qian zheng san

Lead to Symmetry Powder

About qian zheng san

Qian Zheng San, Lead to Symmetry Powder, is Zhi Bai Fu Zi, Jiang Can and Quan Xie. The catalogue classes it among the formulas that release Wind from the skin and channels, and records it as dispelling Wind, resolving Phlegm and stopping spasm.

Ingredients

Herb	Amount
zhi bai fu zi	—
jiang can	—
quan xie	—

Actions and indications

Dispels Wind

Wind-Phlegm lodged in the channels and collaterals of the head and face (Wind-stroke at the channel level)
Sudden paralysis of one side of the face, often after exposure to Wind-Cold such as a draft or a fan
Eye and mouth pulled toward the healthy side; the eye may not close fully and the mouth may not be controlled
Numb, paralysed skin of the face
Fever with intolerance of cold, and sore, aching joints

Resolves Phlegm

Constant drooling that cannot be controlled
Speech that is difficult

Stops spasms

The paralysed side of the face may twitch or go into spasm
Spasms of the limbs
Pain slight or absent, with no neurological signs elsewhere in the body
Tongue normal with a thin white coat; pulse wiry, taut and thready, floating and rapid, or slippery

Modern uses

Bell's palsy and acute peripheral facial palsy
Facial paralysis
Facial spasms
Facial pain
Trigeminal neuralgia
Migraine and vascular headache
Stroke (cerebrovascular accident)
Hemiplegia
Aphasia
Numbness and paresthesia
Peripheral neuritis
Parkinson's disease
Tourette syndrome

Symptoms

Aphasia
Aversion to cold
Deviated mouth and eyes
Excessive salivation
Fever
Joint pain
Muscle spasms
Muscle twitching
Numbness

Modifications

Facial paralysis: + wu gong, + fang feng, + qiang huo, + ge gen, + gou teng
Facial paralysis from Wind-Cold: + qiang huo, + fang feng
Facial paralysis from Wind-Cold, first alternative set: + fang feng, + jin yin hua, + tao ren, + chuan xiong, + huang qin, + dan shen, + chan tui, + bai ji, + sheng di huang, + wu gong, + ma huang, + xi xin
Facial paralysis from Wind-Cold, second alternative set: + fang feng, + jin yin hua, + tao ren, + chuan xiong, + huang qin, + dan shen, + chan tui, + bai ji, + sheng di huang, + wu gong
Facial paralysis with static Blood: + qiang huo, + fang feng, + hong hua, + di long, + chi shao, + gan cao, + dang gui, + chuan xiong
Facial paralysis with static Blood, alternative set: + qiang huo, + fang feng, + hong hua, + di long, + chi shao, + gan cao
Facial paralysis from Wind-Damp: + wu gong
Facial paralysis with static Blood and purple lips: + wu gong, + fang feng, + qiang huo, + ge gen, + gou teng, + tao ren, + hong hua, + chi shao
Facial paralysis or facial twitching: + wu gong, + tian ma, + di long
Facial paralysis with deficient Qi: + fang feng, + jin yin hua, + tao ren, + chuan xiong, + huang qin, + dan shen, + chan tui, + bai ji, + sheng di huang, + wu gong, + xi yang shen
Facial paralysis with deficient Qi and breathlessness: + wu gong, + fang feng, + qiang huo, + ge gen, + gou teng, + huang qi, + dang shen, + tai zi shen, + huang jing
Facial paralysis with sweating that comes on by itself: + hong hua, + di long, + chi shao, + gan cao, + huang qi, + gui zhi

