Shang Zhong Xia Tong Yong Tong Feng Wan - 上中下通用痛风囊 - Pill To Treat Painful Wind Anywhere

English:	Pill to Treat Painful Wind Anywhere
Also Known As:	Upper, Middle and Lower General Pill for Wind-Pain

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Wine-fried Cx. Phellodendri	Jiu Chao Huang Bai	9-21g	Drains Damp-Heat especially from the Lower Jiao, drains Kidney Fire and treats Blood Stagnation with Heat. With Cang Zhu, eliminates Dampness and clears Heat for Lower Jiao Damp-Heat with pain, swelling and weakness in the lower limbs.
Rz. Atractylodis	Cang Zhu	9-21g	Strongly dries Dampness, tonifies the Spleen and clears Dampness from the Lower Jiao. With Chuan Xiong, Bai Zhi and Qiang Huo, for Exterior Wind-Cold-Dampness. With Huang Bai, for pain, swelling, and weakness of the lower extremities or skin lesions due to Wind-Dampness.
Rz. Arisaematis Preparata	Zhi Tian Nan Xing	9-31g	Dries Dampness and expels Phlegm. With Cang Zhu, for Wind-Damp painful obstruction.
Dry-fried Massa Medicata Fermentata	Chao Shen Qu	9g	Reduces Food Stagnation, promotes digestion, moves Qi and harmonizes the Stomach.
Rz. Chuanxiong	Chuan Xiong	9g	Activates the Blood, promotes the movement of Qi, expels Wind and alleviates pain. With Gui Zhi, expels Wind-Dampness, warms the channels and collaterals, facilitates joint movement and relieves Bi pain for joint and limb pain due to an External Wind-Cold invasion.
Sm. Persicae	Tao Ren	9g	Breaks up Blood Stasis and activates Blood circulation. With Hong Hua, activates the Blood for all types of Blood Stagnation.
Rx. Gentianae	Long Dan Cao	3-9g	Drains Damp-Heat from the Liver and Gallbladder channels.
Rx. Stephaniae	Han Fang Ji	9g	Promotes urination, reduces edema especially in the lower body, expels Wind-Dampness, alleviates pain and purges Damp-Heat.
Rx. Angelicae Dahuricae	Bai Zhi	9g	Expels Wind, expels Dampness, alleviates discharge and treats leukorrhea and diarrhea. With Qiang Huo, Gui Zhi and Chuan Xiong, for muscle aches and pains due to Wind-Dampness.
Rz. seu Rx. Notopterygii	Qiang Huo	3-6g	Releases the Exterior, disperses Cold, expels Wind-Cold-Dampness, unblocks painful obstruction and alleviates pain. With Chuan Xiong, for headaches and generalized body aches and pains associated with the common cold or painful obstruction. With Cang Zhu, for a heavy-headed sensation.
Wine-fried Rx. Clematidis	Jiu Chao Wei Ling Xian	3-9g	Disperses Cold and unblocks the collaterals and is used for both mobile painful obstruction due to Wind and intensely painful obstruction due to Cold. With Qiang Huo, for Wind-Damp Bi causing joint pain.
Ram. Cinnamomi	Gui Zhi	3-9g	Adjusts the Ying and Wei, Assists Yang, Releases the Exterior, Unblocks Yang and transforms Qi and thin mucus, Warms the channels and collaterals to relieve pain.
Flos Carthami	Hong Hua	3-6g	Activates the Blood, dispels Blood Stasis, opens the channels, unblocks menstruation and alleviates pain. With Chuan Xiong, for chest and abdominal pain due to Qi and Blood Stasis.

Formula Actions

• Clears Heat
• Dries Dampness
• Activates the Blood
• Dispels Wind

Syndromes

• Painful Wind Disorders
• Wind-Damp-Heat with Blood Stagnation

Clinical Manifestations

Sore, achy joints

The pain moves from joint to joint

Treats

Sciatica Trigeminal neuralgia Late-stage trauma Osteoarthritis Low back pain

Lupus erythematosis Gout Arthralgia Rheumatism Painful obstruction

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Blood Deficiency in Cold patterns:		For Blood Deficiency in Heat patterns:
+ Rx. Angelicae Sinensis	Dang Gui	+ Caulis Spatholobi	Ji Xue Tang
For red, hot swollen joints:		For red, hot swollen joints with intense Heat:
- Rz. Chuanxiong	Chuan Xiong	- Rz. Chuanxiong	Chuan Xiong
+ Rx. Paeoniae Rubra	Chi Shao	+ Rx. Paeoniae Rubra	Chi Shao
+ Hb. Siegesbeckiae	Xi Xian Cao	+ Hb. Siegesbeckiae	Xi Xian Cao
+ Caulis Lonicerae	Ren Dong Teng	+ Caulis Lonicerae	Ren Dong Teng
For Phlegm:		+ Gypsum Fibrosum	Shi Gao
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Rz. Anemarrhenae	Zhi Mu
For Cold pain:
+ Rz. Atractylodis Macrocephalae	Bai Zhu	- Cx. Phellodendri	Huang Bai
+ Rx. Gentianae	Long Dan Cao
For more pronounced Dampness:		+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Sm. Coicis	Yi Yi Ren
+ Rx. Saposhnikoviae	Fang Feng	+ Cx. Acanthopanacis	Wu Jia Pi
+ Rx. Angelicae Pubescentis	Du Huo	For Qi Deficiency:
+ Rx. Astragali	Huang Qi
For lower body joint pain:		+ Rx. Ginseng	Ren Shen
- Rz. seu Rx. Notopterygii	Qiang Huo	For gout:
+ Fr. Chaenomelis	Mu Gua
+ Rx. Cyathulae	Chuan Niu Xi	+ Rx. Cyathulae	Chuan Niu Xi
+ Sm. Coicis	Yi Yi Ren	+ Sm. Coicis	Yi Yi Ren
+ Rx. Dipsaci	Xu Duan	For Damp-Heat:
+ Caulis Akebiae	Mu Tong	+ Sm. Coicis	Yi Yi Ren
For Wind predominant:		+ Rz. Polygoni Cuspidati	Hu Zhang
+ More Rx. Saposhnikoviae	Fang Feng	For Bi syndrome caused by Wind-Cold-Dampness:
+ Caulis Piperis Kadsurae	Hai Feng Teng	+ Rx. Saposhnikoviae	Fang Feng
+ Rx. Angelicae Pubescentis	Du Huo
For Bi syndrome caused by Blood Deficiency:
+ Rx. Angelicae Sinensis	Dang Gui	For Bi syndrome caused by Wind-Cold:
+ Rx. Paeoniae Alba	Bai Shao	+ Ephedra Decoction Ma Huang Tang
For Bi syndrome caused by Phlegm-Dampness:
+ Two-Cured Decoction Er Chen Tang