Er Shen Er Teng Tang - 二深二藤汤 - Two Roots And Two Vines Decoction

English:	Two Roots and Two Vines Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Caulis Spatholobi	Ji Xue Teng	30g	Invigorates and tonifies the Blood, activates the channels and relaxes the sinews.
Caulis Trachelospermi	Luo Shi Teng	30g	Dispels Wind-Dampness, unblocks the channels and collaterals, cools the Blood and reduces swellings. With Mu Dan Pi, for Damp-Heat Bi with pain and swelling.
Rx. Astragali	Huang Qi	20g	Tonifies Qi and Blood, strengthens the Spleen and relieves numbness and pain. With Dang Shen, for Qi Deficiency with general debility, anorexia, fatigue, tired extremities and spontaneous sweating.
Rx. Codonopsis	Dang Shen	15g	Tonifies the Middle Jiao, augments Qi, nourishes the Blood and promotes the generation of Body Fluids. With Huang Qi, for Lung and Spleen Qi Deficiency with fatigue, shortness of breath, diarrhea and anorexia.
Rx. Glehniae	Bei Sha Shen	15g	Nourishes Lung Yin, clears Lung Heat, nourishes Stomach Yin, generates fluids and tonifies Liver and Kidney Yin.
Rx. Rehmanniae	Sheng Di Huang	15g	Clears Heat, cools the Blood nourishes Yin and generates fluids. With Mu Dan Pi, for Kidney Yin Deficiency with steaming bones.
Cx. Moutan	Mu Dan Pi	12g	Clears Heat, cools and harmonizes the Blood, clears Deficiency Fire, invigorates the Blood and dispels Blood Stasis.
Rx. Lithospermi/Arnebiae	Zi Cao	12g	Clears Heat, cools the Blood, invigorates Blood circulation, relieves Fire toxins, encourages rashes, clears Damp-Heat from the skin and aids the healing of tissues.

Formula Actions

• Tonifies and nourishes Qi, Yin and Blood
• Invigorates the Blood
• Breaks up Stagnation
• Clears Heat

Syndromes

• Qi, Blood and Yin Deficiency with Blood Stagnation and Heat

Clinical Manifestations

Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Shortness of breath Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods Tinnitus or deafness

Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in bones Aching in leg and heel Pain, swelling and obvious tenderness in the superficial veins along the limbs or the thoracoepigastric walls Hard cord-like swollen masses may be felt In the affected areas, there is redness, swelling, pain, tenderness and cord-like masses, T: Red or Pale or Pale, thin and dry C: Little or None or Yellow P: Thready and rapid or or Taut and rapid or Weak or Thin and choppy

Treats

Polymyositis/Dermatomyositis

Dry hair

Contraindications And Herb/Drug Interactions

Notes

Modifications

For initial-stage symptoms of fever, sore throat, macules and a red tongue:		For muscle pain and aversion to Cold due to Yang Deficiency with Wind-Damp:
+ 12g Fol. Isatidis	Da Qing Ye	+ 9g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ 12g Flos Lonicerae	Jin Yin Hua
+ 18-30g Hb. Taraxaci	Pu Gong Ying	+ 9g Hb. Epimedii	Yin Yang Huo
For a chronic condition with more severe Blood Stagnation:		+ 9g Rx. et Rz. Notopterygii	Qiang Huo
+9g Rx. Salviae Miltiorrhizae	Dan Shen
+ 9g Flos Carthami	Hong Hua