Huang Qi Gui Zhi Wu Wu Tang - 黃耆桂枝五物湯 - Astragalus And Cinnamon Twig Five-Substance Decoction

English:	Astragalus and Cinnamon Twig Five-Substance Decoction
Also Known As:	Five Ingredients Decoction with Astragalus and Cinnamon Astragalus and Cinnamon Five Herb Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Astragali	Huang Qi	3-30g	Tonifies Qi and Blood, strengthens the Spleen, Tonifies Wei Qi, stabilizes the exterior, raises the Yang Qi of the Spleen and Stomachand relieves numbness and pain. With Gui Zhi, for Qi and Blood Deficiencies and Ying and Wei Deficiencies with numbness and painful obstruction of the musculature.
Ram. Cinnamomi	Gui Zhi	3-12g	Releases the exterior, assists the Yang, adjusts the Ying and Wei, releases the muscle layer, warms the channels and collaterals to relieve pain, warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels, assists the Heart Yang and warms and facilitates the flow of Yang Qi in the chest. With Bai Shao, for External Wind-Cold with disharmony between the Ying and Wei (Tai Yang Zhong Feng), with spontaneous sweating, fever and chills warms and tonifies the Middle Jiao.
Rx. Paeoniae Alba	Bai Shao	3-30g	Nourishes the Blood, astringes Yin, adjusts the Ying and Wei, calms Liver Yang and Liver Wind and alleviates pain. With Gui Zhi, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration. With Huang Qi, Gui Zhi, Sheng Jiang and Da Zao, for Bi syndrome.
Fr. Jujube	Da Zao	3-12g	Tonifies the Spleen and Stomach, augments Qi, nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs. With Sheng Jiang, adjusts the Ying and Wei for treatment of Tai Yang Zhong Feng.
Rz. Zingiberis Recens	Sheng Jiang	3-18g	Releases the Exterior, induces perspiration, disperses Cold, warms the Middle, normalizes the flow of Qi at the center and reduces the toxicity of other herbs. With Gui Zhi, strongly induces sweating for treatment of External Wind-Cold with chills, fever, body aches and anhidrosis. With Da Zao, for External Wind-Cold.

Formula Actions

• Tonifies Qi and Blood
• Warms and harmonizes the channels and collaterals
• Harmonizes the Ying and Wei
• Unblocks painful obstruction
• Warms the Middle Jiao
• Dispels Cold
• Alleviates pain
• Harmonizes Yin and Yang

Syndromes

• Bi syndrome of the Blood
• Blood Stagnation due to a Mild Attack of Wind-Cold with Qi Deficiency
• Consumptive diseases due to Yin and Yang Deficiency
• Painful obstruction of the Blood (Secondary source)

Clinical Manifestations

Relatively superficial numbness without pain Paresthesia and numbness of the skin and flesh Paresthesia of the shoulders Neck and shoulder stiffness and pain Abdominal pain alleviated by warmth and pressure Pale complexion Hemiplegia Stiff tongue Flaccidity if the extremities Migratory pain

Pain, weakness, tightness or spasms of the extremities Spontaneous sweating Shortness of breath Aphasia Excess salivation Aversion to Wind T: Normal or Thick C: White or Smooth and white or White and greasy P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large

Treats

Raynaud's disease Polyneuritis Diabetic neuropathy Scleroderma Dermatomyositis Bell's palsy Common perineal neuropathy Cervical spondylosis Sequelae of stroke Facial tics Urinary retention Nephritis Pneumonia Synovitis of the knees Hemiplegia Facial paralysis Frostbite Poliomyelitis Muscular dystrophy Arthritis (migratory) with numbness Neurosis Paresthesia Abdominal pain Lateral epicondylitis Neck pain and stiffness

Takayasu's arteritis Thromboangitis obliterans Ulcers of the lower extremities Bed sores Urticaria Idiopathic thrombocytopenic purpura Sciatica Rheumatoid arthritis Restless leg syndrome Postpartum problems Chronic prostatitis Obesity Coronary artery disease Peripheral neuritis Muscular paralysis Beriberi Cerebral accidents Guillain-Barre disease Arthralgia Monoplegia Numbness Periarthritis of the shoulder Aphasia Peripheral neuropathy Painful obstruction

