Si Wu Xiao Feng Tang - 四物消風汤 - Eliminate Wind With The Four Substances Decoction

English:	Eliminate Wind with the Four Substances Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Rehmanniae	Sheng Di Huang	5-30g	Clears Heat, cools the Blood, nourishes Yin and generates fluids. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood.
Rx. Rehmanniae Preparata	Shu Di Huang	9-30g	Nourishes the Blood and nourishes Liver and Kidney Yin. With Dang Gui, for Blood Deficiency marked by dizziness, palpitations, insomnia and menstrual dysfunction.
Rx. Angelicae Sinensis	Dang Gui	3-15g	Tonifies, invigorates and harmonizes the Blood, reduces swelling, expels pus, generates flesh and alleviates pain. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood.
Rz. Chuanxiong	Chuan Xiong	3-10g	Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain.
Hb. Taxilli	Sang Ji Sheng	9-20g	Tonifies Liver and Kidney Yin, strengthens the sinews and bones, expels Wind-Dampness, nourishes the Blood and benefits the skin.
Rx. Paeoniae Rubra	Chi Shao	4.5-15g	Invigorates the Blood, clears Heat, cools the Blood, dispels Blood Stasis and reduces swelling from sores. With Chuan Xiong and Dang Gui, for abscesses, boils, and trauma induced pain.
Rx. Salviae Miltiorrhizae	Dan Shen	3-15g	Clears Heat, Cools the Blood, Dispels Blood Stasis, Invigorates the Blood, Reduces abscesses, Soothes irritability.
Hb. Schizonepetae	Jing Jie	3-10g	Expels Wind, Releases the exterior, Relieves itching, Vents rashes. With Fang Feng, for pruritic itching. With Dang Gui and Chuan Xiong , for itching from Wind due to Blood Deficiency.
Rx. Saposhnikoviae	Fang Feng	3-10g	Releases the exterior and expels External Wind and Wind-Dampness.
Cx. Dictamni	Bai Xian Pi	4-16g	Clears Damp-Heat, Clears Heat, Dries Dampness, Expels Wind, Resolves Fire-toxicity, Stops itching. With Ku Shen, for Damp-Heat sores that itch. With Ji Xue Teng, for abdominal pain due to Blood Stasis.
Rx. Sophorae Flavescentis	Ku Shen	3-15g	Clears Heat, Disperses Wind, Dries Dampness, Kills parasites, Stops itching.

Formula Actions

• Nourish the Blood
• Eliminate Wind
• Clear Heat
• Dispel Damp

Syndromes

• Wind-Damp-Heat with Blood Deficiency

Clinical Manifestations

Thickened skin with lichenoid changes Localized skin eruptions with clear borders Small amount of desquamation

