juan bi tang

Remove Painful Obstruction Decoction from Medical Revelations

About juan bi tang

Juan Bi Tang, Remove Painful Obstruction Decoction from Medical Revelations, is Qiang Huo, Du Huo, Qin Jiao, Sang Zhi, Hai Feng Teng, Dang Gui, Chuan Xiong, Ru Xiang, Mu Xiang, Rou Gui and Zhi Gan Cao.

Ingredients

Herb	Amount
qiang huo	3 g
du huo	3 g
qin jiao	3 g
sang zhi	9 g
hai feng teng	9 g
dang gui	9 g
chuan xiong	2.1 g
ru xiang	2.4 g
mu xiang	2.4 g
rou gui	1.5 g
zhi gan cao	1.5 g

Actions and indications

Removes Wind-Damp and disperses Cold

Painful obstruction (Bi) of the whole body from Wind, Cold and Damp
Aching, heavy joints, especially the wrists, ankles, knees and elbows, and muscle pain; often worse in cold or damp weather
Pain worse with cold, wind or damp and better with warmth; cold joints and aversion to cold
Pain that wanders or is fixed; often better with movement or worse at night
Tongue slightly purple or with purple spots and a thick white coat; pulse slow and soft, possibly slippery, slightly floating or rough, wiry and tight, or floating and wiry

Circulates Qi and Blood and eliminates painful obstruction

Chronic pain that has led to local stagnant Qi and Blood; stabbing pain
Shoulders and arms as well as low back and legs affected
Stiffness, restricted movement and difficult motion
Muscle atrophy from stagnant Qi and Blood; muscle weakness
Numb, heavy limbs; numbness of muscles and skin; mild muscle swelling; local inflammation

Stops pain

Hemiplegia, mostly of the arms
Deviated eyes and mouth; limb spasm

Modern uses

Osteoarthritis
Rheumatoid arthritis
Myofascial pain
Gouty arthritis
Bursitis
Facial paralysis
Fibromyalgia
Numbness
Wei syndrome
Sweating on one side of the body
Neck pain and stiffness
Low back pain
Rheumatic fever
Rheumatic arthritis
Chronic lumbago
Arthralgia
Stroke
Cerebral vascular accident
Paresthesia
Scapulohumeral periarthritis
Weakness
Frozen shoulder
Gout
Temporomandibular joint syndrome (TMJ)

Symptoms

Aversion to cold
Body aches
Cold limbs
Deviated mouth and eyes
Edema
Heavy limbs
Hemiplegia
Joint pain
Joint stiffness
Limited range of motion
Local redness
Muscle spasms
Numbness
Pain
Preference for warmth
Stabbing pain
Swelling
Wandering pain
Weakness

Modifications

Wind predominating: + fang feng
Cold predominating: + zhi fu zi
Damp predominating: + guang fang ji, + cang zhu, + yi yi ren
Damp predominating, alternative 1: + zhi chuan wu, + zhi cao wu, + ma huang, + xi xin
Damp predominating, alternative 2 (combined with Xiao Huo Luo Dan): + han fang ji, + cang zhu, + yi yi ren, + can sha
Damp predominating, alternative 3: + zhi fu zi, + zhi chuan wu
Damp predominating, alternative 4: + mu gua, + wu jia pi
Pain mainly in the legs: + huai niu xi
Pain mainly in the legs, alternative 1: + mu gua
Pain mainly in the legs, alternative 2: + wei ling xian, + sang zhi
Pain mainly in the legs, alternative 3: + bai ji li, + huai niu xi, + mu gua, + xu duan
Pain mainly in the legs, alternative 4: + wei ling xian, + jiang huang

