Bu Yang Huan Wu Tang, Tonify the Yang to Restore Five Tenths Decoction, is Huang Qi, Dang Gui, Chuan Xiong, Chi Shao, Tao Ren, Hong Hua and Di Long. The catalogue classes it among the formulas that invigorate the Blood and dispel stasis, and records it as tonifying Qi vigorously.

Herb

Amount

120 g

6 g

3 g

4.5 g

3 g

3 g

3 g

Actions and indications

Vigorously tonifies Qi

Qi deficiency causing Blood stasis in the channels, in the recovery stage after Wind-stroke
Blood stasis obstructing the channels on a background of deficient Qi and Yang
Wind-Phlegm leading to stagnant Qi and Blood
Wasting (Wei) syndrome from Qi deficiency with Blood stasis
General weakness and cold extremities
Frequent urination, dribbling or incontinence from deficient Qi
Dry stools or constipation, Qi being too weak to move the bowels

Invigorates the Blood and unblocks the channels

Hemiplegia or one-sided weakness after a stroke, with wasting of the affected limbs
Paralysis, including of the face, with the eyes and mouth pulled to one side
Wasting of the legs
Slurred or laboured speech
Drooling or excess saliva from weak facial muscles

Promotes movement in the limbs

Tongue normal with a white coat; pulse moderate or normal

Modern uses

Stroke
Apoplexy
Sequelae of cerebrovascular accident
Post-stroke sequelae
Post-stroke hemiplegia
Ischemic cerebrovascular disorder
Acute obstructive cerebrovascular disease
Cerebrovascular infarction
Cerebral thrombosis
Cerebral arteriosclerosis
Brain trauma
Epilepsy
Aphasia
Poliomyelitis
Sequelae of poliomyelitis
Acute myelitis
Myasthenia gravis
Multiple sclerosis
Amyotrophic lateral sclerosis (ALS)
Guillain-Barre disease
Acute infectious multiple neuritis
Polyneuritis
Progressive muscular dystrophy
Progressive myodystrophy
Atrophy (Wei) syndrome
Paralysis
Facial paralysis
Bell's palsy
Hysterical paralysis
Periodic paralysis
Numbness
Paresthesia
Neuralgia
Sciatica
Unilateral pain
Cervical spondylosis
Vascular headache
Neuroses
Hypertension
Coronary artery disease
Cor pulmonale
Thromboangiitis obliterans
Arteriosclerosis obliterans
Thrombophlebitis
Deep vein thrombosis
Varicose veins
Raynaud's disease
Erythema nodosum
Panniculitis
Diabetes
Chronic nephritis
Chronic hepatitis
Benign prostatic hypertrophy
Chronic prostatitis
Frequent urination
Urinary incontinence
Fatigue
Weakness
Dry skin

Modifications

Predominant cold: + zhi fu zi

Weak Spleen and Stomach foremost: + dang shen, + bai zhu

Much phlegm: + zhi ban xia, + tian zhu huang

Slurred speech: + shi chang pu, + yuan zhi, + yu jin

Facial paralysis: + zhi bai fu zi, + bai jiang can, + quan xie, + wu gong, + fang feng, + jiang can

Mild long-standing hemiplegia: + shui zhi, + meng chong

Paralysis of the legs: + du zhong, + huai niu xi

Epigastric fullness with laboured breathing: + wu yao, + qing pi

Poor appetite with chest oppression: + zhi ke, + chen pi

Insomnia and irritability; pulse wiry, weak and rapid: + zhi zi, + chao suan zao ren