Show all 51 modifications

Facial paralysis with interior Heat: + fang feng, + hong hua, + di long, + chi shao, + gan cao, + xia ku cao, + huang qin, + ju hua
Facial paralysis with marked tics and spasms: + qiang huo, + fang feng, + hong hua, + di long, + chi shao, + gan cao, + tian ma, + gou teng, + bai shao, + shi jue ming
Long-standing facial paralysis: + hong hua, + di long, + chi shao, + gan cao, + shui zhi, + wang bu liu xing, + wa leng zi, + bai jie zi, + zhi tian nan xing
Facial paralysis with a stiff tongue, tremor and greasy yellow tongue coat: + wu gong, + fang feng, + qiang huo, + ge gen, + gou teng, + dan nan xing, + shi chang pu, + zhu ru, + zhi ban xia
Facial paralysis with a weak tongue and white coat: + wu gong, + fang feng, + qiang huo, + ge gen, + gou teng
Facial palsy with a flushed face and yellow-coated tongue: + wu gong, + fang feng, + qiang huo, + ge gen, + gou teng, + shi gao, + jin yin hua, + lian qiao
Combined with Di Huang Yin Zi (indication not given)
Facial paralysis with much salivation: + wu gong, + fang feng, + qiang huo, + ge gen, + gou teng, + bai zhu, + fu ling
Facial paralysis with headache: + wu gong, + fang feng, + qiang huo, + ge gen, + gou teng, + ju hua, + bai zhi, + chai hu, + chuan xiong
Facial palsy from Wind-Heat in the exterior: + fang feng, + jin yin hua, + tao ren, + chuan xiong, + huang qin, + dan shen, + chan tui, + bai ji, + sheng di huang, + wu gong, + sang ye, + bo he
Facial paralysis with deficient Blood: + fang feng, + jin yin hua, + tao ren, + chuan xiong, + huang qin, + dan shen, + chan tui, + bai ji, + sheng di huang, + wu gong, + dang gui, + bai shao
Long-standing facial paralysis with Phlegm blocking the channels and collaterals: + fang feng, + jin yin hua, + tao ren, + chuan xiong, + huang qin, + dan shen, + chan tui, + bai ji, + sheng di huang, + wu gong, + tian ma, + qing meng shi
Long-standing facial paralysis with Wind-Phlegm blocking the channels and collaterals: + fang feng, + jin yin hua, + tao ren, + chuan xiong, + huang qin, + dan shen, + chan tui, + bai ji, + sheng di huang, + wu gong, + gou teng, + zhi chuan wu
Facial paralysis in rheumatic disease: + wu gong, + tian ma
Migraine with deficient Blood (combined with Ba Zhen Tang)
Trigeminal neuralgia: + dang gui, + chan tui
Wind-Heat type trigeminal pain: + dang gui, + chan tui, + huang qin, + gou teng, + shi gao
Wind-Cold type trigeminal pain: + dang gui, + chan tui, + zhi bai fu zi, + ma huang, + xi xin
Trigeminal neuralgia with deficient Yin and hot Blood: + dang gui, + chan tui, + sheng di huang, + mu dan pi, + gui ban, + nu zhen zi
Trigeminal neuralgia with static Blood and Phlegm obstruction: + dang gui, + chan tui, + tao ren, + hong hua, + zhi ban xia, + dan nan xing
To expel Wind more strongly: + jing jie
Static Blood: + hong hua
Bell's palsy, applied externally: + zhi chuan wu, + zhi cao wu, + zhi ban xia, + wei ling xian, + bai ji, + chen pi, + jiang zhi
Tourette syndrome (combined with Chai Hu Shu Gan San)
Stroke with hemiplegia: + bai jie zi, + zhi ban xia, + zhi tian nan xing, + tian ma, + gou teng, + shi chang pu, + yu jin, + yuan zhi, + bai shao, + xi xian cao, − zhi bai fu zi
Stroke: + bai jie zi, + zhi ban xia, + zhi tian nan xing, + tian ma, + gou teng, + shi chang pu, + yu jin, + yuan zhi, − zhi bai fu zi
Stroke with Liver Wind: + bai jie zi, + zhi ban xia, + zhi tian nan xing, + tian ma, + gou teng, + shi chang pu, + yu jin, + yuan zhi, + shi jue ming, + mu li, − zhi bai fu zi
Stroke with Liver Wind, alternative set: + jing jie, + fang feng, + hong hua, + di long, + chi shao, + gan cao
Numbness of the face (combined with Dao Tan Tang): + di long
Loss of speech (aphasia): + di long, + dan nan xing, + shi chang pu, + fu ling, + ju hong, + zhu ru, + gan cao
Pain of the face: + zhi ban xia, + gui zhi, + dan nan xing, + chuan xiong, + bai zhi, − jiang can, − quan xie
Pain and spasm of the face: + zhi ban xia, + gui zhi, + dan nan xing, + chuan xiong, + bai zhi, + bai shao, + zhi gan cao, − jiang can, − quan xie
Intense facial pain: + zhi ban xia, + gui zhi, + dan nan xing, + chuan xiong, + bai zhi, + xi xin, − jiang can, − quan xie
Facial pain and dizziness: + zhi ban xia, + gui zhi, + dan nan xing, + chuan xiong, + bai zhi, + tian ma, + gou teng, − jiang can, − quan xie
Facial pain and chilliness: + zhi ban xia, + gui zhi, + dan nan xing, + chuan xiong, + bai zhi, + gan jiang, − jiang can, − quan xie
Facial pain and nervousness: + zhi ban xia, + gui zhi, + dan nan xing, + chuan xiong, + bai zhi, + xia ku cao, − jiang can, − quan xie
Facial pain with a thick, greasy white tongue coat: + zhi ban xia, + gui zhi, + dan nan xing, + chuan xiong, + bai zhi, + cang zhu, − jiang can, − quan xie
Facial pain or headache, for stronger dispersal of Wind: + bai zhi, + fang feng, + chuan xiong
Stubborn cases needing a stronger Wind-extinguishing effect: + wu gong

Cautions

contraindication Only for channel-level Wind-stroke from Wind-Cold with Phlegm; not for organ-level stroke with loss of consciousness, slurred speech or hemiplegia of the limbs
contraindication Deviation of the mouth or hemiplegia from internal Liver Wind or rising Liver Yang, unless the formula is modified
contraindication Deviation of the mouth or hemiplegia from Qi deficiency with static Blood, unless the formula is modified
contraindication Facial deviation from Wind generated by deficient Blood or Yin
caution Bai Fu Zi is toxic and must be properly processed before it is taken; Quan Xie is mildly toxic, and Wu Gong, often added, is toxic too: keep doses low
caution Because of its toxic herbs, use only in short courses under a practitioner, not long term or in high doses
caution A new facial droop can come from stroke or other serious causes and needs prompt medical assessment before any herbal treatment
pregnancy Contraindicated in pregnancy

Preparation

Equal parts of the three herbs ground to a fine powder and taken with warm wine, or warm water; may also be made as a decoction

Names

Pinyin	qian zheng san
English Name	Lead to Symmetry Powder

Classification

Category: Release Wind from Skin and Channels