Xiao Feng Hua Yu Tang - 消風花瘀汤 - Eliminate Wind And Transform Stasis Decoction

English:	Eliminate Wind and Transform Stasis Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hb. seu Flos Schizonepetae	Jing Jie	10g	Expels Wind, Releases the Exterior, Relieves itching, Vents rashes.
Rx. Saposhnikoviae	Fang Feng	10g	Releases the Exterior and expels External Wind. With Jing Jie, for pruritic rashes. With Jing Jie and Chan Tui, for dermatological disorders with rashes, irritability and itching.
Rz. Sparganii	San Leng	10g	Forcefully breaks up Blood Stasis, regulates Qi and alleviates pain.
Rz. Curcumae	E Zhu	10g	Activates Blood circulation, dispels Blood Stasis, regulates Qi and alleviates pain. With San Leng, for Qi and Blood Stagnation.
Rx. Glycyrrhizae	Gan Cao	10g	Clears Heat, relieves Fire toxicity, Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.
Periostracum Cicadae	Chan Tui	5g	Clears Heat, Disperses Wind, Relieves itching, Vents rashes.
Nidus Vespae	Lu Feng Fang	3g	Alleviates pain and itching, Dries Dampness, Expels Wind, Relieves toxicity.
Rx. Rehmanniae	Sheng Di Huang	15g	Clears Heat, Cools the Blood, Nourishes Yin and generates fluids
Rz. Paridis	Chong Lou	15g	Drains Heat, relieves Fire toxicity, reduces swelling and inflammation and stops pain.
Rx. Arnebiae seu Lithospermi	Zi Cao	20g	Clears Heat, cools the Blood, activates Blood circulation, relieves Fire toxins, encourages rashes, clears Damp-Heat from the skin and aids healing of tissues.

Formula Actions

• Releases the Exterior
• Expels Wind
• Vents rashes
• Relieves itching
• Activates Blood circulation
• Dispels Blood Stasis
• Regulates Qi
• Clears Heat
• Cools the Blood
• Relieves Fire toxins

Syndromes

• External Wind Invading the skin with Blood Stagnation

Clinical Manifestations

Eruptions usually involve the flexor surfaces of the wrists and forearms, and the lower legs around and above the ankles. Lesions manifest as intensely pruritic 2-10 mm flat-topped dull red shiny papules. The surface of the lesions exhibits a lacy white pattern of lines (Wickham’s striae).

Lesions that persist, most frequently on the shins, may develop into confluent hypertrophic plaques that can resemble the lesions of lichen simplex chronicus, with a coarse surface covered by scales. Mucous membranes are involved in 40-60% of lichen planus cases.

Treats

Recalcitrant neurodermatitis

Contraindications And Herb/Drug Interactions

Notes

• Decoct and administer one-half in the morning and one-half in the evening. Save the dregs, decoct again and use the fluid in a warm compress to be applied to the affected area for 10-15 minutes once daily. After two weeks, reduce both the Internal and External dosages to once every other day.

Modifications

For severe lichenification of the skin:		For severe itching:
+ 10g Sm. Persicae	Tao Ren	+ 10g Zaocys	Wu Shao She
+ 10g Sm. Vaccariae	Wang Bu Liu Xing	For scaling skin:
For erosion and weeping of the lesions:		+ 10g Rx. Angelicae Sinensis	Dang Gui
+ 10g Fr. Kochiae	Di Fu Zi
For a quick temper:		For restless sleep:
+ 10g Fr. Schisandrae	Wu Wei Zi	+ 10g Caulis Polygoni Multiflori	Ye Jiao Teng
+ 10g Rx. Paeoniae Alba	Bai Shao