Remove Painful Obstruction Decoction from Medical Revelations
Chinese Prescription: Juan Bi Tang
English Translation: Remove Painful Obstruction Decoction from Medical Revelations
Formula Type: Dispel Wind-Dampness
Actions: Removes wind-dampness & alleviates painful obstruction.
Indications: For joint pain that increases with cold & diminishes with warmth, possibly accompanied by a sensation of heaviness & numbness in the limbs, a thick, white tongue coating, & a slow & possibly slippery pulse. This is joint pain due to local obstruction of qi from the effects of wind, cold & dampness. An important formula for treating relatively early-stage painful obstruction.
Contraindications: Unknown.
Pinyin | English | Suggested Dosage |
---|---|---|
view: Qiang Huo |
Notopterygium | 3g |
view: Du Huo |
Angelica Dahurica | 3g |
view: Qin Jiao |
Gentiana Macrophylla | 3g |
view: Sang Zhi |
Mulberry Stems | 9g |
view: Hai Feng Teng |
Kadsura Stem | 9g |
view: Dang Gui |
Angelica Sinensis | 9g |
view: Chuan Xiong |
Sichuan Lovage Rhizome / Ligusticum Wallichi | 2.1g |
view: Ru Xiang |
Frankincense | 2.4g |
view: Mu Xiang |
Aucklandia / Saussurea | 2.4g |
view: Rou Gui |
Cinnamon Bark | 1.5g |
view: Zhi Gan Cao |
Honey-fried Licorice | 1.5g |
Qiang Huo / Notopterygium Rhizome | |||
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Taste: Acrid, Bitter • Temperature: Warm • Category: Exterior Releasing - Warm • Sub Category: Aromatic | |||
Dosage6-15g |
Actions1. Releases the exterior & disperses cold: for exterior cold patterns with such symptoms as chills, fever, headache, & body aches & pains. Most commonly used when accompanied by dampness with joint pain, a general feeling of heaviness, sleepiness, or when there is pain in the occipital region.2. Unblocks painful obstruction & alleviates pain: for wind-cold-damp painful obstruction, especially in the upper limbs & back. 3. Guides qi to the greater yang channel & governing vessel: to direct other herbs in a prescription to the areas served by these two channels. |
MeridiansBladder, Kidney |
CautionsContraindicated in cases of blood deficiency, yin deficiency, & exterior deficiency. Overdosage may cause nausea & vomiting. |
Du Huo / Angelica Root (Pubescent) | |||
---|---|---|---|
Taste: Bitter, Acrid • Temperature: Warm • Category: Dispel Wind-Damp-Cold • Sub Category: Pain Relieving | |||
Dosage3-9g |
Actions1. Dispels wind-dampness & alleviates pain: for such disorders as wind-cold-damp painful obstruction, especially in the lower back & legs. Can be used for both acute & chronic conditions.2. Disperses wind-cold-dampness & releases the exterior: for exterior wind-cold together with dampness. 3. Also used for lesser yin stage headache & toothache. |
MeridiansKidney, Bladder |
CautionsContraindicated for yin deficiency with heat signs. |
Qin Jiao / Gentiana Root (Macrophylla) | |||
---|---|---|---|
Taste: Bitter, Acrid • Temperature: Slightly Cold • Category: Dispel Wind-Damp-Heat • Sub Category: Pain Relieving | |||
Dosage4.5-12g |
Actions1. Dispels wind-dampness & relaxes the sinews: for wind-damp painful obstruction & cramping, especially in the extremitites. Can be used for conditions that are acute or chronic, cold or hot.2. Clear heat from deficiency: for yin deficiency patterns that manifest with fever, including steaming bone disorder. 3. Resolves dampness & reduces jaundice due to damp-heat, especially in acute cases & in infants. 4. Moistens the Intestines & unblocks the bowels: for dry constipation. This herb is commonly used to counteract the drying qualities of other herbs that dispel wind-dampness. |
MeridiansGallbladder, Liver, Stomach |
CautionsContraindicated in cases with frequent urination, or chronic pain with emaciation, or Spleen deficiency with diarrhea. Taking a relatively high dose can cause nausea & vomiting. |
Sang Zhi / Mulberry Twig | |||
---|---|---|---|
Taste: Bitter, Sweet • Temperature: Slightly Cold • Category: Dispel Wind-Damp-Heat • Sub Category: Channel & Collateral Opening | |||
Dosage10-30g |
Actions1. Dispels wind, unblocks the channels, & benefits the joints: for wind-damp painful obstruction, especially in the upper extremities.2. Also used for edema. |
