Da Fang Feng Tang - 大防風湯 - Major Saposhnikovia Decoction

English:	Major Saposhnikovia Decoction
Also Known As:	Major Ledebouriella Decoction Major Siler Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Chuanxiong	Chuan Xiong	3-45g	Activates the Blood, Alleviates pain and is especially good for headaches, Expels Wind-Cold, Regulates Qi. With Dang Gui for Wind-Damp Invasion blocking the Blood vessels causing pain, numbness and paralysis.
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	1-45g	Dispels Dampness, Disperses Cold, Relieves pain and Cold, Restores Yang, Tonifies Kidney Yang, Warms Ming Men Fire, Warms the channels, Warms the Spleen. With Huang Qi, for spontaneous sweat and chills due to Yang Deficiency. With Bai Zhu, for Wind-Damp Bi.
Rx. Rehmanniae Preparata	Shu Di Huang	3-60g	Nourishes Blood and Yin and strengthens the Liver and Kidneys. With Dang Gui and Bai Shao, for dizziness, palpitations, insomnia and menstrual dysfunction due to Blood Deficiency. With Ren Shen, for Qi and Blood Deficiencies. With Dang Gui, Bai Shao and Chuan Xiong, for Anemia
Rx. Atractylodis Macrocephalae	Bai Zhu	3-60g	Dries Dampness, Stabilizes the exterior, Tonifies Qi, Tonifies the Spleen.
Rx. Saposhnikoviae	Fang Feng	3-60g	Releases the exterior, expels Wind-Cold-Dampness, stops pain, moves Qi, tonifies the Spleen and treats gout. With Chuan Xiong, Shu Di Huang and Zhi Fu Zi, for difficulty walking due to painful legs after a dysenteric disorder and Crane's-Knee-Wind.
Rx. Angelica Sinensis	Dang Gui	3-60g	Nourishes, invigorates and harmonizes the Blood, disperses Cold and stops pain. With Bai Shao, regulates and harmonizes Qi and Blood. With Mi Zhi Gan Cao, moderates spasms and relieves abdominal pain. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood.
Rx. Paeoniae Alba	Bai Shao	3-60g	Astringes Yin, Nourishes the Blood, Relieves pain and adjusts the Ying and Wei, Soothes the Liver. With Dang Gui and Shu Di Huang, for dizziness, blurred vision and dysmenorrhea due to Blood Deficiency or Stasis. With Mi Zhi Gan Cao, for muscle spasms, especially in the calf, due to Blood Deficiency. W with Fang Feng and Bai Zhu, for painful diarrhea and borborygmus. With Dang Gui, nourishes Yin and Blood. With Huang Qi and Ren Shen, restrains sweating from Deficiency.
Rx. Astragali	Huang Qi	3-60g	Consolidates Wei, replenishes Qi, strengthens the Spleen, tonifies Qi, raises the Yang Qi of the Spleen and Stomach, stabilizes the exterior and nourishes Blood. With Ren Shen, for Qi Deficiency with general debility, anorexia and spontaneous sweat. With Zhi Fu Zi, for Yang Deficiency with spontaneous sweat. With Bai Zhu, for Spleen Qi Deficiency with weakness, lassitude and loose stools. With Dang Gui, for Qi and Blood Deficiencies with chronic non-healing sores, numbness, painful obstruction and paresthesia. With Fang Feng and Bai Zhu, for Wei Qi Deficiency with spontaneous sweat.
Cx. Eucommiae	Du Zhong	3-60g	Tonifies the Kidneys and Liver, strengthens the sinews and bones and aids the smooth flow of Qi and Blood (promotes circulation for weak sinews and bones).
Rz. seu Rx. Notopterygii	Qiang Huo	1.5-30g	Dispels Wind-Cold-Dampness from the upper Tai Yang, Opens the channels, Releases the exterior, Stops pain, Vitalizes the vessels. With Chuan Xiong for headache and generalized body aches and pains associated with the common cold or Bi syndrome. With Fang Feng for pain due to Wind-Dampness.
Rx. Ginseng	Ren Shen	1.5-30g	Tonifies Yuan Qi, tonifies Spleen and Stomach Qi and strengthens Wei Qi. With Bai Zhu, strengthens the transformation and transportation functions of the Spleen.
(Rx. Codonopsis)	(Dang Shen)	(6-45g)	(May substitute for Ren Shen)
Rx. Glycyrrhizae Preparata	Mi Zhi Gan Cao	1.5-30g	Tonifies Qi and moderates and harmonizes the harsh properties of the other herbs.
Rx. Achyranthis Bidentatae	Niu Xi	1.5-30g	Expels Wind-Damp, invigorates the Blood, expels Blood Stasis, nourishes the Liver and Kidney Yin, benefits the joints, strengthens the sinews and bones and directs other herbs toward lower extremities. With Du Zhong, for low back and extremity pain and weakness due to Bi syndrome or Kidney Deficiency.
Rz. Zingiberis Recens	Sheng Jiang	1.5-30g	Releases the exterior, disperses Cold, Warms the Middle, reduces the toxicity of other herbs and adjusts the Ying and Wei. With Da Zao, protects the Stomach and harmonizes.
Fr. Jujube	Da Zao	1.5-30g	Calms the Shen and moderates, Harmonizes the harsh properties of the other herbs, Nourishes the Blood, Strengthens the Spleen, Tonifies Qi. With Sheng Jiang, regulates disharmony between the Ying and Wei and, enhances effects of other Qi and Blood tonifying herbs by facilitating their digestion and absorption.

