Xuān Bì Tāng

Disband Painful Obstruction Decoction

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

AboutChinese MedicineCaution/Notes
Health Benefits
For:
Atributes:
Research 

Category: Dispel Dampness and External Wind ⌕ 
Source: Wen Bing Tiao Bian  
Actions: Clear damp heat, open blockage and relieve pain [Song]
Diagnosis
Tongue:       Pulse:    Other: 
Patterns:  
Indications: Damp heat Bi Syndrome: Damp heat accumulation in channels caused joints pain, limited ROM, concentrated urination, yellow complexion – T: red tongue with yellow greasy coating Wind damp cold attack: acute onset pain all over the body, aches, white tongue coating, floating pulse[Song]
Contraindications: 
Description
Name Variations:Xuan Bi Tang, 宣痹汤, Disband Painful Obstruction Decoction,
Herb List: Han Fang Ji(K) • Can Sha(M) • Yi Yi Ren(M) • Lian Qiao(A) • Zhi Zi(A) • Hua Shi(A) • Chi Xiao Dou(A) • Ban Xia(A) • Xing Ren(A)
Commentary:
Related Formulas:
Herbs Cat/Dosage Actions Attributes
Du Huo
Pubescent Angelica Root • 独活
Wind Damp Cold
9g
Dispel wind damp cold • Alleviate pain • Release exterior hypotensive • antibiotic • anti-platelet • anti-inflammatory • analgesic
Xi Xin 
Asarum • 细辛
Release Exterior Wind Cold
6g
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 Jing antibiotic, anti-inflammatory, respiratory stimulant
Fang Feng 
Siler Root • 防风
Release Exterior Wind Cold
6g
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 channels Antibiotic • Antipyretic • Hemostatic
Qin Jiao
Large Leaf Gentiana Root • 秦艽
Wind Damp Heat
6g
Clear deficient heat/ steaming bone • Relax Sinews • Dispel Wind-Damp • Clear Damp-Heat jaundice • Moisten intestines to unblock bowels • Clear hot or cold Bi • Open ChannelsYin deficiency is often found in elderly patients Anti-inflammatory • Analgesic • Hypoglycemic • Hypotensive • Sedative
Sang Ji Sheng 
Loranthus Mistletoe桑寄生
Wind Damp Bones Tendons
6g
Dispel wind damp • Strengthen bones and sinews • Tonify Liver and Kidney • Nourish blood • Calm fetus • Benefit skin • Treat hypertension Hypotensive
Du ZhongEucommia Bark • 杜仲 Tonify Yang
6g
Tonify Kidney and Liver to strengthen bones and tendons • Calm fetus • Lower high blood pressure Anti-aging • Stress reducer • Anxiety reducer • Adaptogen • Phytoestrogen
Chuan Niu Xi
Cyathula ⽜膝 
Invigorate Blood
6g
Move blood downward • Guide herbs downward • Invigorate blood • Dispel stasis • Tonify Liver • Tonify Kidney • Strengthen bones and sinews • Clears damp heat in lower jiao • Expel wind • Drain dampness • Promote blood circulation emmenagogue • vasodilator
Dang Gui Chinese Angelica • 当归   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 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

6g

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
Sheng Di Huang Rehmannia • 生地黄 Clear Heat Cool Blood
6g
Clear heat • Cools hot blood (nosebleeds, bloody vomit, bloody urine, bloody stool) • Nourish Yin • Clears heart heat/fire • Generate fluidsDao Di: He Nan Immunity booster • coagulant • antidiabetic • hepatoprotective • hypotensive • anti-aging • antioxidant • antihistamine • emmenagogue • adrenalcortical
Bai Shao White Root Peony • 白芍  Tonify Blood
6g
Tonify Liver blood - regulate menses • Tonify Liver Yin • Relief pain and spasms • Harmonize Ying and Wei QiDao Di: Zhe Jiang • AKA Shao Yao analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative
Ren Shen Ginseng • 人参  Tonify Qi
6g
Tonify yuan qi • Tonify lung qi • Tonify heart qi • Calms Shen • Stop thirst • Helps impotence • Treats qi collapse • Tonify Spleen • Generate fluid • Stop thirst • Strengthen anti-pathogenic qi • Can go to all 5 zang organs adaptogen • anti-aging • anticoagulant • antiplatelet • antioxidant • adrenalcortical • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant
Fu Ling Poria Mushroom • 茯苓  Drain Dampness
6g
Dry dampness • Tonify spleen • Calm spirit • Relief edema • Detox food poisoning • Promote urination Dao Di: Yun Nan Diuretic • Antibacterial • Anti-inflammatory • Anti-allergic • Hypoglycemic • Antacid • Sedative • Immunity booster
Rou Gui Cinnamon Bark • 肉桂  Warm Interior Expel Cold
6g
Warm interior • Warm Heart and Kidney Yang • Relieve pain • Build Qi and Blood • Leads fire back to its source • Disperse cold at Blood level Antimicrobial • anticoagulant • teratogenic • emmenagogue • antiparasitic • antibiotic • hypoglycemic •analgesic • anti-inflammatory • antioxidant • free radical scavenging • sedative • memory enhancer
Gan Cao Licorice Root • 甘草 Tonify Qi
3g
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
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: Cook with 10 cups of water until 3 cups remain.  Divide into 3 equal doses.
Modifications For
Wind heat signs 3, 22
+ Soothe liver 3,
Dispersing stagnation and tonifying heart 3,
Decending Qi 3,

Sheng Jiang: Lung heat • Dry cough • Phlegm heat • Full heat • Yin deficiency with heat • Vomiting from stomach heat • Gallstones • Exterior deficiency with unexplained sweating • Horse meat

Caution
ALERT: Contraindications of each herb - use with caution under these conditions:
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Sheng Di Huang: Yang deficiency • Blood deficiency • Spleen deficiency • Stomach deficiency • Can be sticky and cloying, careful with digestive disorders • food: onion, garlic, radishes
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Ren Shen: Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat • food: onion, garlic, radishes, tea, turnips
Fu Ling: Foods: Vinegar, pickled food
Du Zhong: Latex allergies • Yin deficiency heat
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section.
Rou Gui: Pregnancy • Severe heat from yin deficiency • Interior heat
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.
Du Huo: Yin deficient heat
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
Chuan Niu Xi: Pregnancy • Menorrhagia • Spleen deficiency diarrhea • Kidney Qi deficiency with excessive menstruation • Spematorrhea
Sang Ji Sheng: Yin deficiency
Qin Jiao: Spleen and Stomach deficiency cold • Driving since it can cause drowsiness
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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