HERB FORMULAS

WEN JING JUAN BI TANG JIA JIAN - 溫經蠲痺湯加減 - MODIFIED WARM THE CHANNELS AND ALLEVIATE IMPEDIMENTS DECOCTION

English: Modified Warm the Channels and Alleviate Impediments Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Angelica Sinensis Dang Gui 29g Tonifies, invigorates and harmonizes Blood, disperses Cold, reduces swelling and alleviates pain.
With Gan Cao, moderates spasms.
Ram. Cinnamomi Gui Zhi 15g Releases the Exterior, assists Yang,adjusts the Ying and Wei, releases the muscle layer, warms the channels and collaterals to relieve pain, and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels.
Hb. Epimedii Yin Yang Huo 15g Dispels Wind-Cold-Dampness, warms and unblocks the flow of Yang Qi and strengthens the sinews and bones.
Ginger-processed Rz. Pinelliae Preparata Jiang Ban Xia 15g Dries Dampness and transforms Phlegm.
Hb. Pyrolae Lu Xian Cao 9g Dispels Wind-Dampness and strengthens the sinews and bones.
Rx. Aconiti Preparata Zhi Chuan Wu 9g Expels Wind-Dampness, disperses Cold, warms and activates the channels and stops pain.
Rx. Aconiti Kusnezoffi Preparata Zhi Cao Wu 9g Disperses Cold, scours out Wind, overcomes Dampness and stops pain.
Eupolyphaga/Steleophaga Tu Bie Chong 9g Breaks up and drives out Blood Stasis, invigorates Blood circulation.
Zaocys Wu Shao She 9g Strongly unblocks the channels, extinguishes Wind, dispels Wind from the sinews and strengthens tendons and bones.
Nidus Vespae Lu Feng Fang 9g Expels Wind, dries Dampness and stops pain and itching.
With Zhi Cao Wu and Zhi Chuan Wu, for severe pain.
Rx. Glycyrrhizae Gan Cao 5g Tonifies the Spleen, augments Qi, moderates spasms, alleviates pain,moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

FORMULA ACTIONS

  • Relieves Wind
  • Dredges the channels
  • Relieves Cold
  • Resolves Dampness

SYNDROMES

  • Wind-Cold-Damp Bi

CLINICAL MANIFESTATIONS

  • Early stage: Early morning stiffness, heaviness, numbness and/or restricted movement
  • Joint pain, especially in the wrist, ankle, knee and elbow
  • Excruciating sharp, stabbing joint pain
  • The affected joints may feel Cold
  • Muscle pain
  • There may be numbness and heaviness in the limbs
  • The pain is worse with Cold and better with warmth
  • The pain is aggravated by Wind
  • The pain aggravated by Dampness
  • Pain with fixed location
  • The joints cannot be flexed or extended
  • No local redness or Heat
  • Painful area often feels cold to the touch
  • Pain worse at night and better during the day
  • Pain mostly affects low back and lower extremities
  • Muscle weakness
  • Numbness of the muscles and skin
  • Hemiplegia, especially of the upper limbs
  • Slight muscle edema
  • Heaviness of the joints
  • Aversion to Cold
  • The pain worse at night
  • Local inflammation
  • Deviation of the eyes and mouth
  • Spasm of the limbs
  • Ankylosis (stiffness) of joint
  • Aversion to Cold
  • Maybe chills with a slight fever
  • Anhidrosis
  • Frequent nocturnal urination
  • T:Pink or Pale or Slightly purple or purple spots
  • C: Thick and white or Thin and white (thicker than for Wind-Bi)
  • P: Slippery or Slightly superficial or slightly rough or Slow and Soft or Wiry and tight or Floating and wiry or Superficial and tight

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For difficulty finding Hb. Pyrolae Lu Xian Cao: For difficulty finding Nidus Vespae Lu Feng
Fang:
Use 9g Rx. Clematidis Wei Ling Xian
For moving pain: Use 3g Hb. Asari Xi Xin
+ 9g Cx. Schizophragmae Zuan Di Feng For severe joint pain with superficial edema:
+ 9g Rz. Atractylodis Cang Zhu
+ 9g Rx. et Rz. Notopterygii Qiang Huo + 18-21g uncooked Sm. Coicis Yi Yi Ren
+ 9g Rx. Angelicae Pubescentis Du Huo + 6-9g stir-fried Sm. Sinapis Chao Bai Jie Zi
For a predilection for Heat and aversion to Cold: For severe, lancinating joint pain:
+ 3-6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ choose 2-4 from the following:
+ Rx. Notoginseng San Qi
+3-6g Scolopendra Wu Gong + Myrrh Mo Yao
+3-6g Scorpio Quan Xie + Rz. Corydalis Yan Hu Suo
With Qi Deficiency: + Sm. Persicae Tao Ren
+ 15g Rx. Astragali Huang Qi + Flos Carthami Hong Hua
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu + Caulis Spatholobi Ji Xue Teng
With Liver Qi Stagnation:
For upper limb pain: + 9g Rx. Bupleuri Chai Hu
+ 9g Rx. et Rz. Notopterygii Qiang Huo + 9g Rx. Paeoniae Alba Bai Shao
For lower limb pain:
+ 9g. Ram. Mori Sang Zhi + 9g Rx. Achyranthis Bidentatae Niu Xi
For severe swelling:
+ 9g Rz. Alismatis Ze Xie + 9g Rx. Angelicae Pubescentis Du Huo
+ 5g Caulis Akebiae Mu Tong
    For severe pain:
    +3 Scorpio Quan Xie