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Raynaud's disease:		For more pronounced Qi Deficiency:
- Fr. Jujube	Da Zao	+ More Rx. Astragali	Huang Qi
+ Flos Carthami	Hong Hua	+ Rx. Codonopsis	Dang Shen
+ Sm. Persicae	Tao Ren	For Blood Deficiency:
+ Pheretima	Di Long	+ Rx. Angelicae Sinensis	Dang Gui
For Yang Deficiency with frigid extremities:		+ Caul. Spatholobi	Ji Xue Teng
+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	For spasms of the sinews, numbness and painful obstruction:
For dispersing an more severe Wind pathogen:		+ Fr. Chaenomelis	Mu Gua
+ Rx. Saposhnikoviae	Fang Feng	+ Zaocys	Wu Shao She
+ Rx. Stephaniae Tetrandrae	Han Fang Ji	For Blood Stasis:
For weak arms and hands:		+ Flos Carthami	Hong Hua
+ Twice as much Ram. Cinnamomi	Gui Zhi	+ Sm. Persicae	Tao Ren
For weak knees and legs:		For weak tendons:
+ Rx. Achyranthis Bidentatae	Niu Xi	+ Fr. Chaenomelis	Mu Gua
For Yuan Qi Deficiency:		For hemiparalysis affecting the left side:
+ Rx. Ginseng	Ren Shen	+ Rx. Angelicae Sinensis	Dang Gui
For hemiparalysis affecting the right side:		For numbness of the body:
+ Twice as much Rx. Astragali	Huang Qi	+ Rx. Angelicae Sinensis	Dang Gui
For painful extremities:		+ Rx. Saposhnikoviae	Fang Feng
+ Rz. Atractylodis Macrocephalae	Bai Zhu	For Numbness and pain due to Wind Obstruction:
+ Rx. Stephaniae Tetrandrae	Han Fang Ji	+ Prolong Life Decoction Xu Ming Tang
For more Wind:		For postpartum pain or post menstrual pain:
+ Rx. Saposhnikoviae	Fang Feng	+ Rx. Angelicae Sinensis	Dang Gui
+ Rx. Stephaniae Tetrandrae	Han Fang Ji	+ Rz. Chuanxiong	Chuan Xiong
For periarthritis of the shoulder:		+ Caul. Spatholobi	Ji Xue Teng
+ 5g Rx. Paeoniae Rubra	Chi Shao	For periarthritis of the shoulder with severe Cold pain:
+ 5g Rz. et Rx. Notopterygii	Qiang Huo	+ 5g Rx. Paeoniae Rubra	Chi Shao
+ 5g Rx. Angelicae Pubescentis	Du Huo	+ 5g Rz. et Rx. Notopterygii	Qiang Huo
+ 5g Rx. Saposhnikoviae	Fang Feng	+ 5g Rx. Angelicae Pubescentis	Du Huo
+ 5g Rx. Angelicae Sinensis	Dang Gui	+ 5g Rx. Saposhnikoviae	Fang Feng
For periarthritis of the shoulder in elderly patients with Kidney and Liver Deficiencies:		+ 5g Rx. Angelicae Sinensis	Dang Gui
+ 5g Rx. Paeoniae Rubra	Chi Shao	+ 3-6g Rx. Aconiti Preparata	Zhi Chuan Wu
+ 5g Rz. et Rx. Notopterygii	Qiang Huo	+ 3-6g Rx. Aconiti Kusnezoffii	Zhi Cao Wu
+ 5g Rx. Angelicae Pubescentis	Du Huo	For periarthritis of the shoulder with stiff joints and limited range of motion:
+ 5g Rx. Saposhnikoviae	Fang Feng	+ 5g Rx. Paeoniae Rubra	Chi Shao
+ 5g Rx. Angelicae Sinensis	Dang Gui	+ 5g Rz. et Rx. Notopterygii	Qiang Huo
+ 9g Rx. Dipsaci	Xu Duan	+ 5g Rx. Angelicae Pubescentis	Du Huo
+ 9g Cx Eucommiae	Du Zhong	+ 5g Rx. Saposhnikoviae	Fang Feng
For periarthritis of the shoulder with chronic arthritis:		+ 5g Rx. Angelicae Sinensis	Dang Gui
+ 5g Rx. Paeoniae Rubra	Chi Shao	+ 15g Ram. Mori	Sang Zhi
+ 5g Rz. et Rx. Notopterygii	Qiang Huo	+ 12g Hb. Lycopodii	Shen Jin Cao
+ 5g Rx. Angelicae Pubescentis	Du Huo	For synovitis of the knees:
+ 5g Rx. Saposhnikoviae	Fang Feng	+ Rx. Angelicae Sinensis	Dang Gui
