Bu Yang Huan Wu Tang

Bǔ Yáng Huán Wǔ Tāng

Tonify Yang to Restore Five-Tenths Decoction

Disclaimer For educational purposes only. Do not use as medical advice

AboutChinese MedicineCaution/Notes

Health Benefits

For: Stroke • Sciatica • Myelitis • Muscle atrophy

Atributes:

Products
Powder	Granules	Powder	Pills

Research

Stroke: A Systematic Review and Meta-Analysis of Buyang Huanwu Decoction in Animal Model of Focal Cerebral Ischemia
Stroke: Neuroprotective effects of Buyang Huanwu decoction on cerebral ischemia-induced neuronal damage
Muscle atrophy: Effect of Buyang Huanwu decoction on NF-κB/MuRFl expression in rats with denervated tibial muscle atrophy
Stroke: Buyang Huanwu decoction facilitates neurorehabilitation through an improvement of synaptic plasticity in cerebral ischemic rats
Stroke: Clinical Efficacy and Safety of Buyang Huanwu Decoction for Acute Ischemic Stroke: A Systematic Review and Meta-Analysis of 19 Randomized Controlled Trials
Stroke: Buyang Huanwu Decoction ameliorates ischemic stroke by modulating multiple targets with multiple components: In vitro evidences
Sciatic nerves: Effects of Buyang Huanwu Decoction on Peripheral Nerve Regeneration Using Silicone Rubber Chambers

Category: Regulate Blood ⌕

Subcategory: Invigorate Blood and Dispel Blood Stasis ⌕ Source: Yi Lin Gai Cuo

Actions: Tonify Qi • Unblock channels • Invigorate blood • Promotes movement in the limbs

Diagnosis

Tongue: White Pulse: Slow Other:

Patterns: Qi Deficiency • Blood stagnation

Indications: Hemiplegia due to Qi/Blood stagnation in the channels with Qi deficiency [35] • Severe lack of Qi, blood stagnation, incontinence, drooling, facial paralysis, thrombosis type blockage, paralysis, atrophy of limbs, alurred speech, drooling, urinary incontinence, wind stroke sequelae, hemiplegia [42]

Contraindications: LV Yang Rising • Stoke patients with high blood pressure • Pregnancy • Hot blood • Yin deficiency • Blood stasis with phlegm stagnation • Forceful pulse

Description

Name Variations:Bu Yang Huan Wu Tang, 补阳还五汤, Tonify Yang to Restore Five-Tenths Decoction,

Herb List: Huang Qi(K) • Tao Ren • Hong Hua • Chuan Xiong • Chi Shao • Dang Gui Wei • Di Long

Commentary: Dang Gui Wei is more potent at invigorating the blood than Dang Gui • Di Long dredges the channels • Tao Ren, Hong Hua, Chuan Xiong, Chi Shao - move blood to remove stasis • For deficiency based symptoms[Song] • Post stroke situation (6 months or more) with sequela symptoms of fatigue, facial paralysis, hemiplegia, speech impairments, dulled mental ability. Using Qi to move the blood. If using harsh invigorate blood herbs, it would cause harsh bleeding with such Qi deficiency.

Related Formulas: Xue Fu Zhu Yu Tang, Bu Yang Huan Wu Tang, Ge Xia Zhu Yu Tang, Tong Qiao Huo Xue Tang, Tao Hong Si Wu Tang, Shen Tong Zhu Yu Tang, Fu Yuan Huo Xue Tang, Shao Fu Zhu Yu Tang

