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Wu Fu Ma Xin Gui Jiang Tang烏附麻辛桂姜汤

Decoction of Aconite, Ephedra, Asari, Cinnamon and Dried Ginger

Medicinals
7

Composition

  • Zhi Chuan WuRx. Aconiti Preparata10 g

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

  • Zhi Fu ZiRx. Aconiti Lateralis Preparata10 g

    Disperses Cold and Dampness, warms the channels and stops pain.

    strengthens its actions of fortifying Qi and benefiting the Yang.
    disperses Cold and stops pain.
  • Gan JiangRz. Zingiberis10 g

    Dispels Wind-Dampness seeping into the Lower *Jiao and warms the channels*.

    for Cold-Damp Bi.
  • Ma HuangHb. Ephedrae6gt

    Induces sweating, releases the Exterior, promotes urination, reduces edema and warms and disperses Cold pathogens.

    for Wind-Cold Bi.
    for Exterior Wind-Cold with underlying Yang Deficiency.
  • Xi XinHb. cum Rx. Asari3 g

    Disperses Wind-Cold and Internal Cold and alleviates pain.

    • Ma Huang
    alleviates Wind-Cold-Damp Bi pain.
    for Wind-Damp-Cold Bi with spasms of the joints and intolerable pain.
  • Gui ZhiRam. Cinnamomi6 g

    Releases the Exterior, assists Yang, adjusts the Ying and Wei, releases the muscle layer, warms the channels and collaterals to relieve pain and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels.

    • Ma Huang
    for Wind-Cold-Damp Bi.
    for chills and painful extremities due to Yang Deficiency with Wind-Cold-Damp Bi.
  • Gan CaoRx. Glycyrrhizae6 g

    Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

Actions

  • Acts to warm the Channels
  • Acts to dispel Wind, Cold and Damp

Patterns treated

Wind-Cold-Damp, in which Cold predominates

Manifestations

  • Intense pain in the toes accompanied by cold
  • A pronounced dislike of Cold
  • Coldness of the extremities
  • Restricted toe movement when the pain is severe
  • Severe, sharp, stabbing pain in the joints
  • Pain eased by warmth and worsened by Cold
  • Pain that remains in a fixed location
  • Only a small number of joints are affected
  • The joints are unable to flex or extend
  • No redness or Heat present locally
  • Pain that intensifies at night and eases during the day
  • The affected area often feels cold when touched
  • Pain chiefly involves the lower back and lower limbs
  • Pain that is intense yet brief
  • Pain that shifts over the course of days or weeks
  • Joint ankylosis, i.e. stiffness
  • A marked aversion to cold conditions
  • Chills with a mild fever may occur
  • A lack of sweating
  • Frequent urination at night
Tongue body
Pink, or alternatively Pale
Coating
Thin and white, though thicker than is seen in Wind-Bi
Pulse
A pulse that is superficial and tight, or wiry and tight, or deep, tight and slow

Indications

  • Pain localized to the toes
  • An obstruction pattern characterized by pain
  • A diagnosis of Gout

Modifications