Wang Qiu Zhou Tang - 网球肘汤 - Relieve Tennis Elbow Decoction

English:	Relieve Tennis Elbow Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Ram. Mori	Sang Zhi	15g	Dispels Wind-Dampness, unblocks the channels and collaterals, benefits the joints and stops spasms. With Gui Zhi, for pain in the upper extremities.
Caulis Piperis Futokadsurae	Hai Feng Teng	15g	Dispels Wind-Dampness, unblocks the channels, disperses Cold and stops pain. With Gui Zhi, for pain, impaired joint movement and spasms of the sinews due to Wind-Damp Bi.
Caulis Spatholobi	Ji Xue Teng	10g	Invigorates and tonifies the Blood, activates the channels and relaxes the sinews.
Hb. Siegesbeckiae	Xi Xian Cao	10g	Dispels Wind-Dampness, strengthens the sinews and unblocks the channels and collaterals.
Ram. Cinnamomi	Gui Zhi	10g	Releases the Exterior, assists Yang, adjusts the Ying and Wei, releases the muscle layer, warms the channels and collaterals to relieve pain and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels. With Bai Shao, for External Wind-Cold with disharmony between the Ying and Wei. With Chuan Xiong, expels Wind-Dampness, warms the channels and collaterals, facilitates joint movement and relieves the discomfort of painful obstruction.
Rz. Chuanxiong	Chuan Xiong	10g	Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain.
Rx. Paeoniae Alba	Bai Shao	10g	Nourishes the Blood, astringes Yin, adjusts the Ying and Wei and alleviates pain.
Rx. Paeoniae Rubra	Chi Shao	10g	Invigorates the Blood, dispels Blood Stasis and relieves pain.
Myrrh	Mo Yao	6g	Invigorates the Blood, dispels Blood Stasis, alleviates pain and reduces swelling. With Ru Xiang, dredges the channels and collaterals to treat joint pain.
Olibanum	Ru Xiang	6g	Invigorates the Blood, promotes the movement of Qi, relaxes the sinews, activates the channels and alleviates pain. With Mo Yao, for Wind-Cold-Damp Bi with numbness throughout the body and unresponsive extremities.

Formula Actions

• Dispels Wind-Cold-Damp
• Unblocks the collaterals
• Invigorates the Blood
• Breaks up Blood Stasis
• Stops pain

Syndromes

• Wind-Cold-Damp with Blood Stagnation

Clinical Manifestations

Elbow pain Diffuse distending pain or Stabbing pain Impaired strength of hand muscles Limited movement Pain worse at night Aversion to Wind and Cold

Aversion to Damp weather Pain alleviated by movement Heaviness of the hand Local tenderness on palpation T: Normal C: Thin, white and greasy P: Slippery or Wiry or Rough

Treats

Lateral epicondylitis Tennis elbow

Epitrochleitis Elbow pain

Contraindications And Herb/Drug Interactions

Notes

Modifications

For aversion to Wind, Cold or Damp:		For coldness of the elbow:
+ 6g Rx. Ephedrae	Ma Huang	+ 5g Cx. Cinnamomi	Rou Gui
+ 10g Rx. Angelicae Pubescentis	Du Huo	+ 6g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
For heaviness of the limbs, especially the affected limb:
+10g Cx. Acanthopanacis	Wu Jia Pi
+ 10g Rx. Stephaniae Tetrandrae	Han Fang Ji