NCCAOM: There are 12 NCCAOM formulas for Blood Stasis. They are Táo Hé Chéng Qì Tāng, Xuè Fǔ Zhú Yū Tāng, Gé Xià Zhú Yū Tāng, Shǎo Fù Zhú Yū Tāng, Shēn Tòng Zhú Yū Tān, Bǔ Yáng Huán Wǔ Tāng, Fù Yuán Huó Xuě Tāng, Wēn Jīng Tāng, Shēng Huà Tāng, Guì Zhī Fú Líng Wán, Shī Xiào Sǎn, Dān Shēn Yǐn. • Tao He Cheng Qi Tang is for Lower Jiao blood stasis + heat. Gynecological issues like PCOS, endometriosis, amenorrhea, dysmenorrhea. Differentiating factor is normal urination since this blood stasis does not impact the bladder • Xue Fu Zhu Yu Tang is for the chest blood stasis + Qi stagnation (headaches, insomnia, choking sensation when drinking, palpitations, menses headaches) • Ger Xia Zhu Yu Tang is for the epigastrium blood stasis + Qi stagnation (menstrual cramps, urinary pain not related to UTI, hypochondriac pain) • Shao Fu Zhu Yu Tang is for lower abdomen blood Stasis + cold stagnation (menses lumbago, 3-5 periods per month, infertility, menstrual cramps, amenorrhea from cold. • Wen Jing Tang is for menses issues related to Chong + Ren Blood stasis + Deficiency Cold (persistent scanty bleeding, irregular schedule. True cold false heat). • Sheng Hua Tang is for postpartum lochia retention due to Blood + Cold stagnation • Gui Zhi Fu Ling Wan is for blood stasis in the uterus during pregnancy (tumor, uterine bleeding, restless fetus). • Shi Xiao San is for lower abdominal blood stasis causing pain like PMS. Acute colicky pain in lower abdomen, middle abdomen or epigastric pain. Dysmenorrhea from LV Blood Stagnation. The previous 8 formulas all deals with some form of gynecological disorders. The remaining 4 deals with different aspects of the body. • Shen Tong Zhu Yu Tang is for channels/collateral (whole body) blood stasis + Qi stagnation. For chronic whole-body ache. • Bu Yang Huan Wu Tang is for Hemiplegia from Qi/Blood stagnation + Qi deficiency. Especially for post stroke sequela symptoms of fatigue, facial paralysis, speech impairment, dulled mental ability. • Fu Yuan Huo Xue Tang is for blood stasis + Qi stagnation in the trunk from traumatic injuries • Dan Shen Yin is for chest pain from Blood + Qi Stagnation. For heart attacks, CVA, chest pain, angina, chest pain or epigastric pain that radiates to the chest.

Herbs	Cat/Dosage	Actions	Attributes
Tao Ren • Peach Kernel • 桃仁	Invigorate Blood 3g	Break up blood stasis • Invigorate blood • Treat abscess • Moisten intestines • Unblock bowels	antithrombatic • anti-inflammatory • antitussive • antiallergic • antiparasitic
Hong Hua • Safflower Flower • 红花	Invigorate Blood 3g	Invigorate blood • Unblock menses • Dispel blood stasis • Relieve painHong Hua is better at dispersing blood stagnation to open channels/collaterals and extremities pain • Tao Ren better for blood stagnation in the abs and for lung and intestine abscess	antiplatelet • antithrombatic • heart stimulant • CNS suppressant • uterine stimulant • adaptogenic
Dang Gui Wei • Chinese Angelica • 当归尾	Tonify Blood 6g	Tonify blood • Move Blood and Qi • Regulate menses • Invigorate blood • Dispel cold • Unblock bowels • Reduce abscess swelling • Alleviate pain • Clear pus • Generate flesh • Moisten intestines Dang Gui Shen (body) - tonify blood • Quan Dang Gui - harmonize blood (tonify and invigorate) • Dang Gui Wei (tail) - invigorate blood • According to the Board Exams, this herb does not affect estrogen because it has not yet been determined in which way it does affect it. However, there are numerous research articles on Dang Gui and estrogen.	phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost • volatile oil inhibits uterine contractions
Chuan Xiong • Szechuan Lovage • 川芎	Invigorate Blood 3g	Relieve pain • Expel Wind • Invigorate blood • Moves qi • Guide herbs to Jue Yin JingDao Di: Si Chuan • Available as injections	Anticoagulant • Antiplatelet • Analgesic • Antitussive • Anti-inflammatory • Hypotensive • Sedative
Chi Shao • Red Peony Root • 赤芍	Invigorate Blood 4.5g	Clear heat • Cool blood • Invigorate blood • Dispel blood stasis • Clear liver fire	antiplatelet • antithrombatic • antibiotic • CNS suppressant • sedative • antipyretic • antiseizure • antispasmodic
Huang Qi • Astragalus • 黄芪	Tonify Qi 120g	Tonify Spleen and Lung Qi • Tonify Wei Qi • Tonify Qi to move blood • Raise Stomach Yang Qi • Improve urination • Relief Edema • Discharge pus • Generate flesh • Push Qi to the surfaceSheng - to dry damp • Chao - to tonify Spleen, stop sweating, calm fetus • Chao jiao - to stop diarrhea	Antioxidant • Immune System Booster • Diuretic • Anti-aging • Hypoglycemic • Hypotensive • Hepatoprotective
Di Long • Earth Worm • 地龙	Extinguish Wind Stop Tremors 3g	expel Wind, open channel, clear heat, stop wheezing, promote urination, lower blood pressure	antipyretic, antiseizure, hypertensive, anti-asthmatic, uterine stimulant