MeridiansLiver |
CautionsNone. |
Hai Feng Teng / Kadsura Stem | |||
---|---|---|---|
Taste: Acrid, Bitter • Temperature: Slightly Warm • Category: Dispel Wind-Damp-Cold • Sub Category: Channel & Collateral Opening | |||
Dosage6-15g |
Actions1. Dispels wind-dampness & unblocks the channels: for wind-cold-damp painful obstruction with such symptoms as stiff joints, lower back pain, sore knees, & cramping of the muscles & sinews. Also for pain due to trauma.2. Disperses cold & alleviates pain: for epigastric & abdominal pain & diarrhea due to cold invading the Spleen & Stomach. |
MeridiansLiver |
CautionsNone |
Dang Gui / Angelica (Chinese) Root | |||
---|---|---|---|
Taste: Sweet, Acrid, Bitter • Temperature: Warm • Category: Tonic • Sub Category: Tonify Blood | |||
Dosage3-15g |
Actions1. Tonifies the blood & regulates the meses: for patterns of blood deficiency with such symptoms as a pallid, ashen complexion, tinnitus, blurred vision, & palpitations. Also very commonly used fro blood deficiency associated with menstrual disorders such as irregular menstruation, amenorrhea, dysmenorrhea, etc.2. Invigorates & harmonizes the blood & disperses cold: an important herb for stopping pain due to blood stasis. Commonly used for abdominal pain, traumatic injury, & carbuncles due to blood stasis, especially when there is also cold from deficiency. Also used in the treatment of blood deficiency with chronic wind-damp painful obstruction. 3. Moistens the Intestiones & unblocks the bowels: for dry Intestines due to blood deficiency. 4. Reduces swelling, expels pus, generates flesh, & alleviates pain: used in treating sores & abscesses where its ability to both tonify & invigorate the blood leads to improvement. |
MeridiansHeart, Liver, Spleen |
CautionsUse with caution in cases of diarrhea or abdominal distention due to damp obstruction. Contraindicated for yin deficiency with heat signs. |
Chuan Xiong / Lovage Root (Ligusticum) | |||
---|---|---|---|
Taste: Acrid • Temperature: Warm • Category: Regulate Blood • Sub Category: Invigorate Blood | |||
Dosage3-6g, up to 9g for irregular menstruation |
Actions1. Invigorates the blood & promotes the movement of qi: for any blood stasis pattern. This is an important herb in gynecology & is used for such problems as dysmenorrhea, amenorrhea, difficult labor, or lochioschesis. It is also indicated for patterns of stagnant qi & blood stasis with pain & soreness in the chest, flanks, & hypochondria.2. Expels wind & alleviates pain: a leading herb for any externally contracted wind disorder characterized by headache, dizziness, or painful obsstruction. Also used for a variety of skin problems caused by wind. 3. Headaches: moves the qi upward & alleviates pain. Depending with which other herbs it is combined, it can be used for headaches due to wind, heat, cold, or blood deficiency. |
MeridiansLiver, Gallbladder, Pericardium |
CautionsContraindicated in cases of yin deficiency with heat signs, headaches due to ascendant Liver yang, qi deficiency, or excessive menstrual bleeding. Vomiting & dizziness may occur from overdosage. May antagonize shan zhu yu & huang qi, may counteract hua shi & huang lian, & may be incompatible with li lu. |
Ru Xiang / Frankincense | |||
---|---|---|---|
Taste: Acrid, Bitter • Temperature: Warm • Category: Regulate Blood • Sub Category: Invigorate Blood | |||
Dosage3-9g |
ActionsHeart, Liver, Spleen |
MeridiansContraindicated during pregnancy. Use with caution in cases of Spleen deficiency. |
Cautions |
Mu Xiang / Saussurrea or Aucklandia Root | |||
---|---|---|---|
Taste: Acrid, Bitter • Temperature: Warm • Category: Regulate Qi • Sub Category: | |||
Dosage1.5-9g |
Actions1. Promotes the movement of qi & alleviates pain: for Speen or Stomach stagnant qi with such symptoms as lack of appetite, epigastric or abdominal pain or distention, nausea, & vomiting. Also used for stagnant Liver or Gallbladder qi with such symptoms as flank pain, distention, or soreness.2. Adjusts & regulates stagnant qi in the Intestines: for diarrhea & dysentric disrders, or for abdominal pain & tenesmus. Because of its slightly astringent property, this is a common herb for treatnig tenesmus. 3. Strengthens the Spleen & prevents stagnation: used with tonifying herbs to ameliorate their side effects. Especially useful when the transformative & transportive functions of the Spleen are weak. |
