MIAN TONG FANG SI HAO - 面痛方四号 - FACIAL PAIN FORMULA #4

English:	Facial Pain Formula #4
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Astragali	Huang Qi	15g	Tonifies Qi and Blood, strengthens the Spleen, raises the Yang Qi of the Spleen and Stomach, tonifies Wei Qi, stabilizes the Exterior, tonifies the Lungs, aids the circulation of moisture downward from the face and relieves numbness and pain. With Dang Gui, for Qi and Blood Deficiency with numbness, painful obstruction and paresthesia.
Caulis Spatholobi	Ji Xue Teng	15g	Invigorates and tonifies the Blood, activates the channels and relaxes the sinews.
Rz. Chuanxiong	Chuan Xiong	9g	Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain. With Dang Gui, for Wind-Damp Invasion blocking the Blood vessels causing pain, numbness and paralysis.
Rx. Paeoniae Rubra	Chi Shao	9g	Invigorates the Blood, dispels Blood Stasis and relieves pain.
Rx. Angelicae Sinensis	Dang Gui	9g	Tonifies, invigorates and harmonizes the Blood, reduces swelling and alleviates pain. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rx. Salviae Miltiorrhizae	Dan Shen	9g	Invigorates the Blood and dispels Blood Stasis.
Rx. Cyathulae	Chuan Niu Xi	9g	Invigorates the Blood, dispels Blood Stasis, expels Wind, drains Dampness, tonifies the Kidneys and Liver and strengthens the tendons and bones.
Rz. Gastrodiae	Tian Ma	6g	Extinguishes Wind, calms the Liver, stops spasms and tremors and alleviates pain. With Chuan Xiong, for overwhelming attacks of Wind leading to migraines and dizziness so severe that the person feels as if they are about to fall over.
Flos Carthami	Hong Hua	6g	Dispels Blood Stasis, Invigorates the Blood, Opens the channels and alleviates pain.
Rz. Curcumae Longae	Jiang Huang	6g	Eliminates Blood Stasis, Expels Wind, Invigorates the Blood, Invigorates the Blood and reduces swelling, Opens the channels and collaterals to alleviate pain, Promotes the movement of Qi.
Poria	Fu Ling	6g	Promotes urination, leaches out Dampness and strengthens the Spleen.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	3g	Tonifies the Spleen, augments Qi, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

Formula Actions

• Tonifies Qi
• Invigorates the Blood
• Transforms Stasis
• Unblocks the channels
• Alleviates pain

Syndromes

• Qi Deficiency with Blood Stagnation

Clinical Manifestations

Chronic pain Enduring attacks Severe, lancinating, fixed pain Pain worse at night Possible spasms A somber, white facial complexion Scaly skin Aversion to Wind

Spontaneous perspiration Shortness of breath Disinclination to speak Fatigue Lassitude T: Pale with possible maculae or static spots C: Thin and white P: Deep, choppy and weak

Treats

Temporomandibular joint syndrome (TMJ)

Facial pain

Contraindications And Herb/Drug Interactions

Notes

Modifications

For uneasy opening and closing of the mouth or severe pain:		For severe Qi Deficiency:
		+ 9g Rx. Codonopsis`	Dang Shen
+ 15g Pheretima	Di Long	+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu
For a poor appetite:
+ 9g Fr. Hordei Germinatus	Mai Ya	For abdominal fullness:
		+ 9g Cx. Magnoliae Officinalis	Hou Po
+ 9g Massa Medicata Fermentata	Shen Qu
		+ 9g Rx. Aucklandiae	Mu Xiang
For sliminess in the mouth, a slimy tongue coat and a heavy head or body:		For stubborn facial pain:
		+ Scorpio	Quan Xie
+ 9g Rz. Atractylodis	Cang Zhu	+ Scolopendra	Wu Gong
+ 9g Hb. Agastaches	Huo Xiang	+ Bombyx Batryticatus	Jiang Can
		+ Pheretima	Di Long
		+ Eupolyphaga/ Steleophaga	Tu Bie Chong