Modifications		For
+ Ban Xia + Tian Zhu Huang		Excessive sputum¹⁴
+ Fu Zi		Cold/flu¹⁴
+ Dang Shen + Bai Zhu		Stomach and spleen deficiency¹⁴
+ Dang Shen + Bai Zhu + Shan Zha		Spleen deficiency ³¹
+ Zhi Zi +Caho Suan Zao Ren		Insomnia and irritability¹⁴
+ Bai Fu Zi + Jiang Can + Quan Xie		Facial paralysis¹⁴
+ Qian Zheng San		Facial paralysis ³¹
+ Shui Zhi + Meng Chong		Hemiplegia¹⁴
+ Du Zhong + Niu Xi		Lower body paralysis^14, ³¹
+ Sang Zhi + Gui Zhi		Upper limbs paralysis ³¹
+ Shui Zhi + Mang Chong		Long duration ³¹
+ Shi Chang Pu + Yuan Zhi + Yu Jin		Slurred speech ³¹
+ Ban Xia		Lots of phlegm + greasy coating ³¹
+ Fu Zi		Severe fever of cold ³¹
+ Zhi Ke +Chen Pi		Poor appetite¹⁴
+ Wu Yao + Qing Pi		Labored breathing¹⁴

Caution

Do not use if pregnant
Do not use following a cerebral hemorrhage or stroke.
Not not use if not fully conscious
Do not use if there's potential hemorrhage
Do not use if there's fever or abnormally low temperature
Do not use with Hot Blood
Do not use with Yin deficiency
Do not use in Wind Stroke and forceful pulse

ALERT: Contraindications of each herb - use with caution under these conditions:
Tao Ren: Pregnancy • Blood deficiency • Anticoagulant or anti antiplatelet drugs
Hong Hua: pregnancy • anticoagulant and antiplatelet drugs
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Chuan Xiong: Pregnancy • Blood thinners • Fire from yin deficiency • Dry tongue • Dry mouth • Fever • Profuse menstrual bleeding • Spleen deficiency • caution: LV yang xu since this herb tends to move Qi upward.
Chi Shao: Pregnancy • Incompatible with Li Lu • Deficiency cold • Antiplatelet and anticoagulant drugs
Di Long: Spleen and Stomach Deficiencies
Huang Qi: Autoimmune diseases • Exterior excess • Qi stagnation • Damp obstruction • Food stagnation • Yin deficiency

Notes

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience. While the original source often came from historical Chinese texts, variations may result from the numerous English translations. Always consult a doctor prior to using these drugs. The information here is strictly for educational purposes.

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