Yibian
 Shen Yaozi 
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formulaAngelica Pain-Relieving Decoction Dang Gui Nian Tong Tang
sourceDongyuan
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bubble_chart Preparation and Dosage

Virgate Wormwood (Herba Artemisiae Scopariae) wine-fried
Notopterygium (Rhizoma et Radix Notopterygii)
Saposhnikovia Root (Radix Saposhnikoviae)
Cimicifuga Rhizome (Rhizoma Cimicifugae)
Pueraria Root (Radix Puerariae)
Atractylodes Rhizome (Rhizoma Atractylodis)
White Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae)
Liquorice Root (Radix Glycyrrhizae) roasted
Skullcap Root (Radix Scutellariae) wine-fried
Sophora (Radix Sophorae Flavescentis) wine-fried
Anemarrhena (Rhizoma Anemarrhenae) wine-fried
Chinese Angelica (Radix Angelicae Sinensis)
Polyporus (Polyporus)
Alisma (Rhizoma Alismatis)

Hollow service.

bubble_chart Efficacy

Dispelling wind to remove dampness, clearing heat to relieve pain.

bubble_chart Indications

  1. Dampness-heat contending, general joint pain and irritation, heavy shoulders and back, discomfort in the chest and diaphragm, swelling and pain in the lower legs, joint swelling and pain.
  2. All wind-dampness heat toxins, spreading sores and ulcers, pus and water continuously flowing, either painful or itchy, with a deep, solid, tight, rapid or slippery and moving pulse.

bubble_chart Formula Principles

This prescription is suitable for dampness-heat multiple abscess, arthralgia caused by limb joints, and sores and ulcers. In the prescription, Skullcap Root, clearing heat and drying dampness; Notopterygium, expelling wind and eliminating dampness, diffusing impediment to relieve pain; Chinese Angelica, nourishing blood and regulating blood; together serve as the monarch. Sophora, clearing heat and drying dampness; Atractylodes Rhizome, fortifying the spleen and drying dampness, combined with Skullcap Root to eliminate dampness from within; Virgate Wormwood, clearing heat and draining dampness; Alisma, Polyporus, promoting urination and draining dampness, these three herbs expel dampness through urination; these five herbs serve as the ministers. Saposhnikovia Root, Cimicifuga Rhizome, Pueraria Root paired with Notopterygium, expelling wind and eliminating dampness, dispersing dampness externally, and also diffusing impediment to relieve pain; Ginseng, tonifying qi, combined with Chinese Angelica to regulate and tonify qi and blood, harmonizing qi and blood to stop pain; White Atractylodes Rhizome, assisting Ginseng in tonifying qi and fortifying the spleen, to stabilize the middle earth; Anemarrhena, clearing heat and promoting fluid production, nourishing yin, also counteracting the dryness of Notopterygium, Saposhnikovia, and the two Atractylodes, these six herbs serve as the assistants, roasted Liquorice Root, comprehensive analysis of pulse and complexion, Atractylodes tonifying qi and fortifying the spleen, and harmonizing all the herbs, serves as the envoy.

bubble_chart Pattern Identification

  1. Swelling, pain, and heaviness in the joints of the lower limbs.
  2. Localized burning sensation.
  3. Swelling and pain in the lower legs with dark, blackish skin.
  4. Soreness, ulcers, swelling, and pain in the lower limbs.
  5. Deep, firm, tight, and rapid pulse.

bubble_chart Formula Modification

  1. Redness, swelling, heat, and pain: add Coptis Rhizome, Gypsum.
  2. Limb joint pain: add Cinnamon Twig, Peony Root.
  3. Skin itching and pain: add Lonicera, Forsythia.
  4. Various sores and swelling pain: combine with Tuoli Xiaodu Drink.
  5. Dampness-heat swelling and pain: combine with Coptis Detoxification Decoction.
  6. Women's menstrual disorders: combine with Four Ingredients Decoction.

bubble_chart Cautions and Contraindications

Use with caution for pain not caused by dampness-heat.

bubble_chart Modern Application

Chronic arthritis, lumbar muscle strain, wind-dampness arthritis, sciatica, rheumatoid arthritis, lower limb skin diseases, beriberi with swelling and pain, scabies, and various surgical sores with swelling and pain.

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