Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

Jia Wei Xuan Bi Tang - 加味宣痺湯 - Modified Disband Painful Obstruction Decoction

English:	Modified Disband Painful Obstruction Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	*Pin Yin*	Dosage	Actions
Rx. Stephaniae Tetrandrae	*Han Fang Ji*	15g	Expels Wind-Dampness, purges Damp-Heat, alleviates pain, promotes urination and reduces edema. With Yi Yi Ren and Can Sha, for Wind-Damp Bi and Wind-Damp-Heat Bi.
Sm. Armeniacae	*Xing Ren*	9g	Regulates the Lung's water metabolism function.
Sm. Coicis	*Yi Yi Ren*	15g	Clears Damp-Heat, Clears Heat, Expels Wind-Dampness, Promotes urination, Soothes numbness, Strengthens the Spleen. With Can Sha, strengthens the Spleen, resolves Dampness and treats painful obstruction.
Faeces Bombycis	*Can Sha*	9g	Dispels Wind Dampness, harmonizes the Stomach and transforms turbid Dampness. With Han Fang Ji, Yi Yi Ren and Lian Qiao, for Damp-Heat Bi and Wind-Damp Bi.
Rz. Pinelliae Preparatum	*Zhi Ban Xia*	9g	Descends Rebellious Qi, Dries Dampness, Reduces swelling, Transforms Phlegm. With Can Sha, dries Dampness and eliminates turbidity.
Fr. Forsythiae	*Lian Qiao*	9g	Clears relatively superficial Heat.
Fr. Gardenia	*Zhi Zi*	9g	Clears Heat, Drains Damp-Heat, Eliminates irritability, Reduces swelling. With Hua Shi, Lian Qiao and Chi Xiao Dou, assists in clearing Heat and draining Dampness through the urine.
Talcum	*Hua Shi*	15g	Promotes urination and expels Damp-Heat.
Sm. Phaseoli	*Chi Xiao Dou*	15g	Clears Damp Heat, Clears Heat, Promotes urination, Reduces swelling.
Rz. Curcumae Longae	*Jiang Huang*	15g	Alleviates pain, Expels Wind, Invigorates Blood, Promotes movement of Qi.
Cx. Erythrinae	*Hai Tong Pi*	15g	Clears Heat, Expels Wind-Dampness, Promotes urination, Reduces edema, Unblocks the channels.
Ram. Mori	*Sang Zhi*	15g	Benefits the joints, Dispels Wind-Dampness especially in the upper extremities, Reduces edema, Regulates water metabolism, Stops spasms, Unblocks the channels.

Formula Actions

Clears Heat
Eliminates Dampness
Invigorates the collaterals
Stops pain

Syndromes

Bi Syndrome due to Damp-Heat in the Channels and Collaterals
Wei Syndrome due to Accumulation of Damp-Heat

Clinical Manifestations

Heat and pain in the joints and muscles
Severe limitation of movement
Fever and shaking chills
Lusterless yellow complexion
Scanty, dark urine
Pain worse on cloudy or rainy days
Arthralgia involving one or several joints
Local redness and Heat of the extremities
Swelling with excruciating pain
Pain better during the day and worse at night
Numbness of the muscles
Thirst
Dryness of the mouth
Irritability

Muscular atrophy
Restlessness
Anorexia
Desire for Cold drinks
Loose stools
Aversion to Heat
Fullness of the chest
Pain improved with Cold and worse with Heat
Muscular swelling
Muscle redness
General heaviness
T:Red, maybe flabby
C: Yellow and greasy
P: Slippery and rapid

Treats

Rheumatic fever
Rheumatoid arthritis
Gouty arthritis
Connective tissue disorders
Arthralgia
Subacute lupus erythematosus
Guillain-Barre syndrome
Fever

Rheumatic arthritis
Rheumatic Heart disease
Erythema arthriticum
Mononeuropathy
Brachial neuritis
Polyneuritis
Myasthenia gravis
Osteoarthritis

Contraindications And Herb/Drug Interactions

CONTRAINDICATIONS

Contraindicated for those with Bi Syndrome due to Wind-Cold-Damp
Contraindicated for those with Wei Syndrome not caused by Damp-Heat

HERB/DRUG INTERACTIONS

Notes

Modifications

For severe pain:		For fever:
+ 12g Zaocys	Wu Shao She	+ 15g Caulis Lonicerae	Ren Dong Teng
+ 6gScorpio	Quan Xie	+ 20g Gypsum Fibrosum Recens	Sheng Shi Gao
For muscle and joint swelling:		For Wei Syndrome of long duration:
+ 10g Rz. Atractylodes	Cang Zhu	+ 12g Rx. Astragali Recens	Sheng Huang Qi
+ 10g Cx Phellodendri i	Huang Bai	+ Rx. Codonopsis	Dang Shen

For educational reference only; not a substitute for care from a qualified practitioner.