HERB FORMULAS

ZHUANG YAO QU FENG ZHEN TONG TANG - 壮腰驱风赈痛汤 - STRENGTHEN THE LOW BACK, DISPEL WIND AND RELIEVE PAIN DECOCTION

English: Strengthen the Low Back, Dispel Wind and Relieve Pain Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Clematidis Wei Ling Xian 15g Dispels Wind-Dampness, unblocks the channels and alleviates pain.
With Qiang Huo, for Wind-Damp Bi causing joint pain.
With Du Huo, for low back pain or leg pain.
Cx. Eucommiae Du Zhong 9g Tonifies Kidney Yang, strengthens the sinews and bones and aids the smooth flow of Qi and Blood.
Rz. Cibotii Gou Ji 9g Tonifies the Liver and Kidneys, strengthens the sinews and bones, expels Wind-Dampness and relieves Bi syndrome.
Rx. Rehmanniae Preparata Shu Di Huang 9g Nourishes Liver and Kidney Yin.
Rz. et Rx. Notopterygii Qiang Huo 9g Expels Wind-Cold-Dampness, unblocks painful obstruction, alleviates pain and guides Qi to the Tai Yang and Du channels.
With Chuan Xiong, for headaches and generalized body aches and pains associated with the common cold or painful obstruction.
With Du Huo, for Wind-Dampness.
Rx. Angelicae Pubescentis Du Huo 9g Dispels Wind-Dampness and alleviates pain.
With Qiang Huo, for Joint pain and numbness.
Rx. Gentianae Macrophyllae Qin Jiao 9g Expels Wind-Dampness, opens the channels and soothes the sinews and collaterals.
Rz. Chuanxiong Chuan Xiong 9g Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain.
Zaocys Wu Shao She 9g Strongly unblocks the channels and extinguishes Wind.
With Qiang Huo and Qin Jiao, for Wind-Cold with migratory joint pain.
Scorpio Quan Xie 5g Tracks down Wind, unblocks the collaterals and stops pain.
With Wu Gong, for Wind-Damp Bi pain.
Scolopendra Wu Gong 5g Unblocks the collaterals and stops pain.
With Du Huo and Wei Ling Xian, for stubborn Bi.
Rx. Aconiti Kusnezoffii Preparata Zhi Cao Wu 5g Disperses Cold, scours out Wind, overcomes Dampness and stops pain.
Rx. Aconiti Preparata Zhi Chuan Wu 5g Expels Wind-Dampness, disperses Cold, warms and activates the channels and stops pain.
With Quan Xie, warms the channels and collaterals, disperses Cold, expels Wind and Dampness, unblocks the collaterals and stops pain to treat stubborn painful obstruction with severe symptoms due to Wind, Dampness and/or Cold.

FORMULA ACTIONS

  • Dispels Wind-Dampness
  • Disperses Cold
  • Unblocks the channels
  • Tonifies Kidney Yang
  • Strengthens the sinews and bones
  • Aids the smooth flow of Qi and Blood
  • Alleviates pain

SYNDROMES

  • Kidney Yang Deficiency with Wind-Cold-Dampness and Qi Stagnation

CLINICAL MANIFESTATIONS

  • Dull, lingering low back pain which feels cold, weak and aching and is worse with overwork and improved by lying down, rest, pressure warmth and massage
  • Weakness of the lower limbs which sometimes prevents walking or standing
  • Feeling chilled
  • Aversion to Cold, especially below the waist
  • Maybe shortness of breath
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • Joint pain, especially in the ankle and knee
  • 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
  • The pain is stabbing
  • Muscle weakness
  • Difficult movement
  • Numbness of the muscles and skin
  • Hemiplegia, especially of the upper limbs
  • The pain alleviated by movement
  • Slight muscle edema
  • Heaviness of the joints
  • Cold joints
  • Aversion to Cold
  • The pain worse at night
  • Local inflammation
  • Migratory pain
  • Deviation of the eyes and mouth
  • Spasm of the limbs
  • T: Pale and swollen or Slightly purple or purple spots
  • C: Thick and white
  • P: Deep and thready - maybe slow or Slippery or Slightly superficial or slightly rough or Slow and Soft or Wiry and tight or Floating and wiry

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For difficult or restricted stretching and bending: For fixed pain or a history of trauma:
+ Rx. Achyranthis Bidentatae Niu Xi + Rx. Angelicae Sinensis Dang Gui
+ Flos Carthami Hong Hua
+ Fr. Chaenomelis Mu Gua + Sm. Persicae Tao Ren
+ Hb. Lycopodii Shen Jin Cao + Rx. Paeoniae Rubra Chi Shao
+ Caulis Trachelospermi Luo Shi Teng For numbness and heaviness of the limbs:
For muscle wilting and weakness of the lower limbs: + Rz. Atractylodis Cang Zhu
+ Rz. Atractylodis Macrocephalae Bai Zhu
+ Rx. Astragali Huang Qi
+ Rx. Codonopsis Dang Shen + Poria Fu Ling