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Yibian
 Shen Yaozi 
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formula nameAstragalus and Cinnamon Twig Five Ingredients Decoction
aliasAstragalus Five-Ingredient Decoction
sourceShanghan Zabing Lun
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bubble_chart Preparation and Dosage

Astragalus Root (Radix Astragali seu Hedysari) 9gm (3 qián)
Peony Root (Radix Paeoniae Alba) 9gm (3 qián)
Cinnamon Twig (Ramulus Cinnamomi) 9gm (3 qián)
Fresh Ginger Rhizome (Rhizoma Zingiberis) 18gm (6 qián)
Chinese Date (Fructus Jujubae) 12 pieces

Take six sheng of water, boil until reduced to two sheng, take seven ge warm, three times a day.

bubble_chart Efficacy

Warming the meridians, harmonizing the nutrient qi, and unblocking obstruction.

bubble_chart Indications

The evidence of blood impediment, with both yin and yang being weak, cus kou slightly weak at the guan position, and slightly tight at the chi position, with external symptoms of body numbness, resembling the state of migratory impediment.

bubble_chart Formula Principles

This prescription is mainly used to treat blood impediment syndrome, characterized primarily by muscle numbness or accompanied by mild aching pain, with a slightly astringent and tight pulse, and blood circulation disorders, resembling the symptoms of migratory impediment. This prescription is the Cinnamon Twig Decoction with Liquorice Root removed, doubled Fresh Ginger Rhizome, and added Astragalus Root. In the prescription, Astragalus Root tonifies qi and promotes blood circulation; Cinnamon Twig reaches both the muscles and the blood aspect, invigorating blood and harmonizing the nutrient aspect, as well as expelling wind and dredging collaterals. The combination of Astragalus Root and Cinnamon Twig not only tonifies qi and invigorates blood but also dispels wind and relieves impediment, mutually assisting each other; Peony Root is sour and cold, nourishing blood and astringing yin, paired with Cinnamon Twig to invigorate blood and unblock collaterals, while Cinnamon Twig with Peony Root dispels wind without causing dryness; Fresh Ginger Rhizome and Chinese Date are pungent and sweet, stimulating spleen yang and nourishing the source of qi and blood generation and transformation.

bubble_chart Pattern Identification

  1. Paralysis or numbness of a single upper limb or half of the body.
  2. The pulse is faint, rough, and tight.

bubble_chart Formula Modification

  1. Weak hands: double Cinnamon Twig.
  2. Weak feet: add Achyranthes Root.
  3. Sore waist: add Eucommia Bark.
  4. Weak tendons: add Floweringqince Fruit.
  5. Weak bones: add tiger bone.
  6. Deficiency of original qi: add Ginseng.
  7. Deficiency of yang qi: add Aconite Lateral Root.
  8. Left hemiplegia: add Chinese Angelica.
  9. Right hemiplegia: double Astragalus Root.
  10. Numbness of the body: add Chinese Angelica, Saposhnikovia Root.
  11. Pain in the limbs: add White Atractylodes Rhizome, Stephania Tetrandra.
  12. Sore waist and knee pain: add Achyranthes Root, Eucommia Bark.
  13. Pain due to blood impediment: combine with Four Ingredients Decoction.
  14. Pain due to migratory impediment: combine with Life-Prolonging Decoction.
  15. Rhinitis with runny nose: add Magnolia, Saposhnikovia Root, american ginseng, Schisandra Fruit, Smoked Plum.
  16. Severe cold: add Asarum, Dried Ginger.

bubble_chart Modern Application

This formula enhances blood circulation and reduces inflammation. It is used for sequelae of wind stroke, poliomyelitis, paralysis of the limbs, malnutrition, sciatica, scapulohumeral periarthritis, upper limb neuritis, peripheral circulatory disorders, and arthritis resembling wind-dampness.

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