Xiǎo Huó Luò Dān

Minor Invigorate Collaterals Special Pill

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

AboutChinese MedicineCaution/Notes
Health Benefits
For: Wind Stroke sequela • hemiplegia from CVA
Atributes:
Constituents:
Products (online examples)
 

 

 

 

 

 

 

 

Research

Category: Expel External Wind ⌕ 
Subcategory:   Source: Tai Ping Hui Min He Ji Ju Fang  
Actions: Invigorates the blood, unblocks the collaterals, dispels dampness, and transforms phlegm [Song]
Diagnosis
Tongue: light purplish tongue with white coating      Pulse: deep, wiry, choppy    Other: 
Patterns: Wind Cold Bi • Qi and Blood Stagnation • Phlegm and stasis • Wind Stroke Sequela 
Indications: Wind-Phlegm obstruction with Blood stasis in the channels & collaterals [35] • Wind Cold Bi syndrome or Wind Stroke sequela. Qi & Blood stagnation, body fluid coagulation, combination of phlegm & stasis. Pain, numbness in body and limbs, reduced range of motion [31] • Wind-phlegm obstruction with blood stasis in the channels, pain, weakness and numbness after wind-stroke. CHANNEL PAIN. Pulse wiry/slippery. For acute Bi. [35] • Cold, wind, and dampness invading channels joints and muscles. Cold>Damp, can't move joints, use for strong constitution. For acute, EXCESS syndrome. For people with STRONG CONSTITUTION ONLY. [42]
Contraindications: pregnancy • Yin deficiency heat • Do not overdose • Deficient constitution
Description
Name Variations: Xiao Huo Luo Dan , 小活络丹, Minor Invigorate Collaterals Special Pill,
Herb List: Chuan Wu(K, 6g) • Zhi Cao Wu(K, 6g) • Tian Nan Xing(M, 6g) • Ru Xiang(A, 5g) • Mo Yao(A, 5g) • Di Long(A, 6g)
Commentary: Wu Tou is for cold in the channel; Fu Zi is for cold in the organs. Tian Nan Xing is for phlegm in the channels and Ban Xia is better for phlegm in the organs. Ru Xiang and Mo Yao is for blood stasis in the channel. Di Long opens channels. Compare to Du Huo Ji Sheng Tang which is for chronic Bi.
Related Formulas:
NCCAOM: There are 4 NCCAOM formulas for External Wind. To get rid of wind, you must move blood. That’s why blood moving herbs are seen in these formulas. They are Xiāo Fēng Sǎn, Xiǎo Huó Luò Dān, Cāng Er Zǐ Sàn, and Chuān Xiōng Chá Tiào Sǎn. • Xiao Fen San is for Wind Damp Heat causing skin pruritus. Acute hives, urticaria. • Xiao Huo Luo Dan is for Wind-phlegm in muscles and joints; wind-stroke sequala, reduced range of motion. For strong constitutions only. • Cang Er Zi San is for pathogenic wind causing nasal congestion • Chuan Xiong Cha Tiao San is for headaches and body aches from Wind Cold. Wind Cold (first 24 hours) - Gui Zhi Tang, then can becomes deeper with headaches (Chuan Xiong Cha Tiao San).
Herbs Cat/Dosage Actions Attributes
Chuan Xiong • Szechuan Lovage • 川芎 Invigorate Blood 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
Bo HeField Mint • 薄荷♥   Release Exterior Wind Heat Clear eyes, dispel wind heat, ease sore throat, expel turbid filth, resolve toxicity, reduce rashes, clear liver Qi stagnation, drain stomach damp heat, release exterior, calm liver yang, nourish lung yin [18] • Dry up breast milkIntroduced to TCM from Greek medicine Anti-inflammatory • Antipyretic • Diaphoretic • Carminative • Antiandrogenic • Antiemetic • Antidiarrheal • Analgesic • Anticholesterol • Antidiabetic • Antimicrobial • Gastrointestinal • Emmenagogue • Increase local blood circulation • Decongestant
Jing JieNepeta • 荆芥♥  Release Exterior Wind Cold Expel wind cold and wind heat • Mature rash • Stop bleeding • Clear blood heat Light and harmonious • Not drying • Charred form is used to stop bleeding. Powdered form is used for eczema, abscesses, measles, carbuncles, furuncles Analgesic • Hemostatic • Antibiotic • Antipyretic • Diaphoretic
Qiang HuoNotopterygium Root • 羌活 Release Exterior Wind Cold relieve occipital headaches • ease bi zheng in upper body • dispel cold • release exterior • dry superficial dampness • guide herbs to Tai Yang jingBest for occipital headaches antipyretic, analgesic, vasodilator
Bai Zhi • Dahurian Angelica • 白芷 Release Exterior Wind Cold release exterior, expel wind cold, dissolve pus, relieve nasal/sinus congestion and frontal headaches, reduce swelling, reduce vaginal discharge, guide herbs to yang ming jingThis herb is drying. antimicrobial • analgesic • anti-inflammatory • antibaterial • laxative • sedative
Xi Xin • Asarum • 细辛 Release Exterior Wind Cold Relieve Wind Cold - especially deep headaches and body aches anywhere in the body • Dry Dampness • Warm lungs to transform copious watery phlegm • Unblock orifices • Guide herbs to Shao Yin JingBest for deep headaches antibiotic, anti-inflammatory, respiratory stimulant
Fang FengSiler Root • 防风 Release Exterior Wind Cold Expel all wind disorders • Relief intestinal wind • Release exterior • Reduce muscle spasms • Expel wind-cold • Expel Wind Dampness • Treat diarrhea • Relief Liver wind • Benefits 12 channelsCharred Fang Feng is used to stop bleeding; particularly with overly heavy menstrual bleeding Antibiotic • Antipyretic • Hemostatic
Gan CaoLicorice Root • 甘草 ♦  Tonify Qi Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effects • enters 12 channelsEnters all 12 channels, often serve as envoy in a formula. Hypoglycemic • Antiarrhythmic • Hypertensive • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal
Cha Qing • Tea 
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: Today, the ingredients are ground into a powder, sifted together, and formed into pills with honey. Take 1 pill twice daily, with aged, grain-based Iiquor or warm boiled water. This formula may also be prepared as a decoction with the doses suggested in parenthesis.[22]
Modifications For

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
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.
Bo He: Mint or menthol allergies • Yin Deficiency heat • Breast feeding • Exterior deficiency • Pregnancy • Ascending liver yang
Jing Jie: Exterior deficiency • Fully erupted measles • Open sores • Lack of pathogenic wind • Consumption of fish, crab, goose, or duck
Qiang Huo: Yin deficiency • Blood deficiency, Bi Zheng with red tongue and light/no coat

Bai Zhi: Yin deficiency • Blood heat • Blood deficiency • Anticoagulant drugs • Blood pressure medication • Anti-depressant drugs • Terfenadine (antihistamine)
Xi Xin: Profuse sweating from Qi deficiency • Headaches or cough from yin deficiency
Fang Feng: Yin deficiency fire • Blood deficiency spasms • Lack dampness • Lack pathogenic wind
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section.

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. 

Go to Bibliography

0 Comments

Leave a Reply

Your email address will not be published. Required fields are marked *