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Chinese Angelica Pain-Alleviating Decoction

Chinese Angelica Pain-Alleviating DecoctionFormula Image

Chinese Angelica Pain-Alleviating Decoction
ChiefQiang Huo
    • disperses wind by being acrid
    • overcomes dampness by being bitter and dry
    • effective for relieving arthralgia and pain
This combination eliminates dampness and scatters the wind, clears heat and relieves pain.
ChiefYing Chen
    • clears heat and drains dampness
This combination eliminates dampness and scatters the wind, clears heat and relieves pain.
DeputyZhu Ling
    • promote urination and percolate dampness
This combination improves the power of the chief to remove dampness, scatter wind and clear heat.
DeputyZe Xie
    • promote urination and percolate dampness
This combination improves the power of the chief to remove dampness, scatter wind and clear heat.
DeputyHuang Qin
    • clear heat and dry dampness
This combination improves the power of the chief to remove dampness, scatter wind and clear heat.
DeputyKu Shen
    • clear heat and dry dampness
This combination improves the power of the chief to remove dampness, scatter wind and clear heat.
DeputyFang Feng
    • release the exterior and scatter wind
This combination improves the power of the chief to remove dampness, scatter wind and clear heat.
DeputySheng Ma
    • release the exterior and scatter wind
This combination improves the power of the chief to remove dampness, scatter wind and clear heat.
DeputyGe Gen
    • release the exterior and scatter wind
This combination improves the power of the chief to remove dampness, scatter wind and clear heat.
AssistantBai Zhu
    • dry dampness and fortify the spleen
    • transform and transport the water-dampness
AssistantCang Zhu
    • dry dampness and fortify the spleen
    • transform and transport the water-dampness
AssistantRen Shen
    • boost qi and nourish blood
AssistantDang Gui
    • boost qi and nourish blood
AssistantZhi Mu
    • clears heat and nourishes yin
    • prevents yin impairment caused by bitter-dry medicinals
    • dispels pathogens but does not hurt the body
EnvoyZhi Gan Cao
    • harmonizes the other medicinals

Chinese Angelica Pain-Alleviating DecoctionPrescription Information

Name
Chinese Angelica Pain-Alleviating Decoction
Chinese Name

当归拈痛汤

Classification

Dampclearing formulas

Combination
Notopterygii Rhizoma et Radix (Qiang Huo) 0.5 liang (15g), Saposhnikoviae Radix (Fang Feng) 3 qian (9g), Cimicifugae Rhizoma (Sheng Ma) 1 qian (3g), Puerariae Lobatae Radix (Ge Gen) 2 qian (6g), Atractylodis Macrocephalae Rhizoma (Bai Zhu) 1 qian (3g), Atractylodis Rhizoma (Cang Zhu) 3 qian (9g), Angelicae Sinensis Radix (Dang Gui) 3 qian (9g), Ginseng Radix et Rhizoma (Ren Shen) 2 qian (6g), Glycyrrhizae Radix et Rhizoma (Gan Cao) 5 qian (15g), Sophorae Flavescentis Radix (Ku Shen soaked with wine) 2 qian (6g), Scutellariae Radix (Huang Qin dry-fried) 1 qian (3g), Anemarrhenae Rhizoma (Zhi Mu) 3 qian (9g), Artemisiae Scopariae Herba (Yin Chen fried with wine) 5 qian (15g), Polyporus (Zhu Ling) 3 qian (9g), Alismatis Rhizoma (Ze Xie) 3 qian (9g)
Method
Prepare as a decoction.
Action
Drains dampness and clears heat, scatters wind and relieves pain.
Indication
Dang Gui Nian Tong Tang is indicated for patterns that arise due to a conflict between dampness and heat with concurrent external wind contraction. The symptoms are aching pain of limbs and joints, heavy sensation of the shoulder and back, swelling and pain of the feet, sores on the feet and knees. The tongue coating is white and greasy mixed with yellow and the pulse is wiry and rapid.
Pathogenesis
Dang Gui Nian Tong Tang is applied to the complex pattern of wind-damp-heat with dominant dampness due to either internal damp-heat accumulation with external wind contraction or wind-dampness that has transformed into heat. Pathogenic wind, dampness, and heat accumulation in the channels block qi and blood movement. This condition manifests aching pain of limbs and joints. The heavy sensation of shoulders and back is caused by the dominant dampness. Damp-heat pouring downward gives rise to swelling and pain in the feet as well as sores on the feet and knees. Mixed white and yellow, greasy coating and the wiry and rapid pulse are signs of damp-heat. The therapeutic methods are to eliminate dampness as priority and clear heat and scatter wind to relieve pain secondarily.
Application
1. Essential pattern differentiation Dang Gui Nian Tong Tang is the common formula for wind-damp-heat bi and jiao qi (腳氣) due to damp-heat with excessive dampness. This clinical pattern is marked by pain, heaviness, and swelling of limbs and joints, mixed white and yellow, greasy tongue coating, rapid pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of damp-heat accumulation with exterior pattern: rheumatic arthritis and rheumatoid arthritis.
Additonal formulae
Xuan Bi Tang (Painful Obstruction Resolving Decoction 宣痹湯)
Remark
Ginseng ( Panax ginseng ) is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls.
Source
《Origins of Medicine》Yi Xue Qi Yuan《醫學啟源》

Chinese Angelica Pain-Alleviating DecoctionFormulation composition herbal medicine

Agaric

Agaric

Polyporus
Functions：Promotes urination, leaches out dampness. Apply to difficulty in micturition, edema, diarrhea, strangury, vaginal discharge.
Common Anemarrhena