Itching Erosion

Treats

Chronic eczema Lip pain

Psoriasis

Contraindications And Herb/Drug Interactions

Notes

Modifications

For insomnia due to itching:		For lip Wind due to Wind-Heat with Spleen and Stomach Damp-Heat:
+ Caulis Polygoni Multiflori	Ye Jiao Teng
- Rx. Rehmanniae Preparata	Shu Di Huang
+ Concha Margaritaferae Usta	Zhen Zhu Mu
- Hb. Taxilli	Sang Ji Sheng
+ Sm. Zizyphi Spinosae	Suan Zao Ren	- Rx. Salviae Miltiorrhizae	Dan Shen
For lip Wind due to Wind-Heat with Spleen and Stomach Damp-Heat with prominent blistering and Dampness:
- Cx. Dictamni	Bai Xian Pi
- Rx. Sophorae Flavescentis	Ku Shen
- Rx. Rehmanniae Preparata	Shu Di Huang
+ 6-9g Hb. Menthae	Bo He
- Hb. Taxilli	Sang Ji Sheng	+ 6-9g Rx. Bupleuri	Chai Hu
- Rx. Salviae Miltiorrhizae	Dan Shen	+ 9-12g Periostracum Cicadae	Chan Tui
- Cx. Dictamni	Bai Xian Pi	+ 3-6g Rx. Glycyrrhizae	Gan Cao
- Rx. Sophorae Flavescentis	Ku Shen	+ 6-12g Rx. Scutellariae	Huang Qin
+ 6-12g Cx. Moutan	Mu Dan Pi
+ 6-9g Hb. Menthae	Bo He	+ 18-24g Rx. Scrophulariae	Xuan Shen
+ 6-9g Rx. Bupleuri	Chai Hu
+ 9-12g Periostracum Cicadae	Chan Tui	+ 9-12g Rx. Ophiopogonis	Mai Men Dong
+ 3-6g Rx. Glycyrrhizae	Gan Cao	+ 12-15g Hb. Dendrobii	Shi Hu
+ 6-12g Rx. Scutellariae	Huang Qin	For lip Wind due to Wind-Heat with Spleen and Stomach Damp-Heat with prominent Heat:
+ 6-12g Cx. Moutan	Mu Dan Pi
+ 18-24g Rx. Scrophulariae	Xuan Shen	- Rx. Rehmanniae Preparata	Shu Di Huang
+ 9-12g Rx. Ophiopogonis	Mai Men Dong	- Hb. Taxilli	Sang Ji Sheng
- Rx. Salviae Miltiorrhizae	Dan Shen
+ 12-15g Hb. Dendrobii	Shi Hu
+ 15-30g Rx. Isatidis	Ban Lan Gen	- Cx. Dictamni	Bai Xian Pi
+ 30g Sm. Coicis	Yi Yi Ren	- Rx. Sophorae Flavescentis	Ku Shen
+ 9-12g Sm. Plantaginis	Che Qian Zi
For lip Wind due to Wind-Heat with Spleen and Stomach Damp-Heat with itching:		+ 6-9g Hb. Menthae	Bo He
+ 6-9g Rx. Bupleuri	Chai Hu
- Rx. Rehmanniae Preparata	Shu Di Huang	+ 9-12g Periostracum Cicadae	Chan Tui
- Hb. Taxilli	Sang Ji Sheng	+ 3-6g Rx. Glycyrrhizae	Gan Cao
- Rx. Salviae Miltiorrhizae	Dan Shen	+ 6-12g Rx. Scutellariae	Huang Qin
+ 6-12g Cx. Moutan	Mu Dan Pi
- Rx. Sophorae Flavescentis	Ku Shen	+ 18-24g Rx. Scrophulariae	Xuan Shen
+ 6-9g Hb. Menthae	Bo He	+ 9-12g Rx. Ophiopogonis	Mai Men Dong
+ 6-9g Rx. Bupleuri	Chai Hu
+ 9-12g Periostracum Cicadae	Chan Tui	+ 12-15g Hb. Dendrobii	Shi Hu
+ 18-30g Flos Lonicerae	Jin Yin Hua
+ 3-6g Rx. Glycyrrhizae	Gan Cao	+ 9-12g Fr. Forsythiae	Lian Qiao
+ 6-12g Rx. Scutellariae	Huang Qin	For lip Wind due to Wind-Heat with Spleen and Stomach Damp-Heat with quivering or spasms of the lips:
+ 6-12g Cx. Moutan	Mu Dan Pi
+ 18-24g Rx. Scrophulariae	Xuan Shen
- Rx. Rehmanniae Preparata	Shu Di Huang
+ 9-12g Rx. Ophiopogonis	Mai Men Dong	- Hb. Taxilli	Sang Ji Sheng
- Rx. Salviae Miltiorrhizae	Dan Shen
+ 12-15g Hb. Dendrobii	Shi Hu
- Cx. Dictamni	Bai Xian Pi
- Rx. Sophorae Flavescentis	Ku Shen
+ 6-9g Hb. Menthae	Bo He
+ 6-9g Rx. Bupleuri	Chai Hu
+ 9-12g Periostracum Cicadae	Chan Tui
+ 3-6g Rx. Glycyrrhizae	Gan Cao
+ 6-12g Rx. Scutellariae	Huang Qin
+ 6-12g Cx. Moutan	Mu Dan Pi
+ 18-24g Rx. Scrophulariae	Xuan Shen
+ 9-12g Rx. Ophiopogonis	Mai Men Dong
+ 12-15g Hb. Dendrobii	Shi Hu
+ 1-3g Scorpio	Quan Xie