Tong Zhu Yu Tong Jia Jian - 痛茱萸汤加減 - Modified Body Pain Dispel Stasis Decoction

English:	Modified Body Pain Dispel Stasis Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Dipsaci	Xu Duan	12g	Tonifies the Liver and Kidneys, strengthens the sinews and bones, promotes the movement of Blood, alleviates pain, generates flesh and reconnects the sinews and bones.
Rz. Drynariae	Gu Sui Bu	9g	Tonifies Kidney Yang, strengthens the sinews and bones, invigorates the Blood and helps regain strength after injuries. With Xu Duan, for injury to the muscles, sinews and bones by trauma.
Rz. Chuanxiong	Chuan Xiong	9g	Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain. With Xiang Fu, for Qi Stagnation combined with Blood Stasis. With Dang Gui, for a Wind-Damp Invasion blocking the Blood vessels causing pain, numbness and paralysis. With Dang Gui, Tao Ren and Hong Hua, for pain due to trauma.
Sm. Persicae	Tao Ren	9g	Breaks up Blood Stasis and invigorates Blood circulation.
Flos Carthami	Hong Hua	9g	Invigorates the Blood, dispels Blood Stasis, opens the channels and alleviates pain. With Tao Ren, invigorates the Blood for all types of Blood Stagnation.
Rz. et Rx. Notopterygii	Qiang Huo	9g	Expels Wind-Cold-Dampness, unblocks painful obstruction, alleviates pain and guides Qi to the Tai Yang and Du channels. With Chuan Xiong, for headaches and generalized body aches and pains associated with the common cold or painful obstruction.
Olibanum	Ru Xiang	9g	Invigorates the Blood, promotes the movement of Qi, relaxes the sinews, activates the channels and alleviates pain. With Qiang Huo and Qing Jiao, for joint pain due to Wind-Cold-Damp Bi.
Rx. Angelicae Sinensis	Dang Gui	9g	Tonifies, invigorates and harmonizes the Blood. With Xiang Fu, tonifies the Blood and moves Qi.
Rx. Cyathulae	Chuan Niu Xi	9g	Dispels Blood Stasis, Drains Dampness, Expels Wind, Invigorates the Blood, Strengthens the tendons and bones, Tonifies the Kidneys and Liver.
Pheretima	Di Long	9g	Clears Heat and unblocks and promotes movement in the channels and collaterals.
Rx. Gentianae Macrophyllae	Qin Jiao	9g	Expels Wind-Dampness, opens the channels and soothes the sinews and collaterals.
Rz. Cyperi	Xiang Fu	6g	Spreads and regulates Liver Qi and alleviates pain.
Rx. Glycyrrhizae	Gan Cao	3g	Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

Formula Actions

• Moves Qi
• Invigorates the Blood
• Dispels Stasis
• Unblocks the channels
• Stops pain

Syndromes

• Qi and Blood Stagnation

Clinical Manifestations

Sharp, lancinating low back and leg pain Pain is in a fixed location Pain is worse at night an better during the day Pressure sometimes makes the spinal pain unbearable Pain may radiate to the lower leg Maybe numbness

A possible history of traumatic injury Difficulty turning Irritation and agitation Dry stools T: Purple and dark with possible static macules C: Thin and white P: Deep, choppy and wiry

Treats

Herniated lumbar disc

Contraindications And Herb/Drug Interactions

Notes

Modifications

With Wind-Damp:		With traumatic injury:
+ 9g Rx. Angelicae Pubescentis	Du Huo	+ 3g Rx. Notoginseng	San Qi
+ 12g Rx. Rubiae	Qian Cao Gen
+ 9g Rx. Clematidis	Wei Ling Xian	+ 9g Lignum Sappan	Su Mu
+ 9g Rx. Saposhnikoviae	Fang Feng	Or
Chinese Patent Medicine Yun Nan Bai Yao