Ra #1

English:

Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. et Rx. Notopterygii	Qiang Huo	3-10g	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 Du Huo, for Wind-Dampness. With Cang Zhu, for a heavy-headed sensation.
Rx. Angelicae Pubescentis	Du Huo	3-10g	Dispels Wind-Dampness, releases the Exterior and alleviates pain. With Fang Feng, for numbness in the legs. With Qiang Huo, for joint pain and numbness.
Ram. Cinnamomi	Gui Zhi	9-15g	Warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels to relieve pain, releases the Exterior, assists Yang and releases the muscle layer.
Rx. Saposhnikoviae	Fang Feng	3-10g	Expels Wind-Dampness and alleviates pain. With Cang Zhu, for pain due to Wind-Dampness Bi with aching joints, heavy limbs and generalized aching discomfort. With Qiang Huo, for Wind-Dampness. With Qiang Huo and Dang Gui, for Wind-Cold-Damp Bi.
Rz. Atractylodis	Cang Zhu	3-10g	Strongly dries Dampness, tonifies the Spleen, induces sweating, expels Wind-Dampness and clears Dampness from the Lower Jiao.
Rx. Angelicae Sinensis	Dang Gui	3-15g	Tonifies, invigorates and harmonizes the Blood and disperses Cold.
Flos Carthami	Hong Hua	3-10g	Dispels Blood Stasis, Invigorates the Blood, Opens the channels and alleviates pain.

Formula Actions

• Expels Wind-Cold and Dampness
• Warms the channels
• Invigorates the Blood

Syndromes

• Wind-Cold-Damp with Formation of Heat (Mixed Cold and Heat0

Clinical Manifestations

Joint redness, swelling, Heat and pain Stiffness and inflexibility Initially the pain eases when exposed to coolness Later, coolness does not help. but warmth does Dry mouth

Bitter taste in the mouth Parched throat Insomnia Agitation Irritability T: Red C: Yellow or Slimy and yellow P: Wiry and rapid

Treats

Rheumatoid arthritis

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Cold:		For Heat:
+ Rx. Aconiti Preparata	Zhi Chuan Wu	- Rz. et Rx. Notopterygii	Qiang Huo
+ Rx. Aconiti Kusnezoffii	Zhi Cao Wu	- Rx. Angelicae Pubescentis	Du Huo
For Qi Deficiency:
+ Rx. Astragali	Huang Qi	+ Rz. Anemarrhenae	Zhi Mu
For Blood Deficiency:		+ Rx. Scutellariae	Huang Bai
+ Rx. Paeoniae Alba	Bai Shao	For a stronger Wind expelling and channel unblocking effect:
For arthritis of the upper body or upper limbs, especially the shoulders:
+ 2 or more of the following:
Rz. Curcumae Longae	Jiang Huang	Rx. Gentianae	Qin Jiao
Ram. Mori	Sang Zhi
Fr. Luffae Retinervus	Si Gua Luo
Rz. Curcumae Longae	Jiang Huang
Cx. Erythrinae	Hai Tong Pi
Caulis Trachelospermi	Luo Shi Teng
Rz. Homalomenae	Qian Nian Jian