【Chinese Name】 |
當歸拈痛湯
|
【Phonetic】 |
Dang Gui Nian Tong Tang
|
【English Name】 |
Chinese Angelica Pain-Alleviating Decoction |
【Classification】 |
Dampclearing formulas |
【Source】 |
《Origins of Medicine》Yi Xue Qi Yuan《醫學啟源》 |
【Combination】 |
Notopterygii Rhizoma et Radix (Qiang Huo) 0.5 liang (15g), Saposhnikoviae Radix (Fang Feng) 3 qian (9g), Cimicifugae Rhizoma (Sheng Ma) 1 qian (3g), Puerariae Lobatae Radix (Ge Gen) 2 qian (6g), Atractylodis Macrocephalae Rhizoma (Bai Zhu) 1 qian (3g), Atractylodis Rhizoma (Cang Zhu) 3 qian (9g), Angelicae Sinensis Radix (Dang Gui) 3 qian (9g), Ginseng Radix et Rhizoma (Ren Shen) 2 qian (6g), Glycyrrhizae Radix et Rhizoma (Gan Cao) 5 qian (15g), Sophorae Flavescentis Radix (Ku Shen soaked with wine) 2 qian (6g), Scutellariae Radix (Huang Qin dry-fried) 1 qian (3g), Anemarrhenae Rhizoma (Zhi Mu) 3 qian (9g), Artemisiae Scopariae Herba (Yin Chen fried with wine) 5 qian (15g), Polyporus (Zhu Ling) 3 qian (9g), Alismatis Rhizoma (Ze Xie) 3 qian (9g) |
【Method】 |
Prepare as a decoction. |
【Action】 |
Drains dampness and clears heat, scatters wind and relieves pain. |
【Indication】 |
Dang Gui Nian Tong Tang is indicated for patterns that arise due to a conflict between dampness and heat with concurrent external wind contraction. The symptoms are aching pain of limbs and joints, heavy sensation of the shoulder and back, swelling and pain of the feet, sores on the feet and knees. The tongue coating is white and greasy mixed with yellow and the pulse is wiry and rapid. |
【Pathogenesis】 |
Dang Gui Nian Tong Tang is applied to the complex pattern of wind-damp-heat with dominant dampness due to either internal damp-heat accumulation with external wind contraction or wind-dampness that has transformed into heat. Pathogenic wind, dampness, and heat accumulation in the channels block qi and blood movement. This condition manifests aching pain of limbs and joints. The heavy sensation of shoulders and back is caused by the dominant dampness. Damp-heat pouring downward gives rise to swelling and pain in the feet as well as sores on the feet and knees. Mixed white and yellow, greasy coating and the wiry and rapid pulse are signs of damp-heat. The therapeutic methods are to eliminate dampness as priority and clear heat and scatter wind to relieve pain secondarily. |
【Application】 |
1. Essential pattern differentiation Dang Gui Nian Tong Tang is the common formula for wind-damp-heat bi and jiao qi (腳氣) due to damp-heat with excessive dampness. This clinical pattern is marked by pain, heaviness, and swelling of limbs and joints, mixed white and yellow, greasy tongue coating, rapid pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of damp-heat accumulation with exterior pattern: rheumatic arthritis and rheumatoid arthritis. |
【Additonal formulae】 |
Xuan Bi Tang (Painful Obstruction Resolving Decoction 宣痹湯) [Source]《Systematic Differentiation of Warm Diseases》Wen Bing Tiao Bian《溫病條辨》 [Ingredients] Fang ji 5 qian (15g), xing ren 5 qian (15g), hua shi 5 qian (15g), lian qiao 3 qian (9g), yi yi ren 5 qian (15g), ban xia (fried with vinegar) 3 qian (9g), can sha 3 qian (9g), chi xiao dou 3 qian (9g), zhi zi 3 qian (9g) [Preparation and Administration] Prepare it as a decoction. [Actions] Clears heat and eliminates dampness, unblocks collaterals and relieves pain. [Applicable Patterns] Bi syndrome due to damp-heat accumulation in the channels and collaterals. Symptoms include: chills and fever, aching pain of the joints, a withered-yellow complexion, and a grey tongue without luster. |
【Remark】 |
Ginseng (Panax ginseng) is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. |
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