HERB FORMULAS

SHI RE BI TANG - 湿爇痹汤 - DAMP-HEAT RHEUMTISM DECOCTION

English: Damp-Heat Rheumatism Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Stephaniae Tetrandrae Han Fang Ji 10g Expels Wind-Dampness, purges Damp-Heat, alleviates pain, promotes urination and reduces edema.
With Bei Xie, eliminates Damp-Heat.
Pheretima Di Long 10g Drains Heat, stops spasms and convulsions, unblocks and promotes movement in the channels and collaterals and promotes urination.
With Jiang Huang, eliminates Damp-Heat in the joints and alleviates pain.
Rz. Dioscoreae Hypoglaucae Bei Xie 10g Expels Wind-Dampness, relaxes the sinews, unblocks the Luo channels and clears Damp-Heat from the skin.
 With Wei Ling Xian, for Wind-Damp Bi.
Rz. Atractylodis Cang Zhu 10g Strongly dries Dampness, tonifies the Spleen, expels Wind-Dampness, clears Dampness from the Lower Jiao and releases the exterior.
With Huang Bai (Er Miao San), dries Dampness, clears Heat and treats pain, swelling and weakness of the lower extremities due to Wind-Dampness.
With Shi Gao, for Warm-Damp febrile disease with fever, profuse sweating, and generalized body aches.
Cx. Phellodendri Huang Bai 10g Drains Damp-Heat especially from the Lower Jiao and relieves toxicity.
Gypsum Fibrosum Sheng Shi Gao 10g Clears Heat, drains Fire, nourishes Body Fluids and stops thirst.
With Gui Zhi, clears Heat and circulates the channels and collaterals.
Rx. Clematidis Wei Ling Xian 20g Dispels Wind-Dampness, opens the channels and relieves rheumatic 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, warms and facilitates the flow of Yang Qi in the chest and Blood through the vessels.
 With Dan Shen, for palpitations and chest pain due to Heart Yang Deficiency and subsequent painful obstruction due to Blood Stasis blocking the channels.
Caulis Lonicerae Ren Dong Teng 15g Clears Heat, relieves toxicity, expels Wind-Heat, clears Damp-Heat from the Lower Jiao and invigorates the channels.
 With Wei Ling Xian, treats Bi Syndrome
Rz. Curcumae Longae Jiang Huang 15g Invigorates Blood, promotes movement of Qi, alleviates pain and expels Wind.
Flos Carthami Hong Hua 6g Invigorates the Blood, dispels Blood Stasis, and alleviates pain.
Rx. Salviae Miltiorrhizae Dan Shen 12g Activates Blood, breaks up Blood Stasis and clears Heat.

FORMULA ACTIONS

  • Clears Heat
  • Eliminates Dampness
  • Dispels Wind
  • Subdues swelling
  • Activates Blood
  • Stops pain

SYNDROMES

  • Bi Syndrome due to Wind-Damp-Heat
  • Bi Syndrome due to Wind-Cold-Damp Transforming to Heat

CLINICAL MANIFESTATIONS

  • Muscle pain
  • Hot sensations in the joints and muscles
  • Pain alleviated by Cold
  • Pain aggravated by warmth
  • Limited joint movement
  • Painful joints
  • Pain with a warm feeling
  • Redness of the joints
  • Swelling of the joints
  • Thirst
  • Fever
  • Restlessness
  • Heaviness of the joints
  • Loose stools or
  • Constipation
  • Aversion to Heat
  • T: Red
  • C: Greasy and yellow
  • P: Slippery and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Bi Syndrome due to Wind-Cold-Damp
  • Contraindicated for those with Cold Phlegm Accumulation
  • Contraindicated for those with Yin Deficiency
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For painful joints with redness and swelling: For heaviness of the limbs:
+ 10g Rz. Anemarrhenae Zhi Mu + 10g Cx. Acanthopanacis Wu Jia Pi
+ 10g Rx. Scrophulariae Xuan Shen
For stabbing pain:
+ 10g Cx. Moutan Radicis Mu Dan Pi + 6g Olibanum Ru Xiang
For fever:
 + 6g Myrrh Mo Yao
+ 3g Rz. Coptidis Huang Lian
For constipation:
+ 10g Rx. Scutellariae Huang Qin + 5-10g Rx. et Rz. Rhei Da Huang
For loose stools or diarrhea:
    
+ 10g Rx. Aucklandiae Mu Xiang    
+ 10g Rx. Puerariae Ge Gen