+ 5g Rx. Angelicae Sinensis	Dang Gui	For neck and shoulder stiffness and pain with stiff muscles and limited mobility:
+ 9g Pheretima	Di Long	+ Fr. Chaenomelis	Mu Gua
+ 30g Zaocys	Wu Shao She	For neck and shoulder stiffness and pain with numbness:
For neck and shoulder stiffness and pain with dizziness:		+ Rx. Angelicae Sinensis	Dang Gui
+ Flos Chrysanthemi	Ju Hua	+ Rz. Chuanxiong	Chuan Xiong
For Bi syndrome due to Wind-Cold with Yang Deficiency:		For flaccidity and atrophy of the limbs:
+ Rz. Drynariae	Gu Sui Bu	+ Colla Cervi Cornus	Lu Jiao Jiao
+ Rx. Dipsaci	Xu Duan	For peripheral neuritis:
+ Cx Eucommiae	Du Zhong	+ Hb Taxilli	Sang Ji Sheng
+ Rx. Angelicae Sinensis	Dang Gui	+ Caul. Spatholobi	Ji Xue Teng
For peripheral neuritis with the appearance of dark purple skin:		For peripheral neuritis with severe pain:
+ Hb Taxilli	Sang Ji Sheng	+ Hb Taxilli	Sang Ji Sheng
+ Caul. Spatholobi	Ji Xue Teng	+ Caul. Spatholobi	Ji Xue Teng
+ Sm Persicae	Tao Ren	+ Myrrh	Mo Yao
For peripheral neuritis with swelling:		For peripheral neuritis with neuritis in the upper limbs:
+ Hb Taxilli	Sang Ji Sheng	+ Hb Taxilli	Sang Ji Sheng
+ Caul. Spatholobi	Ji Xue Teng	+ Caul. Spatholobi	Ji Xue Teng
+ Sm. Coicis	Yi Yi Ren	+ Rz. Curcumae Longae	Jiang Huang
For peripheral neuritis with neuritis in the lower limbs:		For peripheral neuritis with Yang Deficiency and Cold Obstruction:
+ Ginseng Decoction to Nourish the Nutritive Qi Ren Shen Yang Rong Tang		+ Rx. Angelicae Sinensis	Dang Gui
+ Hb Taxilli	Sang Ji Sheng	+ Hb. cum Rx. Asari	Xi Xin
+ Caul. Spatholobi	Ji Xue Teng	For peripheral neuritis with Blood Deficiency:
For peripheral neuritis with Damp-Heat:		+ Caul. Spatholobi	Ji Xue Teng
- Ram Cinnamomi	Gui Zhi	+ Rx. Angelicae Sinensis	Dang Gui
+ Caulis Lonicerae	Ren Dong Teng	+ Ram. Mori	Sang Zhi
+ Medulla Tetrapanacis	Tong Cao	For diabetic neuropathy:
+ Pheretima	Di Long	+ Bombyx Batryticatus	Jiang Can
For diabetic neuropathy with burning sensations at the affected area:		+ Scorpio	Quan Xie
+ Bombyx Batryticatus	Jiang Can	+ Scolopendra	Wu Gong
+ Scorpio	Quan Xie	+ Pheretima	Di Long
+ Scolopendra	Wu Gong	Or
+ Pheretima	Di Long	+ Rx. Angelicae Sinensis	Dang Gui
+ Ram. Mori	Sang Zhi	+ Rx. Paeoniae Rubra	Chi Shao
For diabetic neuropathy with Cold sensations at the affected area:		+ Rx. Puerariae	Ge Gen
+ Bombyx Batryticatus	Jiang Can	+ Rz. Dioscoreae	Shan Yao
+ Scorpio	Quan Xie	+ Fr. Corni	Shan Zhu Yu
+ Scolopendra	Wu Gong	+ Caul. Spatholobi	Ji Xue Teng
+ Pheretima	Di Long	For frostbite:
+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ Caul. Spatholobi	Ji Xue Teng
For frostbite of the face:		+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Caul. Spatholobi	Ji Xue Teng	For frostbite of the lower limbs:
+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ Caul. Spatholobi	Ji Xue Teng
+ Rx. Angelicae Dahuricae	Bai Zhi	+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Rz. Chuanxiong	Chuan Xiong	+ Rx. Achyranthis Bidentatae	Niu Xi
For frostbite of the upper limbs:		+ Rx. Angelicae Pubescentis	Du Huo
+ Caul. Spatholobi	Ji Xue Teng	For frostbite with bruises and swelling:
