Shen Jiao Tang Jia Wei - 肾矫汤加味 - Augmented Affected Kidneys Decoction

English:	Augmented Affected Kidneys Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Atractylodis	Cang Zhu	9g	Strongly dries Dampness, tonifies the Spleen, induces sweating, expels Wind-Dampness and clears Dampness from the Lower Jiao. With Bai Zhu, for musculoskeletal disorders of the arms and shoulders due to Phlegm Stagnation.
Rz. Atractylodis Macrocephalae	Bai Zhu	9g	Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism. With Cang Zhu, for Damp Cold Painful Obstruction. With Gan Jiang, for frequent diarrhea due to Spleen and Stomach Deficiency Cold.
Poria	Fu Ling	6g	Promotes urination,leaches out Dampness, strengthens the Spleen and harmonizes the Middle Jiao. With Bai Zhu, strengthens the Spleen and resolves Dampness.
Rz. Zingiberis	Gan Jiang	9g	Dispels Wind-Dampness seeping into the Lower Jiao. With Zhi Fu Zi, for Cold-Damp Bi. With Fu Ling, Bai Zhu and Zhi Gan Cao, for Cold-Dampness in the Lower Jiao leading to a sense of heaviness and Cold in the lower back.
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	6g	Disperses Cold and Dampness, warms the channels and stops pain. With Gan Jiang and Zhi Gan Cao, strengthens its actions of fortifying Qi and benefiting the Yang for Cold extremities. With Bai Zhu, for Wind-Damp Bi. With Bai Zhu and Fu Ling, for Kidney and Spleen Yang Deficiency with retention of pathogenic water with abdominal pain, which is worse with Cold, urinary difficulty, and deep aching and heaviness in the extremities. With Ma Huang and Xi Xin, for a Wind-Cold Attack with preexisting Yang Deficiency. With Xi Xin, for Wind-Damp-Cold Bi with spasms of the joints and intolerable pain. With Fu Ling, for lower body edema and dysuria.
Cx. Eucommiae	Du Zhong	6g	Aids the smooth flow of Qi and Blood, Strengthens the sinews and bones, Tonifies Kidney Yang, Tonifies the Kidneys and Liver.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	3g	Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

Formula Actions

• Scatters Cold
• Transforms Dampness

Syndromes

• Wind-Cold-Damp

Clinical Manifestations

Low back pain The pain is accompanied by Cold and heavy sensations in the low back as if sitting in water and carrying some weight The sensations are aggravated by col-Damp weather and alleviated by warmth There may be body heaviness and numbness

The joints may feel sore and inhibited when bending or stretching No thirst Loose stools T: Pale C: Slimy and white P: Soft and moderate

Treats

Low back pain

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Kidney Deficiency:		For Cold sensations in the low back:
+ Hb. Taxilli	Sang Ji Sheng	+ 3g Hb. cum Rx. Asari	Xi Xin
+ Rx. Dipsaci	Xu Duan	For severe heavy sensations in the low back:
+ Fr. Chaenomelis	Mu Gua