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Tonify the Yang to Restore the Five Organs Decoction

Chinese Prescription: Bu Yang Huan Wu Tang

English Translation: Tonify the Yang to Restore the Five Organs Decoction

Formula Type: Invigorate the Yang and Dispel Blood Stasis

Actions: Tonifies the qi, invigorates the blood, & unblocks the channels.

Indications: Sequelae of wind-stroke including hemiplegia, paralysis, & atrophy of the lower limbs, facial paralysis, slurred speech, drooling, dry stols, urinary frequency or incontinence, a white tongue coating, & a moderate pulse. The source text also prescribes the formula for atrophy disorders with the same underlying mechanism. This is qi deficiency leading to blood stasis obstructing the channels.

Contraindications: Because this formula breaks up & eliminates blood stasis, it is contraindicated immediately after a stroke when the cause is cerebral hemorrhage. Until the etiology is established & cerebral hemorrhage has been ruled out, one should refrain from using this formula. Physician Zhang Xi-Chun argues that it should only be used if pulse is empty & forceless. It is therefore contraindicated in wind-stroke patients who have a big & forceful or firm, wiry, & forceful pulse, or in cases of yin deficiency & hot blood, or during pregnancy. Before using this formula, make sure that the patient has regained clear consciousness, the body temperature is normal, there is no hemorrhage, & the pulse is moderate. Herbal therapy may be required long-term, as its effects are generally slow & incremental.

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