Xuan Bi Tang - 宣痺湯 - Disband Painful Obstruction Decoction

English:	Disband Painful Obstruction Decoction
Also Known As:	Decoction to Relieve Bi Syndrome Decoction for Removing the Meridian Obstruction

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Aristolochiae	Guang Fang Ji	10-15g	Dispels Damp-Heat in the Upper Jiao, Disperses superficial swelling, Dries Dampness, Expels Wind-Dampness, Promotes urination, Stops pain, Strengthens the Spleen (affects all three Jiaos). With Yi Yi Ren, for Damp-Heat-induced extremity pain.
(Rx. Stephaniae Tetrandrae)	(Han Fang Ji)	(10-15g)	(Expels Wind-Dampness, purges Damp-Heat, alleviates pain, promotes urination and reduces edema. Substitutes for Guang Fang Ji.) (With Yi Yi Ren and Can Sha, for Wind-Damp Bi and Wind-Damp-Heat Bi.
Sm. Armeniacae	Xing Ren	10-15g	Regulates the Lung's water metabolism function.
Sm. Coicis	Yi Yi Ren	15-20g	Clears Damp-Heat, Clears Heat, Expels Wind-Dampness, Promotes urination, Soothes numbness, Strengthens the Spleen. With Can Sha, strengthens the Spleen, resolves Dampness and treats painful obstruction.
Faeces Bombycis	Can Sha	9-10g	Dispels Wind Dampness, harmonizes the Stomach and transforms turbid Dampness. With Han Fang Ji, Yi Yi Ren and Lian Qiao, for Damp-Heat Bi and Wind-Damp Bi.
Rz. Pinelliae Preparatum	Zhi Ban Xia	9-10g	Descends Rebellious Qi, Dries Dampness, Reduces swelling, Transforms Phlegm. With Can Sha, dries Dampness and eliminates turbidity.
Fr. Forsythiae	Lian Qiao	9-10g	Clears relatively superficial Heat and promotes urination.
Fr. Gardenia	Zhi Zi	9-10g	Clears Heat, Drains Damp-Heat, Eliminates irritability, Reduces swelling. With Hua Shi, Lian Qiao and Chi Xiao Dou, assists in clearing Heat and draining Dampness through the urine.
Talcum	Hua Shi	15-20g	Promotes urination and expels Damp-Heat.
Sm. Phaseoli	Chi Xiao Dou	9-20g	Clears Damp Heat, Clears Heat, Promotes urination, Reduces swelling.

Formula Actions

• Clears and Resolves Damp-Heat
• Unblocks the channels
• Disbands painful obstruction

Syndromes

• Damp-Heat Bi
• Wei Syndrome due to Damp-Heat Accumulation (modified)

Clinical Manifestations

Heat and pain in the joints Reduced mobility Fever and shaking chills or Fever with sweating Lusterless yellow complexion Scanty, dark urine Pain worse on cloudy or rainy days Arthralgia involving one or several joints Local redness and Heat of the extremities Swelling with excruciating pain Severe limitation of movement Oliguria

Pain worse better the day and worse at night Thirst Dryness of the mouth Irritability Restlessness Desire for cold drinks Aversion to Heat T: Pink or Red C: Thin and yellow or Gray or Yellow greasy P: Rolling and rapid maybe slippery

Treats

Rheumatic fever Rheumatic arthritis Rheumatoid arthritis Rheumatic Heart disease Gouty arthritis Connective tissue disorders Mononeuropathy Myasthenia gravis Perspiration Temporomandibular joint syndrome (TMJ)

Arthralgia Subacute lupus erythematosus Guillain-Barre syndrome Fever Erythema arthriticum Polyneuropathy Neuralgic aneuropathy Low back pain Osteoarthritis Painful obstruction

