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Juan Bi Tang #2276M

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Pin Ying Name: Juan Bi Tang

English Name: Remove Painful Obstruction Decoction

Chinese Name: 蠲痺湯

Herbs & Actions
Pharmaceutical Latin Pin Yin Dosage Actions
Rx. et Rz. Notopterygii Qiang Huo 3-10g

Releases the Exterior, disperses Cold, expels Wind-Cold-Dampness, unblocks painful obstruction (Bi), alleviates pain, increases joint mobility and guides Qi to the Tai Yang and DU channels.

With Du Huo, relieves pain in the upper and lower parts of the body.

Rx. Angelica Pubescentis Du Huo 3-10g

Releases the Exterior, dispels Wind-Cold-Dampness, opens the channels, vitalizes vessels and stops pain.

With Qiang Huo for joint pain and numbness.

Rx. Gentianae Macrophyllae Qin Jiao 3-10g

Clears Heat, expels Wind-Dampness, relaxes the sinews, clears Deficiency Heat and resolves Dampness.

With Sang Zhi, and Hai Feng Teng, expels Wind-Dampness.

Ram. Mori Sang Zhi 9-30g

Expels Wind, clears the channels, eases the joints, stops spasms and regulates water metabolism, especially useful for muscle spasms and painful obstruction of the upper extremities.

Caulis Piperis Kadsurae Hai Feng Teng 9-30g

Expels Wind-Damp, clears the channels, disperses Cold, stops pain - good for immobile joints.

With Gui Zhi for pain, impaired joint movement and spasms of the sinews due to Wind-Damp Bi.

Rx. Angelica Sinensis Dang Gui 6-10g

Nourishes Blood, invigorates and harmonizes Blood, disperses Cold and stops pain.

With Chuan Xiong, nourishes and invigorates Blood to subdue Wind and stop pain.

Rz. Chuanxiong Chuan Xiong 2-10g

Activates Blood, regulates Qi, expels Wind-Cold and stops pain.

Olibanum Ru Xiang 2.5-7.5g

Breaks up Blood Stagnation, invigorates the Blood, regulates Qi, relaxes the sinews, opens the channels, reduces swelling. and treats localized pain.

Rx. Aucklandiae Mu Xiang 2.5-10g

Moves Qi, revives the Spleen, dispels Dampness, improves fluid metabolism and sedates pain.

Ram. Cinnamomi Gui Zhi 1.5-10g

Releases External Wind-Cold from the muscle layer, harmonizes the Ying and Wei, warms the channels and collaterals, relieves pain, disperse, Cold, unblocks Yang and transforms Qi, warms and facilitates the flow of Yang Qi in the chest and warms and facilitates the flow of Blood through the vessels.

Cx. Cinnamomi Rou Gui 3g

Strengthens the Spleen and dries Dampness.

Rx. Glycyrrhizae Preparata Zhi Gan Cao 1.5-4.5g

Moderates and harmonizes the harsh properties of the other herbs and prevents injury to normal Qi.

Formula Actions
  • Removes Wind-Dampness
  • Disperses Cold
  • Eliminates Painful Obstruction
  • Circulates Qi and Blood
  • Stops pain
Syndromes
  • Wind-Cold-Damp Bi
  • Muscular atrophy due to Qi and Blood Stagnation
Clinical Manifestations
  • Joint pain, especially in the wrist, ankle, knee and elbow
  • Muscle pain
  • There may be numbness and heaviness in the limbs
  • The pain is worse with Cold and better with warmth
  • The pain is aggravated by Wind
  • The pain aggravated by Dampness
  • The pain is stabbing
  • Muscle weakness
  • Difficult movement
  • Numbness of the muscles and skin
  • Hemiplegia, especially of the upper limbs
  • The pain alleviated by movement
  • Slight muscle edema
  • Heaviness of the joints
  • Cold joints
  • Aversion to Cold
  • The pain worse at night
  • Local inflammation
  • Migratory pain
  • Deviation of the eyes and mouth
  • Spasm of the limbs
  • T: Slightly purple or purple spots
  • C: Thick and white
  • P: Slippery or Slightly superficial or slightly rough or Slow and Soft or Wiry and tight or Floating and wiry
Treats
  • Osteoarthritis
  • Rheumatoid arthritis
  • Gouty arthritis
  • Bursitis
  • Facial paralysis
  • Fibromyalgia
  • Numbness
  • Wei Syndrome
  • Hemilateral sweating
  • Neck pain and stiffness
  • Rheumatic arthritis
  • Chronic lumbago
  • Arthralgia
  • Stroke
  • Cerebral vascular accident
  • Paresthesia
  • Scapulohumeral periarthritis
  • Weakness
  • Frozen shoulder
Contraindications
  • Contraindicated for those with Damp-Heat in the channels.