Weak legs: + xu duan, + sang ji sheng, + huai niu xi

Constipation: + huo ma ren, + xing ren

Show all 99 modifications

Cold extremities: + zhi fu zi, + wu zhu yu
Acute cases without Qi deficiency: + huang qi
To temper Huang Qi when it dominates the prescription: + shi gao, + dai zhe shi
To move blood more strongly: + dan shen
Panniculitis or nodular erythema: + lian qiao, + mu gua, + bing lang, + xiang fu
Hemiplegia at first onset: + fang feng
Impaired cognition: + shi chang pu, + bai guo ye, + jiu ceng ta
Severe cold: + zhi fu zi, + rou gui, + ba ji tian
Angina and heart attack: + san qi, + dan shen
Fibromyalgia from damp obstructing the channels (combined with San Bi Tang)
Fibromyalgia from Qi and blood stagnation (combined with Shao Yao Gan Cao Tang, Wei Ling Tang and Shen Tong Zhu Yu Tang)
Cerebrovascular disease (combined with Ma Xing Yi Gan Tang and Fu Zi Li Zhong Tang): + zhi fu zi, + rou gui
Prostatic hypertrophy: + san qi, + wang bu liu xing, + yu xing cao
Ischemic cerebral disorder: + chuan shan jia, + ji xue teng
Stroke aftermath: + dan shen
Stroke aftermath with rising Liver Yang: + dan shen, + tian ma, + gou teng
Stroke aftermath with phlegm-damp: + dan shen, + chen pi, + zhi ban xia
Stroke aftermath with constipation: + dan shen, + da huang, + huo ma ren
Stroke aftermath, Qi and blood deficient: + dan shen, + dang shen
Paralysis: + ji xue teng, + huai niu xi, + qian nian jian
Cerebral arteriosclerosis (combined with Qian Zheng San): + dan shen, + ge gen, + ji xue teng, + shan zha, + gan cao
Chronic prostatitis, Yang deficient: + ze lan, + yi mu cao, + chuan niu xi, + fu ling, + yin yang huo, + ba ji tian
Arteriosclerosis obliterans: + dan shen, + ji xue teng, + dang shen, + gui zhi, + sheng jiang
Severe vascular headache and sleeplessness: + huai niu xi, + bai zhi, + gan cao, + shi jue ming, + suan zao ren
Vascular headache: + huai niu xi, + bai zhi, + gan cao
Vascular headache with sleeplessness, restlessness and irritability: + huai niu xi, + bai zhi, + gan cao, + wu wei zi, + long chi
Poliomyelitis: + yin yang huo
Early poliomyelitis: + yin yang huo, + quan xie, + wu gong
Poliomyelitis affecting the arms: + yin yang huo, + sang zhi
Poliomyelitis with facial deviation: + yin yang huo
Deep vein thrombosis (combined with Qian Zheng San): + ji xue teng, + huai niu xi, + ren dong teng
Chronic nephritis: + da huang, + ji nei jin, + cang zhu, + sang ji sheng
Poliomyelitis affecting the legs: + yin yang huo, + huai niu xi
Polyneuritis: + dang shen, + fu ling, + bai zhu
Chronic prostatitis, Yin deficient: + ze lan, + yi mu cao, + chuan niu xi, + fu ling, + sheng di huang
Chronic prostatitis: + ze lan, + yi mu cao, + chuan niu xi, + fu ling
Chronic prostatitis with hypertension: + ze lan, + yi mu cao, + chuan niu xi, + fu ling, + tian ma
Numbness: + wu gong, + quan xie, + hai feng teng, + zhi fu zi
Chronic prostatitis, Qi stagnant: + ze lan, + yi mu cao, + chuan niu xi, + fu ling, + wu yao, + shui zhi, + tu bie chong
Coronary heart disease: + yu jin, + yi mu cao, + gua lou, + xie bai, + zhi ban xia
Sciatica: + gui zhi, + gan cao, + dang shen, + ji xue teng
Sciatica (second option): + tu bie chong, + yu jin, + bai zi ren, − chuan xiong, − di long
Sciatica (third option): + zhi fu zi, + rou gui, + quan xie, + wu gong
Coronary heart disease: stabbing pain, marked palpitations, agitation: + tu bie chong, + yu jin, + bai zi ren, + san qi, + hu po, + dan shen, + tan xiang, + sha ren, − chuan xiong, − di long
Coronary heart disease: fatigue and noticeable sweating: + tu bie chong, + yu jin, + bai zi ren, + shan zhu yu, − chuan xiong, − di long
Stroke: + dan shen, + ji xue teng
Coronary heart disease: stabbing pain, marked palpitations, agitation (second option): + ji xue teng
Stroke with marked blood stasis: + ji xue teng, + tu bie chong, + chuan shan jia
Stroke, mainly Qi deficient: + ji xue teng, + dang shen, + bai zhu, − di long
Hemiplegia after stroke with high blood pressure: + shi gao
Severe or long-standing hemiplegia after stroke: + chuan shan jia, + shui zhi, + sang zhi
Severe or long-standing hemiplegia after stroke (second option): + dai zhe shi
Hemiplegia after stroke with slurred speech (combined with Xiao Huo Luo Dan): + shi chang pu, + yuan zhi
Hemiplegia after stroke with impaired or lost vision: + mi ming hua, + gou qi zi, + jue ming zi
Hemiplegia after stroke with Yang deficiency and palpitations: + sang zhi, + gui zhi
Hemiplegia after stroke mainly in the legs (pick from the added herbs): + sang ji sheng, + xu duan, + huai niu xi, + du zhong, + shu di huang, + shan zhu yu, + rou cong rong
Hemiplegia after stroke with edema: + fu ling, + ze xie, + mu tong
Hemiplegia after stroke with facial paralysis: + zhi bai fu zi, + quan xie
ALS: + dan shen, + huai niu xi, + bai shao, + gui zhi, + gan cao, − tao ren, − hong hua
Hemiplegia: + dan shen, + huai niu xi, + gui zhi
Hemiplegia with marked blood stasis: + dan shen, + huai niu xi, + gui zhi, + tu bie chong, + shui zhi
Hemiplegia with marked Qi deficiency: + dan shen, + huai niu xi, + gui zhi, + dang shen
Hemiplegia, cold predominant: + dan shen, + huai niu xi, + gui zhi, + zhi fu zi
Hemiplegia with much phlegm: + dan shen, + huai niu xi, + gui zhi, + zhi ban xia, + tian zhu huang
Hemiplegia with aphasia: + dan shen, + huai niu xi, + gui zhi, + shi chang pu, + yuan zhi
Hemiplegia with facial deviation: + dan shen, + huai niu xi, + gui zhi, + jiang can, + zhi bai fu zi, + quan xie
Hemiplegia with constipation: + dan shen, + huai niu xi, + gui zhi, + huo ma ren
Hemiplegia mainly affecting the legs: + dan shen, + huai niu xi, + gui zhi, + he shou wu, + shu di huang, + sang ji sheng
Cervical spondylosis with intense pain: + bai shao, + mu gua, + bai zhi, + mu xiang, − tao ren
Stroke, aphasia and hemiplegia: + luo shi teng
Deviated mouth or eyes: + jiang can, + zhi bai fu zi, + quan xie
One-sided pain with hemiplegia: + du zhong, + dan shen, + rou gui
One-sided pain, tired and dizzy: + gou ji, + dang shen
One-sided pain with joint pain: + gui zhi, + yan hu suo, + sang zhi
One-sided pain with poor appetite: + chen pi, + mu xiang
Cerebral thrombosis: + gui zhi, + dan shen, + huai niu xi
Cerebral thrombosis with marked blood stasis: + gui zhi, + dan shen, + huai niu xi, + tu bie chong
Cerebral thrombosis, very Qi deficient: + gui zhi, + dan shen, + huai niu xi, + dang shen
Cerebral thrombosis, cold predominant: + gui zhi, + dan shen, + huai niu xi, + zhi fu zi
Cerebral thrombosis with much phlegm: + gui zhi, + dan shen, + huai niu xi, + zhi ban xia, + tian zhu huang
Cerebral thrombosis with aphasia: + gui zhi, + dan shen, + huai niu xi, + shi chang pu, + yuan zhi
Cerebral thrombosis, blood pressure normal: + gui zhi, + dan shen, + huai niu xi, + huang qi
Cerebral thrombosis, blood pressure high: + gui zhi, + dan shen, + huai niu xi, + huang qi
Cerebral thrombosis with facial deviation: + gui zhi, + dan shen, + huai niu xi, + jiang can, + zhi bai fu zi, + quan xie
Cerebral thrombosis with constipation: + gui zhi, + dan shen, + huai niu xi, + huo ma ren
Cerebral thrombosis with leg paralysis: + gui zhi, + dan shen, + huai niu xi, + sang ji sheng, + shu di huang, + he shou wu
Wei (wasting) syndrome: + xu duan, + du zhong, + huai niu xi, − di long

