Author: Wang Shuo
Source: Simple Book of Formulas (1191)
Category: Formulas that Expel Wind
Pattern: Wind-Stroke with constitutional Yang deficiency and Phlegm-Dampness
Key Symptoms: Loss of consciousness, overabundant and congested Phlegm, halting and sluggish speech, cold extremities
Secondary Symptoms: Deviation of the mouth and eyes, hemiplegia
Tongue: White
Pulse: Submerged and hidden
Ingredients
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Tian Nan Xing
| 30g | |
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Pinyin: Tian Nan Xing
Chinese: 天南星
Pharmaceutical: Rhizoma Arisaematis
Taxonomy: Arisaema consanguineum
English: Jack-in-the-Pulpit Rhizome |
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Tastes: Bitter, pungent, warm, toxic
Meridians Entered: Lung, Liver and Spleen |
Actions & Indications:
- Dries Dampness and expels Phlegm
Stubborn (extremely sticky) Phlegm in the Lungs with cough and a distended sensation in the chest
- Disperses Wind-Phlegm in the channels and stops spasms
Wind-Phlegm Obstructing the Channels with dizziness, vertigo, numbness in the limbs, facial paralysis, spasms in the hands and feet, opisthotonis, stroke, seizures or lockjaw
- Reduces swelling and alleviates pain
Topically for Chuang Yung (deep rooted sores, ulcers and carbuncles. Swelling due to traumatic injury and joint pain secondary to Phlegm Topically for cervical cancer
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Standard Dosage: 3-10g in decoction.
Cautions: Prohibited for yin deficiency with dry phlegm and the pregnant women. |
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Chuan Wu
| 15g | |
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Pinyin: Chuan Wu
Chinese: 川乌
Pharmaceutical: Radix Aconiti Preparata
Taxonomy: Aconitum carmichaeli
English: Sichuan Aconite Root / Monkshood Mother Root |
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Tastes: Pungent, bitter, hot, strongly toxic
Meridians Entered: Heart, Liver, Kidney and Spleen |
Actions & Indications:
- Expels Wind-Dampness, disperses Cold, warms and activates the channels and stops pain
Wind-Damp Painful Obstruction (Bi) with
Severe sub-cardiac and abdominal pain from Wind-Cold-Dampness
Headache
Trauma
Anesthesia
(Can be applied topically)
- Reduces swellings, induces ulceration and dispels putrefication
Topically for Yin flat abscesses
Used when hard abscesses do not soften and ulcerate or do not heal
- Treats unconsciousness caused by Phlegm Stagnation
Unprocessed can treat unconsciousness, deviation of the mouth and eyes and a roaring sound of Phlegm in the throat (very rare usage)
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Standard Dosage: 1.5-3g in decoction.
Cautions: It is contraindicated to pregnancy, and antagonistic to Ban Xia, Gua Lou, Bei Mu, Bai Lian and Bai Ji. It should be processed for oral administration by decocting until no numbing taste is left before adding the other herbs. Caution should be paid when the crude products are taken orally or it is used in wine soak and decocted in wine which will easily lead to toxic reactions.
This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA. It is generally substituted with various Yang tonics depending on the presentation although none can imitate its powerful cardiovascular effects making them ineffective substitutes for rescuing devastated Yang. External use is permitted at 1.3% or below. |
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Fu Zi
| 15g | |
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Pinyin: Fu Zi
Chinese: 附子
Pharmaceutical: Radix Aconiti Lateralis Praeparata
Taxonomy: Aconitum carmichaeli
English: Wolf's-bane Root / Monkshood Root / Aconite Root |
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Tastes: Pungent, sweet, hot, toxic
Meridians Entered: Heart, Kidney and Spleen |
Actions & Indications:
- Restores Devastated Yang and rescues from rebellion
Devastated Yang with diarrhoea containing undigested food, chills, cold extremities and a faint almost imperceptible pulse (often as a result of severe vomiting, diarrhoea or sweating)
- Warms Ming Men Fire and assists Heart, Kidney and Spleen Yang
Heart Yang Deficiency
Spleen Yang Deficiency
Kidney Yang Deficiency
- Disperses Cold and Dampness, warms the channels and stops pain
Wind-Damp-Cold Bi
Cold blocking the organs, channels, bones and Blood vessels
Yin flat abscesses
Gu Parasites /
chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 3-15g in decoction. Fire Spirit practitioners prescribe doses of 60-200g per day (Fruehauf, 2009).
Cautions: It is contraindicated for heat syndrome, yin-deficiency leading to hyperactivity of yang and the pregnant because of its pungent, hot, dry and drastic properties. It must be soaked and decocted for about half and hour to one hour until numbing taste disappears for oral use. Over-dosage and incorrect processing must be avoided.
This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA. It is generally substituted with various Yang tonics depending on the presentation although none can imitate its powerful cardiovascular effects making them ineffective substitutes for rescuing devastated Yang. External use is permitted at 1.3% or below. |
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Mu Xiang
| 7.5g | | |
Pinyin: Mu Xiang
Chinese: 木香
Pharmaceutical: Radix Aucklandiae
English: Costus Root |
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Tastes: Pungent, bitter, warm
Meridians Entered: Spleen, Stomach, Large Intestine and Gall Bladder |
Actions & Indications:
- Promotes the movement of Qi and alleviates pain
Spleen/Stomach Qi Stagnation with anorexia, a feeling of food sitting in the Stomach, epigastric or abdominal pain or distention, nausea and vomiting
Liver or Gallbladder Qi Stagnation with flank pain, distention or soreness
- Adjusts and regulates stagnant Qi in the Intestines
Intestinal Qi Stagnation with diarrhoea or dysenteric disorders, abdominal pain and tenesmus
- Strengthens the Spleen and prevents Stagnation
Stagnation from tonic herbs, especially when the transportive and transformative functions of the Spleen are weak
- Dispels Damp-Heat and harmonizes the Liver and Spleen
Disharmony of the Liver and Spleen with hypochondriac pain and distention, a bitter taste in the mouth, a yellow tongue coat and possibly jaundice
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, prevent oppressive Ghost Dreams whether sleeping during the day or the night. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
- Suppresses Gu Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 3-10g in decoction.
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Subsitutions:
In the UK Chuan Wu and Fu Zi must be substituted. The best substitutes may depend on the presentation:
Yang Collapse: Gan Jiang and Rou Gui
Wind obstruction: Xian Mao and Yin Yang Huo
Phlegm obstructing the Heart: Shi Chang Pu and Yuan Zhi
Preparation: Ground into a coarse powder and prepared as a 15g draft by boiling 2 cups of water with 10 slices of Sheng Jiang until half of the liquid has evaporated. At present it is usually prepared as a decoction with a reduction in dosage.
Actions: Dispels Wind, transforms Phlegm, disperses Cold, assists the Yang
Contraindications: The original formula is potentially highly toxic and must be used with extreme caution. To avoid potential side effects the first three ingredients must be decocted with fresh ginger for at least an hour more. In general it is safe when it no longer irritates the mucus membranes in the mouth. Once an effect has been achieved it should be discontinued immediately.
It is absolutely contraindicated in Yin or Blood deficiency or ascendant Liver Yang.
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.