Wu Ling Di Long Tang - 五灵地龙汤 - Trogopterorus And Pheretima Decoction

English:	Trogopterorus and Pheretima Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Pheretima	Di Long	12g	Clears Heat, unblocks and promotes movement in the channels and collaterals and promotes urination.
Faeces Trogopterori	Wu Ling Zhi	9g	Invigorates the Blood, dispels Blood Stasis and alleviates pain. With Xiang Fu, for epigastric pain.
Rx. Achyranthis Bidentatae	Niu Xi	9g	Invigorates the Blood, expels Blood Stasis, nourishes Liver and Kidney Yin, strengthens the sinews and bones, benefits the joints and clears Damp-Heat in the Lower Jiao.
Rx. et Rz. Notopterygii	Qiang Huo	9g	Expels Wind-Cold-Dampness, unblocks painful obstruction and alleviates pain.
Sm. Persicae	Tao Ren	9g	Breaks up Blood Stasis and invigorates Blood circulation.
Rx. Angelicae Sinensis	Dang Gui	9g	Tonifies, invigorates and harmonizes the Blood and stops pain due to Blood Stasis. With Gan Cao, moderates spasms and relieves abdominal pain.
Rx. Cyperi	Xiang Fu	9g	Spreads and regulates Liver Qi and alleviates pain. With Dang Gui, tonifies the Blood and moves Qi.
Olibanum	Ru Xiang	6g	Invigorates the Blood, promotes the movement of Qi, relaxes the sinews, activates the channels and alleviates pain.
Rx. Glycyrrhizae	Gan Cao	6g	Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

Formula Actions

• Invigorates the Blood
• Breaks up Stagnation
• Unblocks the channels
• Stops pain

Syndromes

• Qi and Blood Stagnation

Clinical Manifestations

Pain that is severe, fixed and stabbing or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails

Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy

Treats

Gout

Contraindications And Herb/Drug Interactions

Notes

Modifications

For pain in the upper extremities:		For pain in the lower extremities:
+ 9g Rz. Curcumae Longae	Jiang Huang	+ 9g Rx. Angelicae Pubescentis	Du Huo
+ 9g Ram. Cinnamomi	Gui Zhi	+ 9g Fr. Chaenomelis	Mu Gua
For severe pain:		For severe joint swelling:
+ 15g Rz. Corydalis	Yan Hu Suo	+ 9g Pseudobulbus Cremastrae/Pleiones	Shan Ci Gu
+ 3g Scorpio	Quan Xie
+ 3g Scolopendra	Wu Gong	+ 9g Rx. Stephaniae Tetrandrae	Han Fang Ji
For restricted mobility:
+ 30g Caulis Spatholobi	Ji Xue Teng	+ 9g Rz. Dioscoreae Hypoglaucae	Bi Xie