Wu Fu Ma Xin Gui Jiang Tang - 烏附麻辛桂姜汤 - Decoction Of Aconite, Ephedra, Asari, Cinnamon And Dried Ginger

English:	Decoction of Aconite, Ephedra, Asari, Cinnamon and Dried Ginger
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Aconiti Preparata	Zhi Chuan Wu	10g	Disperses Cold, Expels Wind-Dampness, Stops pain, Warms and activates the channels.
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	10g	Disperses Cold and Dampness, warms the channels and stops pain. With Gan Jiang and Gan Cao, strengthens its actions of fortifying Qi and benefiting the Yang. With Xi Xin, disperses Cold and stops pain.
Rz. Zingiberis	Gan Jiang	10g	Dispels Wind-Dampness seeping into the Lower Jiao and warms the channels. With Zhi Fu Zi, for Cold-Damp Bi.
Hb. Ephedrae	Ma Huang	6gt	Induces sweating, releases the Exterior, promotes urination, reduces edema and warms and disperses Cold pathogens. With Zhi Fu Zi, for Wind-Cold Bi. With Ma Huang and Zhi Fu Zi, for Exterior Wind-Cold with underlying Yang Deficiency.
Hb. cum Rx. Asari	Xi Xin	3g	Disperses Wind-Cold and Internal Cold and alleviates pain. With Ma Huang, alleviates Wind-Cold-Damp Bi pain. With Zhi Fu Zi, for Wind-Damp-Cold Bi with spasms of the joints and intolerable pain.
Ram. Cinnamomi	Gui Zhi	6g	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 Ma Huang , for Wind-Cold-Damp Bi. With Zhi Fu Zi, for chills and painful extremities due to Yang Deficiency with Wind-Cold-Damp Bi.
Rx. Glycyrrhizae	Gan Cao	6g	Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

Formula Actions

• Warms the Channels
• Dispels Wind, Cold and Damp

Syndromes

• Wind-Cold Damp with Cold Predominant

Clinical Manifestations

Severe cold toe pain Aversion to Cold Cold extremities Limited movement of the toes in the case of severe pain Excruciating sharp, stabbing joint pain Pain alleviated by warmth and aggravated by Cold Pain with fixed location Few joints are involved The joints cannot be flexed or extended No local redness or Heat Pain worse at night and better during the day

Painful area often feels cold to the touch Pain mostly affects low back and lower extremities Pain intense but short lived Pain changes over days or weeks Ankylosis (stiffness) of joint Aversion to Cold Maybe chills with a slight fever Anhidrosis Frequent nocturnal urination T: Pink or Pale C: Thin and white (thicker than for Wind-Bi) P: Superficial and tight or Wiry and tight or Deep, tight and slow

Treats

Toe pain Painful obstruction

Gout

Contraindications And Herb/Drug Interactions

Notes

Modifications

For limited movement of the toe joints:		For cold limbs:
+ 10g Rx. Angelicae Sinensis	Dang Gui	+ 6g Cx. Cinnamomi	Rou Gui
For a heavy sensation of the joints:
For chills and fever:		+ 10g Rx. Gentianae Macrophyllae	Qin Jiao
+ 15g Rx. Puerariae	Ge Gen
+ 10g Rx. Saposhnikoviae	Fang Feng	+ 15g Poria	Fu Ling