bubble_chart Efficacy

Warming the meridians and dissipating cold, dispelling dampness and relieving pain.

bubble_chart Indications

Wind-cold-dampness impediment, multiple abscesses on hands and feet, pain, numbness, difficulty in stretching and bending, joint pain and discomfort.

bubble_chart Formula Principles

The Classic states: "When wind, cold, and dampness qi mix together, they combine to form bi (painful obstruction)." This formula is derived from Ephedra plus Atractylodes Decoction by removing Bitter Apricot Seed and adding Chinese Angelica and Peony Root. In the formula, Coix Seed is sweet, bland, and slightly cold, fortifying the spleen and disinhibiting water, and is the sovereign herb for dispelling dampness and relieving bi; Ephedra and Cinnamon Twig, releasing the exterior with pungent-warm properties, dispel wind and dissipate cold to relieve pain, serving as the minister herbs; Atractylodes Rhizome is pungent and warm, drying dampness and assisting in dispelling wind and dissipating cold; Chinese Angelica and Peony Root nourish blood and regulate blood, alleviating urgency and pain, and also embody the principle of treating wind by first treating blood, serving as assistant herbs; Fresh Ginger Rhizome is pungent and warm, dispelling cold and releasing the exterior, strengthening the stomach to enhance the efficacy of the formula; roasted Liquorice Root harmonizes the various herbs as the envoy, and when paired with Peony Root, sour and sweet transform into yin, preventing the excessive dispersion of Ephedra and Cinnamon Twig while enhancing the ability to alleviate urgency and pain. Together, they achieve the effects of warming the meridians and dissipating cold, eliminating dampness to relieve pain.

1. Bi disease is biased towards dampness.
2. Joint swelling, pain, and discomfort with difficulty in flexion and extension.

bubble_chart Formula Modification

1. Heat and pain: add Phelloendron Bark, Anemarrhena.
2. Fear of cold and severe pain: add Aconite Lateral Root, Earthworm.
3. Severe swelling due to dampness: add Stephania Tetrandra, Peach Kernel, Poria.

bubble_chart Cautions and Contraindications

1. This prescription is not suitable for those with heat arthralgia.
2. Use with caution in cases of spleen-stomach weakness and insufficient healthy qi.

bubble_chart Modern Application

Wind-dampness arthritis, rheumatoid arthritis, muscle wind-dampness, pulmonary edema, pleuritis, chronic nephritis, beriberi.