+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ Caul. Spatholobi	Ji Xue Teng
+ Rz. Curcumae Longae	Jian Huang	+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
For frostbite with blisters:		+ Sm Persicae	Tao Ren
+ Caul. Spatholobi	Ji Xue Teng	+ Squama Manitis	Chuan Shan Jia
+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ Rx. Angelicae Sinensis	Dang Gui
+ Poria	Fu Ling	For frostbite with severe pain:
+ Zaocys	Wu Shao She	+ Caul. Spatholobi	Ji Xue Teng
+ Rz. Atractylodis	Cang Zhu	+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Sm. Coicis	Yi Yi Ren	+ Hb. cum Rx. Asari	Xi Xin
For frostbite with numbness:		+ Olibanum	Ru Xiang
+ Caul. Spatholobi	Ji Xue Teng	+ Bul Allii Fistulosi	Cong Bai
+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	For frostbite with swelling, redness and pain :
+ Pheretima	Di Long	+ Caul. Spatholobi	Ji Xue Teng
+ Caulis Piperis Kadsurae	Hai Feng Teng	+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Scorpio	Quan Xie	+ Rz. Smilacis Glabrae	Tu Fu Ling
For restless leg syndrome:		+ Caulis Sargentodoxae	Hong Teng
- Rz. Zingiberis Recens	Sheng Jiang	+ Hb. Patriniae	Bai Jiang Cao
- Fr. Jujube	Da Zao	For restless leg syndrome with numbness and weakness of the extremities with Qi and Blood Deficiencies:
+15g Rx. Chuanxiong	Chuan Xiong	- Rz. Zingiberis Recens	Sheng Jiang
+ 12g Rx. Angelicae Sinensis	Dang Gui	- Fr. Jujube	Da Zao
+ 3g Hb. cum Rx. Asari	Xi Xin	+15g Rx. Chuanxiong	Chuan Xiong
+ 12g Pheretima	Di Long	+ 12g Rx. Angelicae Sinensis	Dang Gui
+ 15g Rx. Cyathulae	Chuan Niu Xi	+ 3g Hb. cum Rx. Asari	Xi Xin
+ 6g Rx. Glycyrrhizae	Gan Cao	+ 12g Pheretima	Di Long
For restless leg syndrome with numbness and weakness of the extremities with Qi Deficiency and Blood Stagnation:		+ 15g Rx. Cyathulae	Chuan Niu Xi
- Rz. Zingiberis Recens	Sheng Jiang	+ 6g Rx. Glycyrrhizae	Gan Cao
- Fr. Jujube	Da Zao	+ 30g Rx. Miltiorrhizae	Dan Shen
+15g Rx. Chuanxiong	Chuan Xiong	+ 30g Caul. Spatholobi	Ji Xue Teng
+ 12g Rx. Angelicae Sinensis	Dang Gui	For restless leg syndrome with Cold extremities with Yang Deficiency:
+ 3g Hb. cum Rx. Asari	Xi Xin	- Rz. Zingiberis Recens	Sheng Jiang
+ 12g Pheretima	Di Long	- Fr. Jujube	Da Zao
+ 15g Rx. Cyathulae	Chuan Niu Xi	+15g Rx. Chuanxiong	Chuan Xiong
+ 6g Rx. Glycyrrhizae	Gan Cao	+ 12g Rx. Angelicae Sinensis	Dang Gui
+ 60g Rx. Astragali	Huang Qi	+ 3g Hb. cum Rx. Asari	Xi Xin
+ 9g Flos Carthami	Hong Hua	+ 12g Pheretima	Di Long
+ 9g Sm. Persicae	Tao Ren	+ 15g Rx. Cyathulae	Chuan Niu Xi
For Deficient Qi and Blood Bi:		+ 6g Rx. Glycyrrhizae	Gan Cao
+ Rx. Angelicae Sinensis	Dang Gui	+ 12g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
For cervical spondylosis:
+ 15g Caulis Spatholobi	Ji Xue Teng	+ 6g Rx. Ephedrae	Ma Huang
+ 12g Rx. Paeoniae Rubra	Chi Shao	For cervical spondylosis with Wind-Damp Obstructing the Channels:
+ 9g Rx. Puerariae	Ge Gen	+ 15g Caulis Spatholobi	Ji Xue Teng
For cervical spondylosis with Blood Stasis:		+ 12g Rx. Paeoniae Rubra	Chi Shao
+ 15g Caulis Spatholobi	Ji Xue Teng
+ 12g Rx. Paeoniae Rubra	Chi Shao	+ 9g Rx. Puerariae	Ge Gen
