Jiu Wei Qiang Huo Tang - 九味羌活湯 - Nine-Herb Decoction With Notopterygium

English:	Nine-Herb Decoction with Notopterygium
Also Known As:	Chianghuo Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. seu Rx. Notopterygii	Qiang Huo	3-9g	Releases the exterior, disperses Cold, expels Wind-Cold-Dampness, unblocks painful obstruction, alleviates pain and guides Qi to the Tai Yang and Du channels. With Chuan Xiong, for headache and generalized body aches and pains associated with the common cold or painful obstruction. With Fang Feng, for pain due to External Wind-Dampness. With Fang Feng, Bai Zhi, Xi Xin and Chuan Xiong, for Wind-Cold with aversion to Cold, fever, headaches and muscle aches. With Fang Feng, Bai Zhi and Cang Zhu, for Wind-Cold. With Cang Zhu for a heavy-headed sensation.
Rx. Saposhnikoviae	Fang Feng	3-9g	Alleviates pain, Expels Wind-Dampness, Releases the Exterior, Stops spasms. With Cang Zhu, for Wind-Cold-Dampness with chills, anhidrosis, headache, heavy head, lethargy, heavy limbs and stifling fullness in the chest and abdomen. With Qiang Huo, for Wind-Dampness.
Rz. Atractylodis	Cang Zhu	3-9g	Induces sweating, expels Wind-Dampness, strongly dries Dampness and tonifies the Spleen. With Chuan Xiong, Bai Zhi, Xi Xin and Qiang Huo, for Exterior Wind-Cold-Dampness.
Rx. Hb. cum Rx. Asari	Xi Xin	1-6g	Disperses Wind-Cold and Internal Cold, alleviates pain, warms the Lungs, transforms Phlegm and Thin Mucus, disperses and unblocks the Qi of the nasal orifices and relieves toothache. With Sheng Di Huang, for headache and toothache due to Wind-Heat. With Chuan Xiong and Fang Feng, for Bi syndrome.
Rz. Chuanxiong	Chuan Xiong	2-9g	Expels Wind and alleviates pain. With Xi Xin, for Wind-Cold headache, toothache and Bi pain. With Xi Xin and Fang Feng, for Wind-Cold Headaches.
Rx. Angelicae Dahuricae	Bai Zhi	2-9g	Expels Wind, eliminates Dampness, unblocks the nasal passages, dispels Cold and alleviates pain. With Xi Xin, for Wind-Cold induced headaches, sinus headaches, orbital headaches and toothache aggravated by cold air. With Chuan Xiong, for headache. With Huang Qin, for Wind-Heat headache. With Fang Feng and Qiang Huo, for Wind-Cold with headache and stuffy nose. With Qiang Huo, for Wind-Cold Dampness causing fever, chills and headaches.
Rx. Scutellariae	Huang Qin	2-9g	Clears Heat and dries Dampness. With Qiang Huo, for Cold-Dampness at the Exterior with Heat in the Interior.
Rx. Rehmanniae	Sheng Di Huang	2-9g	Clears Heat, Cools the Blood, Nourishes Yin and generates fluids.
Rx. Glycyrrhizae	Gan Cao	2-6g	Harmonizes the harsh properties of other herbs, Moistens the Lungs, Resolves Phlegm, Stops cough and moderates.

Formula Actions

• Induces sweating
• Expels Wind-Cold
• Dispels Dampness
• Drains Interior Heat

Syndromes

• Wind-Cold-Dampness with Interior Heat
• Exterior Wind-Cold-Damp with concurrent internal accumulation of Heat (Secondary source)

Clinical Manifestations

Chills and fever (more chills than fever) Anhidrosis Headache Stiff neck Generalized aches and pains

Slight thirst A bitter taste in the mouth T: Normal C: White P: Floating

Treats

Common cold Influenza Migraine Urticaria Sinusitis Facial nerve palsy Torticollis Fibromyalgia Tenosynovitis Rheumatic arthritis Chills

Lumbar strain Erysipelas Acute myocarditis Rheumatoid arthritis Arthritis Sciatica Muscle aches and pains Headache Neuralgia due to the common cold Fever Neck stiffness