Show all 57 modifications

Low back pain: + du zhong, + gou ji
Low back pain, alternative: + chuan niu xi
Fever: + zhi mu, + huang qin, + jin yin hua, + lian qiao
Shoulder periarthritis: + gui zhi, + tou gu cao
Right shoulder periarthritis (combined with Si Jun Zi Tang): + gui zhi, + tou gu cao
Left shoulder periarthritis (combined with Si Wu Tang): + gui zhi, + tou gu cao
Shoulder periarthritis with neck pain (combined with Ge Gen Tang): + gui zhi, + tou gu cao
Shoulder periarthritis with neck pain and temple headaches (combined with Xiao Chai Hu Tang): + gui zhi, + tou gu cao
Shoulder periarthritis with numb, weak arms (combined with Huang Qi Gui Zhi Wu Wu Tang): + gui zhi, + tou gu cao
Shoulder periarthritis with headaches (combined with Ban Xia Bai Zhu Tian Ma Tang): + gui zhi, + tou gu cao
Sweating on one side of the body: + huang qi, + jiang huang, + bai shao, + fang feng, + sheng jiang, + zhi chuan wu, − du huo, − qin jiao, − sang zhi, − ru xiang, − mu xiang, − gui zhi
Frozen shoulder: + huang qi, + luo shi teng, + jiang huang, − mu xiang, − gan cao
Frozen shoulder with limited movement: + huang qi, + luo shi teng, + jiang huang, + lu xian cao, + shen jin cao, − mu xiang, − gan cao
Frozen shoulder, Kidney deficiency with weak bones: + huang qi, + luo shi teng, + jiang huang, + gu sui bu, + xu duan, − mu xiang, − gan cao
Frozen shoulder, Qi and Blood markedly deficient: + huang qi, + luo shi teng, + jiang huang, + bai shao, + dang shen, − mu xiang, − gan cao, − qiang huo, − hai feng teng
Frozen shoulder, Kidney Yin deficient: + huang qi, + luo shi teng, + jiang huang, + huai niu xi, + sang ji sheng, + gui ban, − mu xiang, − gan cao, − qiang huo, − hai feng teng
Frozen shoulder, Kidney Yang deficient: + huang qi, + luo shi teng, + jiang huang, + du zhong, + gou ji, + wu jia pi, − mu xiang, − gan cao, − qiang huo
Frozen shoulder around menopause: + huang qi, + luo shi teng, + jiang huang, + huang bai, + zhi mu, + xian mao, + yin yang huo, − mu xiang, − gan cao, − qiang huo, − hai feng teng
Frozen shoulder, Phlegm-Damp: + huang qi, + luo shi teng, + jiang huang, + zhi tian nan xing, + fu ling, − mu xiang, − gan cao
Frozen shoulder, marked Blood stasis: + huang qi, + luo shi teng, + jiang huang, + ji xue teng, + mo yao, − mu xiang, − gan cao
Frozen shoulder, Liver Qi stagnant: + huang qi, + luo shi teng, + jiang huang, + chuan lian zi, + xiang fu, + chai hu, − mu xiang, − gan cao
Shoulder pain: + cang zhu, − du zhong, − hai feng teng, − ru xiang
Shoulder pain, heavy shoulder: + cang zhu, + jiang huang, + qīng fēng téng, − du zhong, − hai feng teng, − ru xiang
Shoulder pain, averse to cold: + cang zhu, + zhi fu zi, + xi xin, − du zhong, − hai feng teng, − ru xiang
Shoulder pain, swollen shoulder: + cang zhu, + tu fu ling, + zhi ban xia, − du zhong, − hai feng teng, − ru xiang
Piriformis syndrome: + du zhong, + chuan niu xi
Piriformis syndrome, affected area very cold: + du zhong, + chuan niu xi, + zhi fu zi, + ma huang
Piriformis syndrome, legs restricted in movement: + du zhong, + chuan niu xi, + hai tong pi, + xi xian cao
Piriformis syndrome, Qi deficient: + du zhong, + chuan niu xi, + huang qi, + dang shen
Piriformis syndrome, Blood deficient: + du zhong, + chuan niu xi, + bai shao, + shu di huang
Piriformis syndrome, Liver Blood and Kidney Yang deficient: + du zhong, + chuan niu xi, + wu jia pi, + yin yang huo, + ba ji tian
Piriformis syndrome, Liver Blood and Kidney Yin deficient: + du zhong, + sang ji sheng, + huai niu xi, + shu di huang
Pain mainly in the arms: + wei ling xian, + sang zhi
Jaw joint disorder (TMJ): + bai zhi, + gao ben, − hai feng teng, − mu xiang
Rheumatic fever: + ji xue teng, − ru xiang, − mu xiang, − zhi gan cao
Rheumatic fever, Wind predominating: + ji xue teng, + wei ling xian, + fang feng, − ru xiang, − mu xiang, − zhi gan cao
Rheumatic fever, Cold predominating: + ji xue teng, + zhi fu zi, + zhi cao wu, + gan cao, − ru xiang, − mu xiang, − zhi gan cao
Rheumatic fever, Damp predominating: + ji xue teng, + yi yi ren, + cang zhu, − ru xiang, − mu xiang, − zhi gan cao
Rheumatic fever with chorea: + ji xue teng, + bai shao, + huai niu xi, + tian ma, + gou teng, − ru xiang, − mu xiang, − zhi gan cao
Rheumatic fever, chronic and recurring: + ji xue teng, + mo yao, + di long, + quan xie, − mu xiang, − zhi gan cao
Rheumatic fever; Liver, Kidney, Qi and Blood all deficient: + ji xue teng, + huang qi, + dang shen, + du zhong, + sang ji sheng, − ru xiang, − mu xiang, − zhi gan cao
Arms and upper body worst affected: + gui zhi
Lower body or more stubborn Cold: Rou Gui kept rather than Gui Zhi
Shoulders and arms most affected: more Qiang Huo and Sang Zhi
Low back and legs most affected: more Du Huo

Cautions

contraindication Damp-Heat in the channels, or Wind-Damp-Heat painful obstruction
contraindication Any Heat pattern, such as red, hot, swollen joints, yellow-coated red tongue or rapid pulse; Rou Gui, Qiang Huo and Du Huo would make it worse
caution Not the first choice for simple acute exterior Wind-Damp with no chronic course or Blood stagnation, where a lighter dispersing formula suits better
caution Ru Xiang can upset the stomach at higher doses; lower the dose or take it with food
pregnancy Only with professional guidance, since Chuan Xiong, Ru Xiang and Dang Gui move Blood and Rou Gui warms

Preparation

Decoction of the herbs, taken warm; Gui Zhi often replaces Rou Gui

Names

Pinyin	juan bi tang
English Name	Remove Painful Obstruction Decoction from Medical Revelations