MeridiansGallbladder, Large Intestine, Spleen, Stomach |
CautionsContraindicated in cases of yin deficiency or depleted fluids. |
Rou Gui / Cinnamon, (inner bark) | |||
---|---|---|---|
Taste: Acrid, Sweet • Temperature: Hot • Category: Warm Interior & Expel Cold • Sub Category: | |||
Dosage1.5-4.5g, crush into small pieces before using, usually taken as powder, pill or tincture to avoid loss of volatile oils |
Actions1. Warms the Kidneys & fortifies the yang: for a wide variety of problems due to insufficiency of Kidney yang & waning of the gate of vitality. Common manifestations include aversion to cold, cold limbs, weak back, impotence, frequent urination. Also for waning of the Spleen & Kidney yang with abdominal pain & cold, reduced appetite, & diarrhea. Also important for wheezing due to the failure of the Kidneys to grasp the qi.2. Leads the fire back to its source: the principal herb for treating the upward-floating of the deficient yang. Manifestations include flushed face, wheezing, severe sweating (when the sweat pours out like oil), weak & cold lower extremities, & a deficient & rootless pulse. This patterns is called illusionary heat & true cold, or heat above/cold below. Also used for other conditions where the upper part of the body is hot (e.g., dry mouth, sore throat, or toothache that become worse at night) & the lower part is cold (e.g., lower back pain, cold lower extremities, diarrhea, weakness in the proximal position of the pulse). 3. Disperses deep cold, warms the channels, unblocks the channels & vessels, & alleviates pain: for deep cold causing qi stagnation or blood stasis. Associated problems include cold in the blood causing amenorrhea or dysmenorrhea, damp-cold painful obstruction, yin type boils (chronic sores that are usually concave & ooze a clear fluid), & abcesses or sores that do not heal. 4. Encourages the generation of qi & blood: with qi & blood tonics as an auxiliary herb for chronic deficiency of qi & blood. |
MeridiansHeart, Kidney, Liver, Spleen |
CautionsContraindicated in cases of yin deficiency with heat signs, interior excess heat, & the reckless movement of hot blood. Use with caution during pregnancy. |
Zhi Gan Cao / Licorice Root, honey-baked | |||
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Taste: Sweet • Temperature: Warm • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage2-12g |
Actions1. Tonifies the Spleen & augments the qi: commonly used for Spleen deficiency with shortness of breath, lassitude, & loose stools. Also for qi or blood deficiency patterns with an irregular or intermittent pulse & /or palpitations.2. Moistens the Lungs & stops coughing: for coughing & wheezing. Because of its neutral properties, it can be used for either heat or cold in the Lungs. 3. Clears heat & relieves fire toxicity: used raw for carbuncles, sores, or sore throat due to fire toxin. For this purpose, it can be taken internally or applied topically. 4. Moderates spasms & alleviates pain: for painful spasms of the abdomen or legs. 5. Moderates & harmonizes the characteristics of other herbs: by virtue of its sweet, neutral, & moderating properties, this herb moderates hot & cold herbs, & mitigates the violent properties of other herbs. Since it is said to enter all 12 primary channels, it can lead & conduct other herbs into the channels. 6. Used as an antidote for a variety of toxic substances, both internally & topically. 7. The raw root clears heat & relieves toxicity, the honey-fried tonifies the middle & moderates spasms. |
MeridiansAll 12 channels (principally the Heart, Lung, Spleen, & Stomach) |
CautionsContraindicated in cases of excess dampness, nausea, or vomiting. May be in compatible with jing da ji, yuan hua, gan sui, & hai zao, & may antagonize yuan zhi. The toxicity of gan cao is very low, but if taken long-term it may cause hypertension &/or edema. Glycyrrhetinic acid has been reported to cause a reduction in the activity of the thyroid & a reducation in the basal metabolic rate. |