Cautions

contraindication The acute phase of a stroke, and right after a stroke caused by cerebral haemorrhage; it is meant for the recovery stage once the patient is medically stable

contraindication Active bleeding; check that no haemorrhage is present and that the pulse is moderate before use

caution Before starting, make sure consciousness has returned and body temperature is normal

contraindication Wind-stroke with a big, forceful pulse, or a firm, wiry and forceful one

contraindication Stroke after-effects of an excess or Heat type, such as from ascendant Liver Yang or internal Wind-Heat, rather than Qi deficiency

contraindication Yin deficiency

contraindication Blood Heat

contraindication Phlegm stagnation

pregnancy Not for use in pregnancy, because of its Blood-moving herbs (one source rates this as a caution rather than a contraindication)

caution With warfarin or other anticoagulant or antiplatelet drugs, or a bleeding disorder: use only under professional guidance, as Tao Ren, Hong Hua, Chuan Xiong and Chi Shao move the Blood

caution Stroke and stroke-like symptoms need medical assessment; the formula supports recovery in the Qi deficiency with Blood stasis pattern and does not replace emergency or standard stroke care

Pinyin

bu yang huan wu tang

English Name

Tonify The Yang to Restore the Five [ tenths ] Decoction

bu yang huan wu tang

About bu yang huan wu tang

Ingredients

Actions and indications

Vigorously tonifies Qi

Invigorates the Blood and unblocks the channels

Promotes movement in the limbs

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification

Support