Contraindications And Herb/Drug Interactions

Notes

Modifications

For severe joint pain:		For wet beriberi with swelling, flaccidity and numbness of the side, oliguria and a yellow, greasy tongue coat with a floating, soft rapid pulse:
+ Ram Mori Alba	Sang Zhi
+ Rz. Curcumae Longae	Jiang Huang
+ Cx. Erythrinae	Hai Tong Pi	+ More Sm. Phaseoli	Chi Xiao Dou
Or		For severe joint swelling:
+ Rz. Curcumae Longae	Jiang Huang	+ Rz. Atractylodis	Cang Zhu
+ Cx. Erythrinae	Hai Tong Pi	+ Rz. Dioscoreae Hypoglaucae	Bei Xie
Or
+ Ram. Cinnamomi	Gui Zhi	For Damp-Heat Wei Syndrome:
+ Rz. Curcumae Longae	Jiang Huang	+ 15g Rz. Curcumae Longae	Jiang Huang
+ Cx. Erythrinae	Hai Tong Pi
+ Rx. Paeoniae Rubra	Chi Shao	+ 15g Cx. Erythrinae	Hai Tong Pi
Or		+ 15g Ram. Mori	Sang Zhi
+ Cx. Erythrinae	Hai Tong Pi	For Damp-Heat Wei Syndrome with severe pain:
+ 15g Rz. Curcumae Longae	Jiang Huang
+ Rz. Curcumae Longae	Jiang Huang
+ Fr. Xanthii	Cang Er Zi
+ Rz. Dioscoreae Hypoglaucae	Bei Xie	+ 15g Cx. Erythrinae	Hai Tong Pi
+ 15g Ram. Mori	Sang Zhi
+ Pheretima	Di Long	+ 12g Zaocys	Wu Shao She
For a stronger Heat purging and Dampness clearing effect:		+ 6g Scorpio	Quan Xie
For Damp-Heat Wei Syndrome with long diarrhea:
+ Three Marvel Pill San Miao Wan
+ 15g Rz. Curcumae Longae	Jiang Huang
For low back pain with thirst, scanty urination and a red tongue:
+ 15g Cx. Erythrinae	Hai Tong Pi
+ 10g Rz. Curcumae Longae	Jiang Huang	+ 15g Ram. Mori	Sang Zhi
+ 10g Cx. Erythrinae	Hai Tong Pi	+ 12g Rx. Astragali Recens	Sheng Huang Qi
+ 10g Ram. Mori	Sang Zhi
+ 3g Caulis Akebiae	Mu Tong	+ 12g Rx. Codonopsis	Dang Shen
For low back pain with diarrhea:		For extreme low back pain:
+ 10g Rz. Curcumae Longae	Jiang Huang	+ 10g Rz. Curcumae Longae	Jiang Huang
+ 10g Cx. Erythrinae	Hai Tong Pi
+ 10g Ram. Mori	Sang Zhi	+ 10g Cx. Erythrinae	Hai Tong Pi
+ 15g Poria	Fu Ling	+ 10g Ram. Mori	Sang Zhi
+ 10g Rz. Atractylodis	Cang Zhu	+ 6g Rx. Achyranthis Bidentatae	Niu Xi
For low back pain with chronic, generalized body pain:
+ 6g Rx. Cyathulae	Chuan Niu Xi
+ 10g Rz. Curcumae Longae	Jiang Huang	For more Heat than Dampness with a high fever which does not respond to sweating, thirst, dark urine, a red tongue with a yellow greasy coat and a floating, soft and rapid pulse:
+ 10g Cx. Erythrinae	Hai Tong Pi
+ 10g Ram. Mori	Sang Zhi	+ Gypsum Fibrosum	Shi Gao
+ 10g Caulis Trachelospermi	Luo Shi Teng	+ Rz. Atractylodes	Cang Zhu
For Damp-Heat Wei Syndrome with a fever:
For Damp-Heat Wei Syndrome with muscle and joint swelling:		+ 15g Rz. Curcumae Longae	Jiang Huang
+ 15g Rz. Curcumae Longae	Jiang Huang	+ 15g Cx. Erythrinae	Hai Tong Pi
+ 15g Ram. Mori	Sang Zhi
+ 15g Cx. Erythrinae	Hai Tong Pi	+ 15g Caulis Lonicerae	Ren Dong Teng
+ 15g Ram. Mori	Sang Zhi	+ + 20g Gypsum Fibrosum	Shi Gao
+ 10g Rz. Atractylodis	Cang Zhu
+10g Cx. Phellodendri	Huang Bai	For low back pain:
For low back pain with a burning sensation:		+ 10g Rz. Curcumae Longae	Jiang Huang
+ 10g Rz. Curcumae Longae	Jiang Huang
+ 10g Cx. Erythrinae	Hai Tong Pi
+ 10g Cx. Erythrinae	Hai Tong Pi	+ 10g Ram. Mori	Sang Zhi
+ 10g Ram. Mori	Sang Zhi	For low back pain with urethral calculi:
+ 12g Cx. Phellodendri	Huang Bai	+ 10g Rz. Curcumae Longae	Jiang Huang
For low back pain with hematuria:
+ 10g Rz. Curcumae Longae	Jiang Huang	+ 10g Cx. Erythrinae	Hai Tong Pi
+ 10g Ram. Mori	Sang Zhi
+ 10g Cx. Erythrinae	Hai Tong Pi	+ 10g Hb. Lysimachiae	Jin Qian Cao
+ 10g Ram. Mori	Sang Zhi	For temporomandibular joint syndrome (TMJ):
+ 15g Hb. Cirsii	Xiao Ji	- Rx. Aristolochiae	Guang Fang Ji
For rheumatic fever:		- Sm. Coicis	Yi Yi Ren
+ Ram Mori Alba	Sang Zhi	- Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Rz. Curcumae Longae	Jiang Huang
+ Cx. Erythrinae	Hai Tong Pi	+ 30g Caulis Lonicerae	Ren Dong Teng
+ 15g Rx. Stephaniae Tetrandrae	Han Fang Ji
+ 15g Ram. Mori	Sang Zhi
+ 15g Cx. Erythrinae	Hai Tong Pi