+ 9g Rx. Puerariae	Ge Gen	+ 9g Rx. Clematidis	Wei Ling Xian
+ 9g Pheretima	Di Long	+ 9g Rx. et Rz. Notopterygii	Qiang Huo
+ 6g Olibanum	Ru Xiang
+ 9g Flos Carthami	Hong Hua	For cervical spondylosis with Kidney Deficiency:
For lateral epicondylitis with Blood Deficiency and/or Blood Stasis:		+ 15g Caulis Spatholobi	Ji Xue Teng
+ 12g Rx. Paeoniae Rubra	Chi Shao
+ 15g Caulis Spatholobi	Ji Xue Teng
+ 9g Rx. Angelicae Sinensis	Dang Gui	+ 9g Rx. Puerariae	Ge Gen
+ 9g Cx. Acanthopanacis	Wu Jia Pi
For lateral epicondylitis with marked Wind-Cold-Dampness:
+ 9g Hb. Epimedii	Yin Yang Huo
+ 9g Cx. Acanthopanacis	Wu Jia Pi	+ 9g Rz. Cibotii	Gou Ji
For lateral epicondylitis with bone weakness and sinew fatigue:
+ 9g Rx. Clematidis	Wei Ling Xian
+ 9g Rx. et Rz. Notopterygii	Qiang Huo	+ 9g Cx. Eucommiae	Du Zhong
+ 9g Rx. Dipsaci	Xu Duan
For scapulohumeral periarthritis:		For scapulohumeral periarthritis with restricted movement:
+ 12g Rx. Salviae Miltiorrhizae	Dan Shen
+ 12g Rx. Salviae Miltiorrhizae	Dan Shen
+ 12g Caulis Spatholobi	Ji Xue Teng
For scapulohumeral periarthritis with severe Qi Deficiency:		+ 12g Caulis Spatholobi	Ji Xue Teng
+ 9g Hb. Pyrolae	Lu Xian Cao
+ 12g Rx. Salviae Miltiorrhizae	Dan Shen	+ 9g Caulis Trachelospermi	Luo Shi Teng
For scapulohumeral periarthritis with bone weakness due to Kidney Deficiency:
+ 12g Caulis Spatholobi	Ji Xue Teng
+ 9g Rx. Codonopsis	Dang Shen
+ 9g Poria	Fu Ling	+ 12g Rx. Salviae Miltiorrhizae	Dan Shen
For Raynaud's disease with Blood Deficiency:
+ 20g Rx. Codonopsis	Dang Shen	+ 12g Caulis Spatholobi	Ji Xue Teng
+ 15g Rz. Atractylodis Macrocephalae	Bai Zhu	+ 9g Cx. Acanthopanacis	Wu Jia Pi
+ 15g Poria	Fu Ling	+ 9g Rx. Dipsaci	Xu Duan
+ 12g Rz. Corydalis	Yan Hu Suo	+ 9g Rx. Achyranthis Bidentatae	Niu Xi
+ 12g Rx. Paeoniae Rubra	Chi Shao
For rheumatoid arthritis with Blood Deficiency:
+ 9g Pheretima	Di Long	+ 9g Rx. Rehmanniae Preparata	Shu Di Huang
+ 6g Rx. Glycyrrhizae	Gan Cao
For rheumatoid arthritis with Qi Deficiency:		+ 9g Rx. Angelicae Sinensis	Dang Gui
+ More (20g) Rx. Astragali	Huang Qi
+ 6g Rz. Chuanxiong	Chuan Xiong
+ 9g Rx. Codonopsis	Dang Shen	For rheumatoid arthritis with inhibited movement:
+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 9g Caulis Piperis Kadsurae	Hai Feng Teng
For rheumatoid arthritis with severe pain and a cool sensation in the affected area:
+ 9g Caulis Trachelospermi	Luo Shi Teng
+ 6g Rx. Aconiti Lateralis Preparata	Zi Fu Zi
+ 9g Rx. Clematidis	Wei Ling Xian
+ 3g Hb. cum Rx. Asari	Xi Xin	For rheumatoid arthritis with pain in the upper limbs:
For rheumatoid arthritis with pain in the lower limbs:
+ 9g Ram. Mori	Sang Zhi
+ 9g Rx. Achyranthis Bidentatae	Niu Xi	For rheumatoid arthritis with joint rigidity and deformation:
For rheumatoid arthritis with severe joint swelling:		+ 3g Scorpio	Quan Xie
+ 3g Scolopendra	Wu Gong
+ 20g Sm. Coicis	Yi Yi Ren	+ 3g Zaocys	Wu Shao She
+ 9g Rz. Atractylodis	Cang Zhu	+ 9g Rx. Dipsaci	Xu Duan
For rheumatoid arthritis with severe pain:		For painful obstruction:
+ 6g Olibanum	Ru Xiang	+ Rx. Angelicae Sinensis	Dang Gui
+6g Myrrh	Mo Yao