HERB FORMULAS

SAN BI WAN JIA JIAN - 三痺囊加減 - MODIFIED THREE KINDS OF RHEUMATISM PILL

English: Modified Three Kinds of Rheumatism Pill
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Angelica Pubescentis Du Huo 10-11g Releases the Exterior, dispels Wind-Cold-Dampness, opens the channels, vitalizes vessels and stops pain.
With Qin Jiao, expels Wind-Cold-Damp, relieves arthralgia and stops pain.
Rx. Gentianae Macrophyllae Qin Jiao 10-11g Clears Heat, expels Wind-Dampness, relaxes sinews, clears Deficiency Heat and resolves Dampness - good for cramps in the limbs.
Rx. Clematidis Wei Ling Xian 10-11g Dispels Wind-Dampness, opens the channels, alleviates pain, reduces Phlegm and dispels Dampness - good for swelling, arthralgia with numbness and spasms.
Rx. Stephaniae Tetrandrae Han Fang Ji 8-10g Expels Wind-Dampness, alleviates pain and promotes urination.
(Cx. Erythrinae) (Hai Tong Pi) (8-10g) (Substitutes for Han Fang Ji)
Fr. Chaenomelis Mu Gua 8-10g Relaxes sinews (increases Qi and Blood circulation), opens the channels and transforms Dampness - good for lower back and extremities.
Caulis Trachelospermi Luo Shi Teng 9-10g Dispels Wind-Dampness and opens channels.
Cx. Eucommiae Du Zhong 8-10g Tonifies the Kidneys and Liver, strengthens the sinews and bones and circulates Qi and Blood.
Rx. Astragali Huang Qi 9-10g Strengthens the Spleen, tonifies Qi, consolidates Wei Qi, stabilizes the Exterior and nourishes Blood.
 With Zhi Gan Cao, strengthens Qi and consolidates Wei.
With Gui Zhi, for Qi and Blood Deficiencies and Ying and Wei Deficiencies with numbness and painful obstruction of the musculature.
Rx. Cyathulae Chuan Niu Xi 8-10g Expels Wind, drains Dampness, opens the channels, invigorates the Blood and eliminates Blood Stasis.- especially good for knee pain and flaccid extremities.
Caulis Spatholobi Ji Xue Teng 9-10g Nourishes and invigorates the Blood, opens the channels and relaxes sinews - good for numbness, low back pain and knee pain.
Hb. Taxilli Sang Ji Sheng 8-10g Strengthens the sinews and bones, tonifies Liver and Kidney Yin, expels Wind-Dampness and nourishes the Blood. - good for low back and knees.
With Du Huo and Chuan Niu Xi, for Kidney and Liver Yin Deficiency and Wind-Dampness causing low back and leg pain, stiffness and soreness.
Rx. Angelica Sinensis Dang Gui 8-10g Nourishes, invigorates and harmonizes the Blood, disperses Cold and stops pain.
 With Zhi Gan Cao, moderates spasms.
With Huang Qi, for Blood Deficiency.
Rx. Saposhnikoviae Fang Feng 9-10g Releases the Exterior, expels Wind-Cold-Dampness, stops pain, expels Internal Wind, stops spasms, moves Qi, tonifies the Spleen and treats gout.
With Qin Jiao, for Wind Dampness Bi with spasms of the tendons or numbness of the limbs and pain due to Wind-Dampness in patients with Blood Deficiency.
Ram. Cinnamomi Gui Zhi 9-10g Releases external Wind-Cold from the muscle layer., harmonizes the Ying and Wei, warms the channels and collaterals, relieves pain, disperse, Cold, unblocks Yang, transforms the Qi, warms and facilitates the flow of Yang Qi in the chest and warms and facilitates the flow of Blood through the vessels.
With Han Fang Ji, for Wind-Cold Damp Bi.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-6g Tonifies Qi, harmonizes and protects Stomach.

FORMULA ACTIONS

  • Dispels Wind-Cold-Damp
  • Tonifies Qi
  • Strengthens tendons
  • Nourishes and Activates the Blood
  • Breaks up Blood Stasis
  • Stops pain

SYNDROMES

  • Wind-Cold-Damp Bi with Blood Stasis
  • San Bi

CLINICAL MANIFESTATIONS

  • Aversion to Wind, Cold and Dampness
  • Stiff and painful muscles and joints
  • Limited movement
  • Pain aggravated by Wind
  • Sensitive to climatic changes
  • Pain aggravated by Cold
  • Numbness of muscles
  • Pain aggravated by Dampness
  • Cold joints
  • Pain worse at night
  • Low back pain or soreness
  • Lumbago
  • Fatigue
  • Heaviness of the body
  • Heaviness of the muscles
  • Preference for warmth
  • Weak joints
  • Palpitations
  • Pale face
  • Joint deformity
  • Shortness of breath
  • Preference for dry weather
  • T: Pale or Purplish
  • C: Thin, white and greasy
  • P: Thready and weak or Thready and slippery

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Damp-Heat.
HERB/DRUG INTERACTIONS

NOTES

  • This formula has its most predominant action on Dampness.

MODIFICATIONS

With aversion to Cold and a cold body: For severe pain:
+ 5g Cx. Cinnamomi Rou Gui + 5g Scorpio Quan Xie
+ 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi + 10g Zaocys Wu Shao She
For fixed, stabbing pain or pain which is worse at night:
+ 5g Flos Carthami Hong Hua
+ 6g Olibanum Ru Xiang
For weakness:
+ 6g Myrrh Mo Yao + 6g Rx. Ginseng Ren Shen