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Yibian
 Shen Yaozi 
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formulaMerridian-Relaxing and Blood-Invigorating Decoction
sourceWanbing Huichun
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bubble_chart Preparation and Dosage

Chinese Angelica (Radix Angelicae Sinensis)
Liquorice Root (Radix Glycyrrhizae)
Peony Root (Radix Paeoniae Alba)
Unprocessed Rehmannia RootYellow (Radix Rehmanniae Recens)
Atractylodes Rhizome (Rhizoma Atractylodis)
Achyranthes Root (Radix Achyranthis Bidentatae)
Dried Tangerine Peel (Pericarpium Citri Reticulatae)
Peach Kernel (Semen Persicae)
Chinese Clematis Root (Radix et Rhizoma Clematidis)
Sichuan Lovage Rhizome (Rhizoma Chuanxiong)
Stephania Tetrandra (Radix Stephaniae Tetrandrae)
Notopterygium (Rhizoma et Radix Notopterygii)
Dahurian Angelica (Radix Angelicae Dahuricae)
Gentian (Radix et Rhizoma Gentianae)
Poria (Poria)
Fresh Ginger Rhizome (Rhizoma Zingiberis)

bubble_chart Efficacy

Promotes blood circulation and relaxes muscles.

bubble_chart Indications

Pain like needles all over the body, especially severe in the left foot, worse at night and better during the day, and in women, consumptive disease due to blood coagulation.

bubble_chart Formula Principles

This formula is suitable for those with internal invasion of wind-dampness evil and stagnation of Jingmai. In the formula, Angelica, Chuanxiong, Peony, and Rehmannia Four Ingredients Decoction nourish and benefit yin-blood, nourish blood and harmonize the nutrient aspect, regulate blood and unblock collaterals, ensuring tonification without stagnation, and harmonizing nutrient-blood; Peach Kernel enters the liver meridian's blood aspect, serving as a key herb for breaking blood stasis and promoting blood circulation, enhancing the blood-activating effect; Saposhnikovia Root, Notopterygium, Dahurian Angelica, expel wind and eliminate dampness, dissipate cold to relieve pain; Stephania Tetrandra promotes urination and clears heat, expels wind and dredges collaterals to relieve pain; Atractylodes Rhizome, expels wind and eliminates dampness, dispels cold and releases the exterior; Chinese Clematis Root dispels wind and removes dampness, dredges collaterals and relieves pain, and can circulate through the twelve Jingmai; Gentian clears heat with bitter cold and drains dampness; Achyranthes Root invigorates blood to unblock meridians, relaxes tendons and benefits the joints, aiding in dredging collaterals and relieving pain; Dried Tangerine Peel, Poria, invigorate the spleen and resolve dampness; Fresh Ginger RhizomeLiquorice Root protects stomach qi and harmonizes the various herbs. Together, they achieve the effect of relaxing tendons and activating blood, dispelling wind and eliminating dampness to relieve pain.

bubble_chart Pattern Identification

  1. The whole body aches with a stabbing pain like needles.
  2. The left foot is especially severe.
  3. The pain is lighter during the day and heavier at night.

bubble_chart Formula Modification

  1. Phlegm retention: add Pineilia.
  2. Upper body and arm pain: add Cinnamon Twig, Turmeric.
  3. Lower body and foot pain: add Floweringqince Fruit, Akebia Stem, Phelloendron Bark, Coix Seed.
  4. Qi deficiency: add Ginseng, White Atractylodes Rhizome, Tortoise Carapace.
  5. Blood deficiency: double Four Ingredients Decoction and add Donkey-hide Gelatin, Salvia, ginger juice.

bubble_chart Cautions and Contraindications

Use with caution in cases of spleen-stomach weakness or absence of blood stasis.

bubble_chart Modern Application

Wind-dampness arthritis, rheumatoid arthritis, ankylosing spondylitis, sciatica, gouty arthritis, mononeuritis of the lower limb, lumbar sprain.

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