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Angelica Pubescens & Taxillus Decoction

This formula is a slight modification of Sun Si-maio’s famous formula of this name found in his Tang dynasty Qian Jin Yao Fang (Essential Formulas [worth a] Thousand [Pieces of] Gold) published in 652 CE. Hua Jiao (Pericarpium Zanthoxyli) has been substituted for Xi Xin (Herba Asari) since this latter ingredient contains the nephrotoxin aristolochic acid. Our version is a 10:1 powdered extract in 500 mg gelatin capsules.

Rx:

Sang Ji Sheng (Herba Taxilli)
Shu Di (cooked Radix Rehmanniae)
Fu Ling (Poria)
Du Huo (Radix Angelicae Pubescentis)
Qin Jiao (Radix Gentianae Macrophyllae)
Fang Feng (Radix Saposhnikoviae)
Du Zhong (Cortex Eucommiae)
Niu Xi (Radix Achyranthis Bidentatae)
Dang Gui (Radix Angelicae Sinensis)
Bai Shao (Radix Paeoniae Albae)
Ren Shen (Radix Ginseng)
Chuan Xiong (Rhizoma Chuanxiong)
Rou Gui (Cortex Cinnamomi)
Gan Cao (Radix Glycyrrhizae)
Hua Jiao (Pericarpium Zanthoxyli)

Functions: Dispels wind, eliminates dampness, scatters cold, alleviates impediment and stops pain, boosts the liver and kidneys and supplements the qi and blood

Indications: Enduring wind damp cold impediment complicated by liver-kidney dual vacuity and qi and blood insufficiency manifesting as chronic rheumatoid arthritis (RA), osteoarthritis (OA), rheumatic sciatica, lumbar strain, lumbar intervertebral disc herniation, pain in the midline and back during pregnancy, hemiplegia due to stroke, and the sequelae of poliomyelitis

Signs & symptoms of wind damp cold impediment include:

• Joint pain accompanied by possible swelling, heaviness, lack of redness or heat, and worsening on exposure to cold but ameliorating on exposure to heat

Signs & symptoms of liver-kidney dual vacuity include:

• Enduring low back pain

• Enduring knee pain

• Enduring joint pain

• Possible nocturia and/or polyuria

Signs & symptoms of qi and blood vacuity include:

• Fatigue

• Lack of strength

• Pale nails, lips, facial complexion, or under-eyelids

• A pale, possibly enlarged tongue

• A fine, forceless pulse

Formula explanation: Within this formula, Du Huo is the sovereign. It tracks down and searches out hidden or deep-lying wind, scatters cold, and eliminates dampness from the lower burner and sinews and bones. Hua Jiao emits and scatters wind cold from the yin channels and sweeps away wind dampness from out of the sinews and bones, thus stopping pain. Fang Feng ­dispels wind evils and overcomes dampness. Qin Jiao­ eliminates wind dampness and relaxes the sinews. Sang Ji Sheng, Du Zhong, and Niu Xi dispel wind dampness while simultaneously supplementing the liver and kidneys. Dang Gui, Chuan Xiong, Shu Di Huang, and Bai Shao nourish the blood while simultaneously quickening the it. Ren Shen and Fu Ling supplement the qi and fortify the spleen. Rou Gui warms and frees the flow of the blood vessels, and Gan Cao regulates and harmonizes all these other medicinals. Thus this formula as a whole attacks and dispels evils at the same time as it supplements and supports the righteous.

Dosage: According to Him-che Yeung in Handbook of Chinese Herbs and Formulas, Vol. 2, the standard daily dose in decoction for this formula is 93 grams. Because of the 10:1 concentration ratio and the efficiency of our manufacturing process it would take only 13 capsules per day of Blue Poppy's version of this formula to equal the standard daily dose. The actual prescribed dose should be determined by the practitioner on a case by case basis.


My patients does present the signs and symptoms of:

Wind cold damp impediment Yes No
Liver-kidney dual vacuity Yes No
Qi & blood vacuity Yes No
 

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