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Han Shi Bi Tang寒湿痹汤

Cold-Damp Rheumatism Decoction

Medicinals
13

Composition

  • Zhi Chuan WuRx. Aconiti Preparata6 g

    Expels Wind-Dampness, disperses Cold, Warms and activates the channels and stops pain.

    eliminates Wind, Cold and Dampness and alleviates pain.
  • Zhi Cao WuRx. Aconiti Kusnezoffii Preparata6 g

    Strongly expels Wind-Dampness, disperses Cold, Warms and activates the channels and stops pain.

  • Gui ZhiRam. Cinnamomi10 g

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

    circulates Qi and eliminates Blood Stasis.
  • Wei Ling XianRx. Clematidis20 g

    Dispels Wind-Dampness, opens the channels, alleviates pain, reduces Phlegm and regulates urination.

    for Wind-Damp Bi causing joint pain, especially in the upper joints.
    for Wind-Damp Bi causing joint pain, especially in the lower joints.
  • Hai Feng TengCaulis Piperis Kadsurae20 g

    Dispels Wind-Dampness, unblocks the channels, disperses Cold and stops pain.

    for pain, impaired joint movement and spasms of the sinews due to Wind-Damp Bi.
    for Wind-Damp-Bi causing pain, spasms and numbness.
  • Qiang HuoRx. seu Rz. Notopterygii10 g

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

  • Qin JiaoRx. Gentianae Macrophyllae10 g

    Expels Wind-Dampness, relaxes the sinews and resolves Dampness.

  • Chuan Niu XiRx. Cyathulae12 g

    Expels Wind, drains Dampness , invigorates the channels, invigorates the Blood and eliminates Blood Stasis.

  • Cang ZhuRz. Atractylodes6 g

    Strongly dries Dampness, tonifies the Spleen, induces sweating expels, Wind-Dampness and clears Dampness from the Lower *Jiao.*

  • Chuan Shan JiaSquama Manitis10 g

    Invigorates the Blood, dispels Blood Stasis, reduces swelling, expels Wind-Dampness from the channels, resolves Phlegm and moves Qi.

  • Gu Sui BuRz. Drynariae10 g

    Strengthens sinews and bones, tonifies Kidney Yang, stops pain and invigorates Blood.

  • Mu GuaFr. Chaenomelis10 g

    Relaxes the sinews (increases Qi and Blood circulation), unblocks the channels and transforms Dampness.

    eliminates Dampness, harmonizes the collaterals and strengthens the tendons.
  • Han Fang JiRx. Stephaniae Tetrandrae10 g

    Expels Wind-Dampness, alleviates pain, promotes urination, calms the Stomach, reduces edema and strengthens Kidney functions.

Actions

  • Warms the meridians
  • Expels Cold
  • Removes Dampness
  • Calms pain

Patterns treated

  • A Fixed pattern of Bi — (Zhuo Bi) — also known as Damp Bi
  • Bi from Wind, Cold and Damp in which Dampness predominates (Shi Bi)

Manifestations

  • Pain in the muscles
  • Pain affecting the joints
  • Pain in the neck
  • Pain in the lower back
  • Pain accompanied by a feeling of Cold
  • Pain accompanied by a sensation of heaviness
  • Pain that worsens in cold weather
  • Pain that worsens in damp weather
  • Restricted movement of the joints
  • Stiffness in the joints
  • Deformity of the joints
  • Pain that remains in a fixed location
  • Numbness of the muscles
  • Pain that eases with warmth
  • A heavy sensation in the limbs
  • A purplish tint over the affected areas
  • A heavy sensation in the head
  • Possibly edema of the extremities
  • Possibly a stifling feeling in the chest
  • Possibly distention of the abdomen
  • Possibly poor digestion
  • Possibly loose, watery stools
  • Possibly a loss of appetite
Tongue body
Somewhat purplish and enlarged, or Pink, or Pale
Coating
A coating that is white with a greasy quality
Pulse
Unhurried, moderate and soft, or Wiry, or Slippery

Indications

  • Diseases of a rheumatic nature
  • Arthritis of rheumatic origin
  • Degenerative joint disease
  • Arthritis of the rheumatoid type
  • Periarthritis affecting the shoulder
  • Arthritis caused by gout
  • Presence of edema
  • Pain localized to the neck
  • Muscle pain of rheumatic origin
  • Rheumatism affecting the muscles
  • Degenerative joint disease of the lumbar spine
  • Sciatic nerve pain
  • Degenerative changes of the lumbar spine joints
  • Pain in the lower back region
  • Pain located in a joint

Modifications

Cautions

  • This formula is contraindicated in patients presenting Damp-Heat Accumulation.
  • This formula is contraindicated in patients presenting Heat Accumulation.
  • This formula is contraindicated in patients with Yin Deficiency.
  • This formula is contraindicated in patients with deficiencies of both Qi and Blood.