English: Three Painful Obstruction Decoction
Also Known As: Du Huo and Gentian Macrophy Combination
Pharmaceutical Latin
Pin Yin
Rx. Dipsaci Xu Duan 30g Tonifies the Liver and Kidneys, strengthens sinews and bones, promotes the movement of Blood, alleviates pain, generates flesh and reconnects sinews and bones.
With Du Zhong, tonifies the Liver and Kidneys, strengthens the lower back and secures the Chong and Ren channels to treat aching in the lower back and knees and weakness of the legs which makes walking difficult
Cx. Eucommiae Du Zhong 30g Tonifies the Kidneys and Liver, strengthens the sinews and bones and aids the smooth flow of Qi and Blood.
Rx. Saposhnikoviae Fang Feng 30g Releases the exterior, expels External Wind, expels Wind-Dampness, alleviates pain, expels Internal Wind and stops spasms.
With Huang Qi, prevents Wind from entering the skin.
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.
Cx. Cinnamomi Rou Gui 30g Warms the Kidneys, Spleen and Heart, strengthens the Yang and Ming Men Fire, disperses deep Cold, warms the channels,
nblocks the channels and vessels, alleviates pain and assists the generation of Qi and Blood.
Hb. cum Rx. Asari Xi Xin 30g Disperses Wind-Cold and Internal Cold and alleviates pain.
With Chuan Xiong, for Wind-Cold headache, toothache and Bi pain.
With Du Huo, for joint pain due to Wind-Cold-Dampness.
With Chuan Xiong and Fang Feng, for Bi syndrome.
Rx. Ginseng Ren Shen 30g Tonifies Qi in Deficiency patients with Exterior conditions.
With Huang Qi, for Qi Deficiency with general debility, anorexia, and spontaneous sweat.
Poria Fu Ling 30g Promotes urination, leaches out Dampness, strengthens the Spleen and harmonizes the Middle Jiao.
Rx. Angelicae Sinensis Dang Gui 30g Tonifies, invigorates and harmonizes the Blood, disperses Cold and stops pain due to Blood Stasis.
With Huang Qi, for Qi and Blood Deficiencies.
With Bai Shao, regulates and harmonizes Qi and Blood.
With Gan Cao, moderates spasms and relieves abdominal pain.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rx. Paeoniae Alba Bai Shao 30g Nourishes the Blood, calms Liver Yang and Liver Wind, softens the Liver and alleviates pain.
With Gan Cao, for muscle spasms, pain and numbness, especially in the calf, due to Blood Deficiency.
With Du Huo, Qin Jiao, Ren Shen, Dang Gui and Gan Cao, for chronic Bi Syndrome with injury to Qi and Blood leading to spasms of the extremities.
Rx. Glycyrrhizae Gan Cao 30g Tonifies the Spleen, augments Qi, moderates spasms, alleviates pain and moderates and harmonizes the harsh properties of other herbs.
With Ren Shen, relieves palpitations and anxiety.
Rx. Gentianae Macrophyllae Qin Jiao 15g Expels Wind-Dampness, opens the channels and soothes the sinews and collaterals.
With Dang Gui and Bai Shao, for Blood Deficiency with hemiplegia, especially with excess muscle tension in the upper extremities.
Rx. Rehmanniae Sheng Di Huang 15g Clears Heat and cools the Blood.
With Bai Shao, for Blood Deficiency Heat.
Rz. Chuanxiong Chuan Xiong 15g Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain.
With Dang Gui, for Wind-Damp Invasion blocking the Blood vessels causing pain, numbness, and paralysis.
With Xi Xin and Fang Feng, for Wind-Cold Headaches.
Rx. Angelicae Pubescentis Du Huo 15g Dispels Wind-Dampness, alleviates pain, disperses Wind-Cold-Dampness and releases the exterior.
With Xi Xin and Qin Jiao, for Wind-Damp Bi causing numbness, pain and soreness in the neck, back and lower extremities.
Rx. Astragali Huang Qi 30g Tonifies Qi and Blood and relieves numbness and pain.
With Dang Gui, for Qi and Blood Deficiencies with chronic non-healing sores, numbness, painful obstruction and paresthesia.
Rx. Cyathulae Chuan Niu Xi 30g Invigorates the Blood, dispels Blood Stasis, expels Wind, drains Dampness, tonifies the Kidneys and Liver and strengthens the tendons and bones.
Rz. Zingiberis Recens Sheng Jiang 6g Releases the Exterior, induces perspiration,
isperses Cold, warms the Middle and reduces the toxicity of the other herbs.
With Da Zao, nourishes the Blood, prevents injury from harsh Blood movers and assists the movement of Qi.
Fr. Jujube Da Zao 6g Tonifies the Spleen and Stomach, augments Qi, nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of the other herbs.
With Sheng Jiang, enhances the effects of other Qi and Blood tonifying herbs by facilitating their digestion and absorption.
  • Tonifies the Liver and Kidneys
  • Augments Qi
  • Nourishes the Blood
  • Dispels Wind, Cold and Dampness
  • Liver and Kidney Deficiency with Qi and Blood Deficiency
  • Wind-Cold-Damp Bi with underlying Qi and Blood Deficiency
  • The sinews and bones are soft and weak
  • The pain is worse with exposure to Cold and Damp weather
  • Numbness and pain of the muscles and joints
  • Joint pain
  • Tremors of the hands and feet
  • Decreased range of motion
  • T: Pale
  • C: Whitish
  • P: Thin, weak and slow
  • This formula nourishes Qi and Blood to Extinguish Wind.
For Bi Syndrome with more Wind: For Bi Syndrome with more Cold:
+ Rz. seu Rx. Notopterygii Qiang Huo + Hb. Ephedrae Ma Huang
+ Ram. Cinnamomi Gui Zhi + Rx. Aconiti Lateralis Preparata Zhi Fu Zi
For Bi Syndrome with more Dampness:
For fibromyalgia due to Damp Stagnation Blocking the Channels:
+ Rz. Atractylodis Cang Zhu
+ Calm the Stomach and Poria Decoction
Wei Ling Tang
+ Hb. Artemisiae Scopariae Yin Chen Hao
+ Tonify Yang to Restore Five-Tenths Decoction
Bu Yang Huan Wu Tang
For fibromyalgia due to Phlegm Stagnation Blocking the Channels:
+ Prepared Aconite Pill to Regulate the Middle
Fu Zi Li Zhong Tang
+ Pinellia Decoction to Extend Life
Yan Nian Ban Xia Tang
+ Kudzu Decoction modified
Ge Gen Tang modified
+ Ginseng, Poria and Atractylodis Macrocephalae Powder
For periarthritis of the shoulder (shoulder pain):
+ Bolster the Spleen Decoction
Shi Pi Yin
- Rx. Rehmanniae Sheng Di Huang
- Rx. Angelicae Pubescentis Du Huo
+ Kudzu Decoction modified
Ge Gen Tang modified
+ 12g Rx. Astragali Huang Qi
    + 9g Rx. et Rz. Notopterygii Qiang Huo
    + 6g Rz. Curcumae Longae Jiang Huang