Author: Shi Chuan-En
Source: Collection of Experiental and Secret Chinese Medical Formulas from Shanxi Province (1956)
Category: Formulas that Expel Wind
Pattern: Muscular tetany due to Wind and Toxin invading the body through a wound or ulceration.
Key Symptoms: Stiffness and spasms of the jaw, muscle twitches and rigidity of the body to the point of opisthotonos.
Ingredients
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Chan Tui
| 30g | |
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Pinyin: Chan Tui
Chinese: 蝉蜕
Pharmaceutical: Periostracum Cicadae
English: Cicada Moulting / Cicada Slough |
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Tastes: Sweet, cold
Meridians Entered: Lung, Liver |
Actions & Indications:
- Disperses Wind and clears Heat
External Wind-Heat especially with loss of voice and a swollen, sore throat
- Vents rashes and relieves itching
Early stage measles with incomplete expression of the rash
- Clears the eyes and removes superficial visual obstruction
Eye problems due to Wind-Heat such as red, painful, swollen eyes or blurry vision Liver and Kidney Yin Deficiencies with Liver Yang Rising
- Stops spasms and extinguishes Liver Wind
Childhood fevers in which Liver Wind causes convulsions, delirium, spasms, terror, tetanus, insomnia or nightmares
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Standard Dosage: 6-15g in decoction.
Cautions: Animal products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only. It is generally substituted with Bo He. Since it is mainly chitin which is the raw source for glucosamine a supplement could be suggested too, especially if it is the wheat germ agglutinin binding properties of N-Acetylglucosamine that are desired. |
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Zhi Tian Nan Xing
| 6g | |
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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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Tian Ma
| 6g | |
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Pinyin: Tian Ma
Chinese: 天麻
Pharmaceutical: Rhizoma Gastrodiae
Taxonomy: Gastrodia elata
English: Gastrodia Rhizome |
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Tastes: Sweet, neutral
Meridians Entered: Liver |
Actions & Indications:
- Extinguishes Wind, calms the Liver and stops spasms and tremors
Liver Wind due to either Heat or Cold with headache, dizziness, childhood convulsions, epilepsy, tonic-clonic spasms, opisthotonos, tetany and Wind-stroke
- Extinguishes Wind, subdues Rising Liver Yang and alleviates pain
Wind-Phlegm patterns with headaches, dizziness and migraines Wind-stroke with hemiplegia, dizziness and numbness in the extremities Can be used for both Excess and Deficiency conditions
- Disperses Wind-Damp Bi
Pain and numbness of the lower back and extremities due to Wind-Damp Bi
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Standard Dosage: 3-10g in decoction.
Cautions: This plant is endangered and any supplies should be accompanied by CITES certification. |
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Bai Jiang Can
| 6g | | (dry-fried)
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Pinyin: Bai Jiang Can
Chinese: 白僵蠶
Pharmaceutical: Bombyx Batryticatus
English: Silkworm |
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Tastes: Salty, pungent, neutral
Meridians Entered: Liver and Lung |
Actions & Indications:
- Extinguishes Wind and stops spasms and convulsions
Childhood convulsions and facial paralysis Seizures due to Liver Wind or especially Wind-Phlegm-Heat
- Dispels Wind, disperses Wind-Heat and stops itching and pain
Headache, red eyes, a sore, swollen throat and itching skin lesions such as Wind-Rash from externally contracted Wind-Heat or Liver Wind Loss of voice
- Transforms Phlegm, softens hardness, eliminates toxins and dissipates nodules
Phlegm-Heat scrofula and other Phlegm nodules
- Removes the Three Worms
Said in the Shen Nong Ben Cao Jing that it removes the Three Worms. These may refer to difficult to treat metabolic disorders caused by overindulgence and should be accompanied by fasting, meditation and exercise regimes.
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Standard Dosage: 3-10g in decoction.
Cautions: Animal products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only. It is generally substituted with Tian Ma and Tian Zhu Huang. |
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Quan Xie
| 3g | | |
Pinyin: Quan Xie
Chinese: 全蝎
Pharmaceutical: Buthus Martensi
Taxonomy: Buthus Martensii
English: Scorpion |
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Tastes: Pungent, neutral, toxic
Meridians Entered: Liver |
Actions & Indications:
- Extinguishes Wind and stops tremors and convulsions
Liver Wind and Wind-Phlegm-Heat with spasms, acute or chronic childhood convulsions, tetany, opisthotonos, tics, muscular tetany, and seizures
- Tracks down Wind, unblocks the collaterals and stops pain
Stubborn headaches and Bipain
- Attacks and relieves Fire toxins and dissipates nodules and rashes
Topically for toxic sores, swellings scrofula (Chuang Yung) and cancer
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Standard Dosage: 2-5g in decoction.
Cautions: It is toxic, so large dose of it should not be used. It is contraindicated for pregnant women.
Animal products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only. It is generally substituted with Gou Teng and Tian Zhu Huang. |
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Subsitutions:
Most of this formula needs to be substituted in the UK which may make another formula like Yu Zhen San more appropriate despite it focusing more on expelling Wind and less on stopping spasms.
Preparation: Decocted and mixed with 60ml of yellow wine and 1.5g of Zhu Sha. This last ingredient is no longer used due to its heavy metal content.
It should induce sweating on the palms, soles and sternum. If it deos not occur it should be administered for another 3 days.
Actions: Eliminates Wind-Phlegm, relieves spasms and twitches, alleviates pain
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.