Han Shi Bi Tang - 寒湿痹汤 - Cold-Damp Rheumatism Decoction

English:	Cold-Damp Rheumatism Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Aconiti Preparata	Zhi Chuan Wu	6g	Disperses Cold, Expels Wind-Dampness, Stops pain, Warms and activates the channels. With Zhi Cao Wu, eliminates Wind, Cold and Dampness and alleviates pain.
Rx. Aconiti Kusnezoffii Preparata	Zhi Cao Wu	6g	Strongly expels Wind-Dampness, disperses Cold, Warms and activates the channels and stops pain.
Ram. Cinnamomi	Gui Zhi	10g	Releases External Wind-Cold from the muscle layer, harmonizes the Ying and Wei, warms the channels and collaterals to relieve pain, disperses Cold, unblocks Yang, transforms Qi and warms and facilitates the flow of Blood through the vessels. With Chuan Niu Xi and Chuan Shan Jia, circulates Qi and eliminates Blood Stasis.
Rx. Clematidis	Wei Ling Xian	20g	Dispels Wind-Dampness, opens the channels, alleviates pain, reduces Phlegm and regulates urination. With Qiang Huo, for Wind-Damp Bi causing joint pain, especially in the upper joints. With Chuan Niu Xi, for Wind-Damp Bi causing joint pain, especially in the lower joints.
Caulis Piperis Kadsurae	Hai Feng Teng	20g	Dispels Wind-Dampness, Disperses Cold, Stops pain, Unblocks the channels. With Gui Zhi, for pain, impaired joint movement and spasms of the sinews due to Wind-Damp Bi. With Wei Ling Xian, for Wind-Damp-Bi causing pain, spasms and numbness.
Rx. seu Rz. Notopterygii	Qiang Huo	10g	Dispels Wind-Cold-Dampness from the upper Tai Yang, Opens the channels, Releases the Exterior, Stops pain, Vitalizes the vessels.
Rx. Gentianae Macrophyllae	Qin Jiao	10g	Expels Wind-Dampness, relaxes the sinews and resolves Dampness.
Rx. Cyathulae	Chuan Niu Xi	12g	Drains Dampness, Eliminates Blood Stasis, Expels Wind, Invigorates the Blood, Invigorates the channels.
Rz. Atractylodes	Cang Zhu	6g	Strongly dries Dampness, tonifies the Spleen, induces sweating expels, Wind-Dampness and clears Dampness from the Lower Jiao.
Squama Manitis	Chuan Shan Jia	10g	Dispels Blood Stasis, Expels Wind-Dampness from the channels, Invigorates the Blood, Moves Qi, Reduces swelling, Resolves Phlegm.
Rz. Drynariae	Gu Sui Bu	10g	Invigorates Blood, Stops pain, Strengthens sinews and bones, Tonifies Kidney Yang.
Fr. Chaenomelis	Mu Gua	10g	Relaxes the sinews (increases Qi and Blood circulation), unblocks the channels and transforms Dampness. With Han Fang Ji, eliminates Dampness, harmonizes the collaterals and strengthens the tendons.
Rx. Stephaniae Tetrandrae	Han Fang Ji	10g	Alleviates pain, Calms the Stomach, Expels Wind-Dampness, Promotes urination, Reduces edema, Strengthens Kidney functions.

Formula Actions

• Warms the Channels
• Dispels Cold
• Eliminates Dampness
• Sedates pain

Syndromes

• Fixed Bi (Zhuo Bi) (Damp Bi)
• Wind-Cold-Damp Bi with Damp predominant (Shi Bi)

Clinical Manifestations

Muscular pain Joint pain Neck pain Low back pain Pain with Cold sensation Pain with heavy feeling Pain aggravated by cold weather Pain aggravated by damp weather Limited joint movement Joint stiffness Joint deformity Fixed pain Muscle numbness Pain alleviated by warmth

Heaviness of limbs Purplish color of affected areas Heaviness of the head Maybe peripheral edema Maybe stifling sensation of the chest Maybe abdominal distention Maybe indigestion Maybe liquid stools Maybe anorexia T: Slightly purplish and swollen or Pink or Pale C: Greasy and white P: Slow, moderate and soft or Wiry or Slippery

Treats

Rheumatic diseases Rheumatic arthritis Osteoarthritis Rheumatoid arthritis Periarthritis of the shoulder Gouty arthritis Edema Neck pain

Rheumatic myalgia Muscular rheumatism Osteoarthritis of the lumbar spine Sciatica Degenerative arthritis of the lumbar spine Low back pain Arthralgia

Contraindications And Herb/Drug Interactions

Notes

Modifications

For joint deformity:		For Severe pain:
+ 5g Flos Carthami	Hong Hua	+ 5g Hb. cum Rx. Asari	Xi Xin
+ 5g Olibanum	Ru Xiang	+ 3g Scorpio	Quan Xie
For Cold-Damp Bi of the upper limbs:		For lumbago:
+ 10g Ram. Mori	Sang Zhi	+ 10g Rx. Dipsaci	Xu Duan