Common Anemarrhena

Anemarrhenae Rhizoma
Functions：Clears heat, drains fire, engenders fluid, moistens dryness. Apply to exterior heat diseases, high fever and polydipsia, lung heat with cough, stomach heat and diabetes, dryness of lung and cough, constipation due to dry intestines, bone steaming and hot flashes.
Oriental Waterplantain Tuber

Oriental Waterplantain Tuber

Alismatis Rhizoma
Functions：Promotes urination, percolates dampness, drains heat, frees strangury. Apply to difficulty in urination, difficulty and pain while urinating induced by pyretic stranguria, edema and tumescence, diarrhea, dizziness induced by phlegm and retained fluid and emissions. Leaves: consumptive disease, cough, infrequent lactation, swellings and sores.
Capillary Wormwood Herb

Capillary Wormwood Herb

Artemisiae Scopariae Herba
Functions：Clears heat, promotes urination, reduces jaundice. Apply to jaundice, difficulty in urination, damp sores and pruritus, infectious hepatitis with jaundice.
Skunk Bugbane Rhizome

Skunk Bugbane Rhizome

Cimicifugae Rhizoma
Functions：Resolves the exterior, vents rashes, clears heat, resolves toxin, raises yang qi. Apply to wind-heat headache, toothache, mouth sore, throat swelling pain, measles does not outthrust, spots due to yang toxin, rectal prolapse, prolapse of uterus.
Ginseng Root

Ginseng Root

Ginseng Radix et Rhizoma
Functions：Greatly supplements original qi, restores the pulse, secures desertion, supplements the spleen, benefits the lung, engenders body fluids, stops thirst, quiets the spirit, promotes intelligence. Apply to complete exhaustion due to physical weakness, cold limbs and weak pulse, poor appetite due to splenic deficiency, coughing with asthma due to pulmondeficiency, hydrodipsia due to depletion of body fluids, feverish dysphoria and diabetes, deficiency and weakness due to invalidism, palpitation and insomnia, impotence and uterus cold, cardiac failure, cardiogenic shock.
Incised Notopterygium Rhizome and Root

Incised Notopterygium Rhizome and Root

Notopterygii Rhizoma et Radix
Functions：Disperses exterior cold, dispels wind damp, promotes joints, stops pain. Apply to exterior wind cold, headache without sweating, wind-cold and damp impediment, wind edema, sore and ulcer swelling toxin.
Lightyellow Sophra Root

Lightyellow Sophra Root

Sophorae Flavescentis Radix
Functions：Clears heat, dries dampness, dispels wind, kills worms. Apply to diarrhea due to damp heat, hematochezia due to intestine wind, jaundice, dysuria, edema, vaginal discharge, vaginal itch, abscess and tinea, lepra, skin itch, sore with damp toxin.
Baikal Skullcap Root

Baikal Skullcap Root

Scutellariae Radix
Functions：Clears heat, dries dampness, drains fire, resolves toxin, stops bleeding, calms fetus, reduces blood pressure. Apply to damp-warm diseases, chest retention and vomiting due to summer-warm, retention and fullness due to damp and heat, diarrhea, jaundice, cough with lung heat, polydipsia with high fever, hematemesis and non-traumatic hemorrhage due to blood heat, abscess and sore toxin, fetal movement.
Lobed Kudzuvine Root

Lobed Kudzuvine Root

Puerariae Lobatae Radix
Functions：Resolves exterior, abates heat, engenders fluid, outthrusts measles, raise yang, relieves diarrhea. Apply to fever and headache caused by exogenous pathogens, stiffness of the neck due to hypertension, hydrodipsia, diabetes, measles without adequate eruptions, dysentery of heat type, diarrhea.
Liquorice Root

Liquorice Root

Glycyrrhizae Radix et Rhizoma
Functions：Supplements the spleen, boosts qi, clears heat, resolves toxin, dispels phlegm, relieves cough, relaxes tension, relieves pain, harmonizes the nature of other medicinals.
Divaricate Saposhnikovia

Divaricate Saposhnikovia

Saposhnikoviae Radix
Functions：Dispels wind to release the exterior pattern, dispels dampness and relieve pain, arrests convulsions. Apply to exterior syndrome due to wind-cold, headache, dizziness, rigid neck, rheumatic arthralgia with wind-cold, joint pain and sour, convulsion of limbs, tetanus.
Chinese Angelica

Chinese Angelica

Angelicae Sinensis Radix
Functions：Supplements the blood, invigorates the blood, regulates menstruation, relieves pain, moistens the intestines, frees the stool. Apply to chlorosis due to hemopenia, vertigo and palpitation, irregular menstrual periods, amenorrhea and painful menstruation, deficiency cold abdominalgia, constipation induced by dryness of the intestine, rheumatic arthralgia, injuries from falls, superficial infection and burns and scalds.
Swordlike Atracylodes Rhizome

Swordlike Atracylodes Rhizome

Atractylodis Rhizoma
Functions：Dries dampness, fortifies the spleen, dispels wind, disperses cold, and brightens the eyes. Chest congestion and abdominal distention, diarrhea and edema, beriberi and paralysis, wind and dampness impediment, wind-cold, caecitas nocturna.
Largehead Atractylodes Rhizome

Largehead Atractylodes Rhizome

Atractylodis Macrocephalae Rhizoma
Functions：Fortifies the spleen, boosts qi, dries dampness, promotes urination, stops sweating, calms the fetus. Apply to deficiency-weakness of spleen, anorexia, and abdominal distension, and loose tools, dizziness induced by phlegm and retained fluids, edema, spontaneous perspiration, restless fetal movement.
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