Contraindications And Herb/Drug Interactions

Notes

Modifications

For upper back and shoulder pain:		For absence of thirst or bitter taste in the mouth:
+ Rx. Gentianae Macrophyllae	Qin Jiao	- Rx. Scutellariae	Huang Qin
- Rx. Rehmanniae	Sheng Di Huang
For pronounced thirst and irritability:		For a dry or sore throat:
+ Gypsum Fibrosum	Shi Gao	+ Rx. Platycodi	Jie Geng
+ Rz. Anemarrhenae	Zhi Mu	+ Fr. Arctii	Niu Bang Zi
For epigastric distention and discomfort with a greasy tongue coat:		+ Hb. Menthae	Bo He
For coughing up thick sputum:
- Rx. Rehmanniae	Sheng Di Huang	+ Sm. Armeniacae	Xing Ren
+ Hb. Agastaches	Huo Xiang	+ Rx. Peucedani	Qian Hu
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	For severe pain due to Dampness:
+ More Rz. et Rx. Notopterygii	Qiang Huo
For moderate or mild pain due to Dampness:
- Rx. Hb. cum Rx. Asari	Xi Xin	+ More Rz. Atractylodis	Cang Zhu
- Rz. Atractylodis	Cang Zhu	For a feeling of fullness and oppression in the chest due to Dampness:
For a severe headache:
+ Rz. Ligustici	Gao Ben	- Rx. Rehmanniae	Sheng Jiang
For no bitter taste or thirst:		+ Fr. Aurantii	Zhi Ke
+ Less or remove Rx. Rehmanniae	Sheng Jiang	+ Cx. Magnoliae Officinalis	Hou Po
+ Less or remove Rx. Scutellariae	Huang Qin	For clear or watery nasal discharge:
+ Magnoliae Flower Powder Xin Yi San
For coughing:
+ Sm. Armeniacae	Xing Ren	For vomiting or thirst:
Stop Coughing Powder Zhi Sou San		+ Fr. Aurantii Immaturus	Zhi Shi
+ Rx. Platycodi	Jie Geng
For stronger diaphoresis:		For a headache:
+ Bul. Allii Fistulosi	Cong Bai	+ Rx. Puerariae	Ge Gen
+ Rz. Zingiberis Recens	Sheng Jiang	+ Rx. Angelicae Sinensis	Dang Gui
For a headache with severe dizziness:		For a headache with generalized weakness and Deficiency:
+ Rx. Puerariae	Ge Gen
+ Rx. Angelicae Sinensis	Dang Gui	+ Rx. Puerariae	Ge Gen
+ Rz. Gastrodiae	Tian Ma	+ Rx. Angelicae Sinensis	Dang Gui
+ Ram. cum Uncis Uncariae	Gou Teng	+ Rx. Astragali	Huang Qi
+ Rz. Atractylodis Macrocephalae	Bai Zhu
+ Flos Chrysanthemi	Ju Hua
For a chronic headache:		+ Rx. Codonopsis	Dang Shen
+ Rx. Puerariae	Ge Gen	For a migraine headache:
+ Rx. Angelicae Sinensis	Dang Gui	+ Rx. Puerariae	Ge Gen
+ Sm. Persicae	Tao Ren	+ Rx. Angelicae Sinensis	Dang Gui
+ Flos Carthami	Hong Hua	+ Rx. Bupleuri	Chai Hu
+ Scorpio	Quan Xie	+ Rx. Gentianae	Long Dan Cao
For an occipital headache with neck stiffness and pain:		For a vertex headache:
+ Rx. Puerariae	Ge Gen
+ Rx. Puerariae	Ge Gen	+ Rx. Angelicae Sinensis	Dang Gui
+ Rx. Angelicae Sinensis	Dang Gui	+ Rz. Ligustici	Gao Ben
+ Fr. Viticis	Man Jing Zi	For acute urticaria due to drug allergy:
+ Ram. Cinnamomi	Gui Zhi	+ Sm. Phaseoli	Lu Dou
For acute urticaria with parasites:		+ More Rx. Glycyrrhizae (large dose)	Gan Cao
+ Sm. Arecae	Bing Lang
+ Fr. Mume	Wu Mei	For recurrent out breaks of acute urticaria:
For acute urticaria with Wind-Heat:		+ Periostracum Cicadae	Chan Tui
- Hb. cum Rx. Asari	Xi Xin	+ Hb. Spirodelae	Fu Ping
+ Fr. Kochiae	Di Fu Zi