Yibian
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formulaUpper, Middle and Lower Applicable Gout Pill Shang Zhong Xia Tong Yong Tong Feng Wan
sourceDanxi
smart_toy
bubble_chart Preparation and Dosage

Phellodendron bark (Cortex Phellodendri) wine-fried 2 liǎng
Atractylodes Rhizome (Rhizoma Atractylodis) washed 2 liǎng
Southern Star (Rhizoma Arisaematis) ginger prepared 2 liǎng
Medicated Leaven (Massa Medicata Fermentata) stir-fried 1 liǎng
Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 1 liǎng
Peach Kernel (Semen Persicae) peeled and de-pointed pounded 1 liǎng
Gentian (Radix et Rhizoma Gentianae) downward 1 liǎng
Stephania Tetrandra (Radix Stephaniae Tetrandrae) downward 1 liǎng
Dahurian Angelica (Radix Angelicae Dahuricae) 1 liǎng
Notopterygium (Rhizoma et Radix Notopterygii) 3 qián
Chinese Clematis Root (Radix et Rhizoma Clematidis) wine-mixed uplink and downlink 3 qián
Cinnamon Twig (Ramulus Cinnamomi) transverse branch 3 qián
Carthamus (Flos Carthami) 2 qián

Flour and water paste pill.

bubble_chart Efficacy

Dispelling wind, removing dampness, promoting blood circulation, and clearing heat.

bubble_chart Indications

The evidence of pain wind varies, including cold, warm, heat, phlegm, and blood, causing general or localized pain and burning heat. This prescription treats all of them.

bubble_chart Formula Principles

This prescription is a general remedy for arthralgia and pain caused by wind, with effects of reducing inflammation, clearing heat, relieving fever and pain, invigorating the blood to unblock collaterals, and dispersing to alleviate pain. In the prescription, Cinnamon Twig, Notopterygium, Stephania Tetrandra, and Chinese Clematis Root can relieve fever and pain; Sichuan Lovage Rhizome, Peach Kernel, Carthamus, invigorate the blood to unblock meridians and collaterals; Dahurian Angelica can dispel wind pathogens from the face; Gentian and Phelloendron Bark can reduce inflammation and clear heat; Nanxing eliminates phlegm and relieves pain; Medicated Leaven promotes digestion to harmonize the middle; Atractylodes Rhizome dries dampness. The combination of these herbs can circulate through the upper, middle, and lower parts of the body, hence the name.

bubble_chart Pattern Identification

  1. Externally affected by cold-dampness.
  2. Internally accompanied by phlegm-heat.
  3. Generalized arthralgia.
  4. Numbness and paralysis of the hands and feet.
  5. Painful wind with elevated uric acid.

bubble_chart Formula Modification

  1. wind-cold damp pain: add Saposhnikovia Root, Pubescent Angelica.
  2. blood deficiency bi pain: add Chinese Angelica, Peony Root.
  3. qi deficiency aching pain: add Astragalus Root, Ginseng.
  4. wind-cold pain: combine Ephedra Decoction.
  5. damp phlegm pain: combine Two Old Ingredients Decoction.
  6. damp swelling pain: add Coix Seed, Poria.

bubble_chart Modern Application

Gouty arthritis, acute and chronic arthritis, rheumatic arthritis, lumbago and backache, numbness of hands and feet, beriberi bone pain, wind-dampness bone pain, neuralgia.

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