cinnamomi Gui Zhi
+ 5g Arisaemae cum Bile Dan Nan Xing
+ 10g Ram. Cinnamomi Gui Zhi + 10g Rz. Chuanxiong Chuan Xiong
+ 5g Arisaemae cum Bile Dan Nan Xing + 10g Rx. Angelicae Dahuricae Bai Zhi
+ 10g Rz. Chuanxiong Chuan Xiong
+ 10g Rx. Angelicae Dahuricae Bai Zhi + 10g Rx. Paeoniae Alba Bai Shao
+ 5g Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ 5g Hb. cum Rx. Asari Xi Xin
For facial pain with dizziness:
For facial pain with aversion to Cold:
- Bombyx Batryticatus Jiang Can - Bombyx Batryticatus Jiang Can
- Scorpio Quan Xie - Scorpio Quan Xie
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia + 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 10g Ram. Cinnamomi Gui Zhi + 10g Ram. Cinnamomi Gui Zhi
+ 5g Arisaemae cum Bile Dan Nan Xing + 5g Arisaemae cum Bile Dan Nan Xing
+ 10g Rz. Chuanxiong Chuan Xiong + 10g Rz. Chuanxiong Chuan Xiong
+ 10g Rx. Angelicae Dahuricae Bai Zhi + 10g Rx. Angelicae Dahuricae Bai Zhi
+ 10g Rz. Gastrodiae Tian Ma + 10g Rz. Zingiberis Gan Jiang
+ 10g Ram. cum Uncis Uncariae Gou Teng
For facial pain with nervousness:
- Bombyx Batryticatus Jiang Can
For facial pain with a thick, white, greasy tongue coat:
 - Scorpio Quan Xie
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia
- Bombyx Batryticatus Jiang Can
- Scorpio Quan Xie + 10g Ram. Cinnamomi Gui Zhi
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia + 5g Arisaemae cum Bile Dan Nan Xing
+ 10g Rz. Chuanxiong Chuan Xiong
+ 10g Ram. Cinnamomi Gui Zhi + 10g Rx. Angelicae Dahuricae Bai Zhi
+ 5g Arisaemae cum Bile Dan Nan Xing
+ 10g Rz. Chuanxiong Chuan Xiong + 10g Spica Prunellae Xia Ku Cao
+ 10g Rx. Angelicae Dahuricae Bai Zhi    
   
+ 10g Rz. Atractylodis Cang Zhu