Formula Actions

• Dispels Wind
• Activates Qi and Blood
• Tonifies Qi and Blood
• Eliminates Cold-Dampness
• Tonifies Yang
• Strengthens the muscles, tendons and bones

Syndromes

• Wind Bi
• Dysenteric Wind (Li Feng)
• Wind-Cold Dampness with Liver and Kidney Deficiency
• Crane’s Knee Wind
• Musculoskeletal disorders caused by severe Qi and Blood Deficiencies

Clinical Manifestations

Wandering joint pain, especially the wrists, elbows, knees and ankles Chills and fever Atrophy above and below the knees Limited movement Paralysis of knees One or both knees swollen, enlarged and painful Stiffness of knees Legs so weak and sore after dysentery that it is difficult to walk Generalized pain and numbness in the legs Hemiplegia

Dizziness Neuralgia Paralysis, stiffness, swelling and pain of feet Atrophy of the leg muscles Chest oppression Lumbago Tinnitus T: Pink or Pale and swollen or Red C: Thin white or Greasy white P: Superficial and tense or tight or Deep and thin or Deep and weak or Deep, slow and weak

Treats

Arthralgia Common cold Dysenteric Wind Crane’s Knee Wind Paralysis due to wet beriberi Gouty arthritis Idiopathic edema Malnutritional edema Paralysis due to apoplexy Muscle atrophy Paresthesia Fever Lumbago Facial paralysis

Paralysis due to postpartum weakness Arthritis Rheumatoid arthritis Myelophthisis Myelitis Monoplegia Paralysis of the lower limbs Neuralgia Fibromyalgia Hemiplegia Numbness Tinnitus Weakness Knee pain

Contraindications And Herb/Drug Interactions

Notes

Modifications

For edema:		For Tai Yang Deficiency:
+ More Rz. Atractylodis Macrocephalae	Bai Zhu	+ Rx. Dipsaci	Xu Duan
+ Poria	Fu Ling	For strong Blood Invigoration:
+ Rz. Alismatis	Ze Xie	+ Flos Carthami	Hong Hua
For pain with Blood Stagnation:		For fibromyalgia due to Qi and Blood Stagnation:
+ Sm. Persicae	Tao Ren	+ Cinnamon Twig, Peony, and Anemarrhena Decoction Gui Zhi Shao Yao Zhi Mu Tang
+ Flos Carthami	Hong Hua	+ Ephedra, Apricot Kernel, Coicis and Licorice Decoction Ma Xing Yi Gan Tang
Or
+ Tangkuei Decoction to Pry out Pain Dang Gui Nian Tong Tang
+ Ephedra, Apricot Kernel, Coicis and Licorice Decoction Ma Xing Yi Gan Tang