Wind Cold Damp Impediment Pattern
MAIN SYMPTOMS: A cool sensation, heaviness, and pain in the low back and buttock area, difficulty turning the waist due to this pain, impaired walking, worsening of pain due to damp, cold, or simply changing weather, possible slimy tongue fur, and a deep, slow pulse
TREATMENT PRINCIPLES: Course wind and scatter cold, eliminate dampness and stop pain
Rx: Juan Bi Tang Jia Jian (Alleviate Impediment Decoction with Additions & Subtractions)
| Ingredients: | |
| SangZhi (Ramulus Mori) | 15g |
| Hai Feng Teng (Caulis Piperis Kadsurae) | 12g |
| Qin Jiao (Radix Gentianae Macrophyllae) | 12g |
| Dang Gui (Radix Angelicae Sinensis) | 12g |
| Du Zhong (Cortex Eucommiae ) | 12g |
| Qiang Huo (Radix Et Rhizoma Notopterygii) | 9g |
| Du Huo (Radix Angelicae Pubescentis) | 9g |
| Chuan Xiong (Rhizoma Chuanxiong) | 9g |
| Ru Xiang (Olibanum) | 9g |
| Chuan Niu Xi (Radix Cyathulae) | 9g |
| Gui Zhi (Ramulus Cinnamomi) | 6g |
| Mu Xiang (Radix Auklandiae) | 6g |
| mix-fried Gan Cao (Radix Glycyrrhizae) | 3g |
Analysis OF FORMULA: Sang Zhi, Hai Feng Teng, Qin Jiao, Qiang Huo, Du Huo, Chuan Xiong, and Gui Zhi together course wind and scatter cold, eliminate dampness and stop pain. Du Zhong courses and eliminates wind dampness and stregnthens the low back and reinforces the thigh area. Dang Gui, Chuan Xiong, Chuan Niu Xi, and Ru Xiang quicken the blood and transform stasis, free the flow of the network vessels and stop pain. Mu Xiang moves the qi to help quicken the blood and stops pain. In addition, Du Huo and Chuan Niu Xi lead the other medicinals to the lower part of the body.
ADDITIONS & SUBTRACTIONS: If there is a severe cold sensation in the affected area, add nine grams each of Zhi Fu Zi (Radix Lateralis Praeparatus Aconiti Carmichaeli) and Ma Huang (Herba Ephedrae). If there is restricted movement of the lower limbs, add 12 grams each of Hai TongPi (Cortex Erythiniae) and XiXian Cao (Herba Siegesbeckiae). For concomitant qi vacuity, add 15 grams of Huang Qi (Radix Astragali) and 12 grams of Dang Shen (Radix Codonopsitis). If there is concomitant blood vacuity, add 12 grams each of Bai Shao (Radix Paeoniae Albae) and Shu Di (cooked Radix Rehmanniae). For concomitant liver blood-kidney yang vacuity, add nine grams each of Wu Jia Pi (Cortex Acanthopanacis), Yin Yang Huo (Herba Epimedii), and Baji Tian (Radix Morindae Officinalis). For concomitant liver blood-kidney yin vacuity, add 12 grams each of Sang Ji Sheng (Herba Taxilli) and Shu Di (cooked Radix Rehmanniae) and replace Chuan Niu Xi with Niu Xi (Radix Achyranthis Bidentatae).
Acupuncture & moxibustion: Bilateral Qu Chi (LI 11) and Yin Ling Quan (Sp 9), Zhi Bian (Bl 54), Wei Zhong (Bl 40), and any locally tender a shi points on the affected side
ANALYSIS OF FORMULA: Draining Qu Chi and Yin Ling Quan is a special combination for coursing wind, scattering cold, eliminating dampness, and stopping pain wherever there is impediment pain. Draining Zhi Bian and Wei Zhong courses and eliminates wind and dampness, diffuses impediment and frees the flow of the network vessels in the affected area as do any local a shi points. Draining method and moxibustion should be used for all points.
Additions & subtractions: For pain radiating to the lateral part of the leg, add Yang Ling Quan (GB 34) and Xuan Zhong (GB 39). For pain radiating to the posterior part of the calf, add Cheng Shan (Bl 57). For pain in the lateral part of the foot, add Kun Lun (Bl 60) and Ba Feng (M-LE-8).
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