bubble_chart Efficacy

Nourish blood, dispel cold, warm the meridians, and promote circulation.

bubble_chart Indications

1. Yang qi deficiency combined with blood deficiency, accompanied by an external contraction pattern of pathogenic cold. Reversal cold of hands and feet, or localized cyanosis, pale tongue with white coating, deep and thin pulse.
2. Pathogenic cold invading the meridians, causing pain and numbness in the waist, legs, thighs, and feet.

bubble_chart Formula Principles

This formula is commonly used for nourishing blood to restore pulsation, suitable for syndromes of blood deficiency and insufficient yang qi with exposure to cold pathogens. This formula is derived from Cinnamon Twig Decoction by removing Fresh Ginger Rhizome and doubling Chinese Date, and adding Chinese Angelica, Asarum, and Akebia Stem. In the formula, Chinese Angelica is bitter, pungent, and warm, invigorating blood and nourishing blood, and when combined with Peony Root, it is effective in tonifying blood deficiency and nourishing the nutritive qi. Cinnamon Twig is pungent, sweet, and warm, warming the meridians and dissipating cold, and when combined with Asarum, it is effective in dispelling cold pathogens both internally and externally. The sweet and neutral Liquorice Root and Chinese Date tonify qi and strengthen the spleen, assisting Cinnamon Twig and Asarum in promoting yang. Akebia Stem unblocks the meridians, ensuring that yin blood is replenished, cold pathogens are expelled, yang qi is invigorated, the meridians are unblocked, the hands and feet become warm, and all symptoms gradually subside.

1. reversal cold of hands and feet.
2. Pain and numbness in the lower back and legs.
3. Pale tongue with white coating.
4. Deep and thin pulse.

bubble_chart Formula Modification

1. Menstrual irregularities, lower abdominal cold pain: add Mugwort, Cyperus.
2. Cold abdominal colic, testicular pulling pain: add Lindera, Fennel.
3. Vertex headache, vomiting with frothy saliva: add Evodia Fruit, Fresh Ginger Rhizome.
4. Numbness of skin: add Astragalus Root.
5. Chest impediment pain: add Typha, Sanqi, Salvia.
6. Lumbar and leg pain: add Achyranthes Root, Eucommia Bark.

bubble_chart Cautions and Contraindications

Heat reversal caused by yang qi stagnation is not suitable for this formula.

bubble_chart Modern Application

This formula enhances blood circulation and reduces inflammation. It is used for thromboangiitis obliterans, neurovascular headache, scapulohumeral periarthritis, arthralgia, sciatica, gastric and duodenal ulcers, chronic urticaria, Raynaud's disease, cardiac colicky pain, myocardial infarction, frostbite disease, palmar keratoderma, and digital gangrene.