Herb Formulas Notebook

Dang Gui Si Ni Jia Wu Zhu Yu Sheng Jiang Tang

Tangkuei Decoction for Cold Extremities with Evodia and Fresh Ginger

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Warm Interior Cold

Pattern: Jueyin syndrome with Chronic Cold in the Middle Jiao or Ren and Chong Mai obstructing the circulation of Blood

Key Symptoms: Pronounced sensitivity to cold, cold extremities, pain in extremities and/or lower abdomen aggravated by cold, loose stools, nausea and vomiting, abdominal pain
Secondary Symptoms: Numbness, increased urination, migraine-type headaches, lower back pain

Tongue: Pale, wet body with thin white coat
Pulse: Submerged and thin, imperceptible
Abdomen: Hypertonicity of rectus abdominis muscle, weak lower abdomen with localised pain on deep pressure

Dang Gui 12g
Bai Shao 9g
Gui Zhi 9g
Xi Xin 1.5g
Mu Tong 3-6g
Wu Zhu Yu 1.5-4.5g
Zhi Gan Cao 6g
Sheng Jiang 3-6sl
Da Zao 8 pcs

In the UK Xi Xin may have to be substituted with Wei Ling Xian.

Mu tong also needs to be substituted with Qu Mai.

Preparation: Decocted with 6 cups of water and 6 cups of weak wine until half remains, then divide the strained liquid into five doses and take warm.

Actions: Warms the Channels and the Middle Jiao, disperses Cold, nourishes the Blood, unblocks the Blood Vessels, Chong and Ren Mai

Contraindications: Blood deficiency with Fire

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.