Source: Studies of the Imperial Medical Files of the Qing Dynasty
Category: Formulas that are Applied Externally
Pattern: Wind-Cold toothache
Key Symptoms: Tooth pain
Ingredients
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Cao Wu
| 4.5g | |
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Pinyin: Cao Wu / Wu Tou
Chinese: 草烏 / 烏頭
Pharmaceutical: Radix Aconiti Kusnezoffii seu Agrestis
Taxonomy: Aconitum Kusnezoffii seu Agrestis
English: Wild Aconite Root / Kusnezoff Monkshood Root / Monkshood Daughter Root |
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Tastes: Pungent, bitter, hot, toxic
Meridians Entered: Heart, Liver, Kidney and Spleen |
Actions & Indications:
- Disperses Cold, scours out Wind, overcomes Dampness and stops pain
Almost exclusively used topically
Gu Parasites /
chronic inflammatory disease (Fruehauf, 2015)
- Reduces swellings and treats abscesses and lesions
Yin sores
Stubborn sores that do not ulcerate
Ulcerated sores that do not heal
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Standard Dosage: 1.5-3g in decoction, or applied externally.
Cautions: The raw products should be used cautiously and decocted for a long time to detoxify prior to adding the other ingredients. It is antagonistic to Ban Xia, Gua Lou, Bei Mu, Bai Lian and Bai Ji.
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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Bi Ba
| 4.5g | |
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Pinyin: Bi Ba
Chinese: 蓽茇
Pharmaceutical: Fructus Piperis Longi
English: Long Pepper |
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Tastes: Pungent, hot
Meridians Entered: Spleen and Large Intestine |
Actions & Indications:
- Warms the Middle Jiao, disperses Cold from the Stomach and Intestines, Descends Qi and stops pain
Cold congealing and leading to Qi Stagnation in the epigastrium and abdomen with nausea, vomiting, belching, acid regurgitation, loss of appetite and abdominal pain
Stomach Cold
- Treats toothache (topical)
As a powder for toothache
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Standard Dosage: 1.5-3g in decoction.
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Hua Jiao
| 9g | |
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Pinyin: Hua Jiao / Chuan Jiao
Chinese: 花椒 / 川椒
Pharmaceutical: Pericarpium Zanthoxyli
Taxonomy: Zanthoxylum bungeanum seu schinifolium
English: Sichuan Pepper |
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Tastes: Pungent, warm
Meridians Entered: Spleen, Stomach and Kidney |
Actions & Indications:
- Warms the Middle Jiao, disperses Cold, dispels Dampness, relieves diarrhoea and alleviates pain
Spleen and Stomach Deficiency Cold with Cold and pain in the abdomen, vomiting and diarrhoea
- Kills Parasites and alleviates abdominal pain
Abdominal pain due to roundworms
Moist dermal ulcers
Gu Parasites /
chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 3-6g in decoction.
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Xi Xin
| 9g | | |
Pinyin: Xi Xin
Chinese: 细辛
Pharmaceutical: Herba cum Radix Asari
Taxonomy: Asarum sieboldii
English: Chinese Wild Ginger |
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Tastes: Pungent, warm, slightly toxic
Meridians Entered: Lung, Kidney and Heart |
Actions & Indications:
- Releases Exterior Wind and Cold
As an adjunctive for any exterior Wind-Cold especially with Dampness in Lung or underlying Yang Deficiency
Frequently used for Wind-Cold when the dominant symptoms are head and body aches
- Disperses Wind-Cold and Internal Cold and alleviates pain
Pain due to Wind and/or Cold anywhere in the body, particularly headache, painful obstruction, abdominal pain or headache due to obstruction of Fluids and Blood by Cold, often with anhydrous Wind-Cold-Damp Bipain
- Warms the Lungs and transforms Phlegm and Thin Mucus (circulates water)
Cough and Qi which surges upward and fullness in the chest in the chest with continuous cough from clumped Qi in the chest and diaphragm marked by copious, watery sputum due to Phlegm-Damp or Wind-Cold with congested fluids
- Disperses and unblocks the Qi of the nasal orifices (clears the orifices of the head)
Nasal congestion
Oral pathology
Loss of consciousness
- Promotes healing of oral ulcerations
Oral lesions or ulcerations
- Relieves toothache
Toothache
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light and prolong life. 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).
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Standard Dosage: 1-3g in decoction.
Cautions: Traditionally contraindicated for headache due to hyperactivity of yang caused by yin deficiency and dry cough caused by lung dryness hurting yin. It is incompatible with Li Lu.
While not prohibited in the UK, the RCHM has enacted a voluntary ban by use due to possible fears of aristolochic acid. It is usually substituted with Gui Pi (Cinnamon Bark), or Rou Gui, or Gui Zhi and Qiang Huo for channel problems, Zi Su Ye and Bai Qian for lung issues, Gao Ban and Bai Zhi for treating the head and Cong Bai and Bai Zhi for the sinuses. |
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Subsitutions:
In the UK Cao Wu and Xi Xin must be substituted. Some suitable substitutions might include Du Huo, Ding Xiang, Bing Pian or Zhang Nao, and Gu Sui Bu.
Preparation: All the ingredients are ground into a fine powder and a small amount is applied to the affected tooth.
Actions: Disperses Wind-Cold and 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.