HERB FORMULAS

HAN SHI BI TANG - 寒湿痹汤 - COLD-DAMP RHEUMATISM DECOCTION

English: Cold-Damp Rheumatism Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Aconiti Preparata Zhi Chuan Wu 6g Expels Wind-Dampness, disperses Cold, Warms and activates the channels and stops pain.
With Zhi Cao Wu, eliminates Wind, Cold and Dampness and alleviates pain.
Rx. Aconiti Kusnezoffii Preparata Zhi Cao Wu 6g Strongly expels Wind-Dampness, disperses Cold, Warms and activates the channels and stops pain.
Ram. Cinnamomi Gui Zhi 10g Releases External Wind-Cold from the muscle layer, harmonizes the Ying and Wei, warms the channels and collaterals to relieve pain, disperses Cold, unblocks Yang, transforms Qi and warms and facilitates the flow of Blood through the vessels.
With Chuan Niu Xi and Chuan Shan Jia, circulates Qi and eliminates Blood Stasis.
Rx. Clematidis Wei Ling Xian 20g Dispels Wind-Dampness, opens the channels, alleviates pain, reduces Phlegm and regulates urination.
 With Qiang Huo, for Wind-Damp Bi causing joint pain, especially in the upper joints.
With Chuan Niu Xi, for Wind-Damp Bi causing joint pain, especially in the lower joints.
Caulis Piperis Kadsurae Hai Feng Teng 20g Dispels Wind-Dampness, unblocks the channels, disperses Cold and stops pain.
With Gui Zhi, for pain, impaired joint movement and spasms of the sinews due to Wind-Damp Bi.
With Wei Ling Xian, for Wind-Damp-Bi causing pain, spasms and numbness.
Rx. seu Rz. Notopterygii Qiang Huo 10g Releases the Exterior, dispels Wind-Cold-Dampness from the upper Tai Yang, opens the channels, vitalizes the vessels and stops pain.
Rx. Gentianae Macrophyllae Qin Jiao 10g Expels Wind-Dampness, relaxes the sinews and resolves Dampness.
Rx. Cyathulae Chuan Niu Xi 12g Expels Wind, drains Dampness , invigorates the channels, invigorates the Blood and eliminates Blood Stasis.
Rz. Atractylodes Cang Zhu 6g Strongly dries Dampness, tonifies the Spleen, induces sweating expels, Wind-Dampness and clears Dampness from the Lower Jiao.
Squama Manitis Chuan Shan Jia 10g Invigorates the Blood, dispels Blood Stasis, reduces swelling, expels Wind-Dampness from the channels, resolves Phlegm and moves Qi.
Rz. Drynariae Gu Sui Bu 10g Strengthens sinews and bones, tonifies Kidney Yang, stops pain and invigorates Blood.
Fr. Chaenomelis Mu Gua 10g Relaxes the sinews (increases Qi and Blood circulation), unblocks the channels and transforms Dampness.
 With Han Fang Ji, eliminates Dampness, harmonizes the collaterals and strengthens the tendons.
Rx. Stephaniae Tetrandrae Han Fang Ji 10g Expels Wind-Dampness, alleviates pain, promotes urination, calms the Stomach, reduces edema and strengthens Kidney functions.

FORMULA ACTIONS

  • Warms the Channels
  • Dispels Cold
  • Eliminates Dampness
  • Sedates pain

SYNDROMES

  • Fixed Bi (Zhuo Bi) (Damp Bi)
  • Wind-Cold-Damp Bi with Damp predominant (Shi Bi)

CLINICAL MANIFESTATIONS

  • Muscular pain
  • Joint pain
  • Neck pain
  • Low back pain
  • Pain with Cold sensation
  • Pain with heavy feeling
  • Pain aggravated by cold weather
  • Pain aggravated by damp weather
  • Limited joint movement
  • Joint stiffness
  • Joint deformity
  • Fixed pain
  • Muscle numbness
  • Pain alleviated by warmth
  • Heaviness of limbs
  • Purplish color of affected areas
  • Heaviness of the head
  • Maybe peripheral edema
  • Maybe stifling sensation of the chest
  • Maybe abdominal distention
  • Maybe indigestion
  • Maybe liquid stools
  • Maybe anorexia
  • T: Slightly purplish and swollen or Pink or Pale
  • C: Greasy and white
  • P: Slow, moderate and soft or Wiry or Slippery

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Damp-Heat Accumulation.
  • Contraindicated for those with Heat Accumulation.
  • Contraindicated for those with Yin Deficiency.
  • Contraindicated for those with Qi and Blood Deficiencies.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For joint deformity: For Severe pain:
+ 5g Flos Carthami Hong Hua + 5g Hb. cum Rx. Asari Xi Xin
+ 5g Olibanum Ru Xiang + 3g Scorpio Quan Xie
For Cold-Damp Bi of the upper limbs:
For lumbago:
+ 10g Ram. Mori Sang Zhi + 10g Rx. Dipsaci Xu Duan