san bi tang

Name: san bi tang
Creator: Bencao Index

Three Painful Obstruction Decoction

About san bi tang

San Bi Tang, Three Painful Obstruction Decoction, is Xu Duan, Du Zhong, Fang Feng, Rou Gui, Xi Xin, Ren Shen, Fu Ling, Dang Gui, Bai Shao, Huang Qi, wine-fried Niu Xi, Zhi Gan Cao, Qin Jiao, Sheng Di Huang, Chuan Xiong and Du Huo.

Ingredients

Herb	Amount
xu duan	1.5 g
du zhong	1.5 g
fang feng	1.5 g
rou gui	1.5 g
xi xin	1.5 g
ren shen	1.5 g
fu ling	1.5 g
dang gui	1.5 g
bai shao	1.5 g
huang qi	1.5 g
jiu chao niu xi	1.5 g
zhi gan cao	1.5 g
qin jiao	0.9 g
sheng di huang	0.9 g
chuan xiong	0.9 g
du huo	0.9 g

Actions and indications

Tonifies the Liver and Kidneys

Deficient Liver and Kidneys with deficient Qi and Blood
Soft, weak sinews and bones
Tongue pale with a whitish coat; pulse thin, weak and slow

Augments Qi and nourishes the Blood

Shaking hands and feet

Dispels Wind, Cold and Dampness

Wind-Cold-Damp Bi on a background of Qi and Blood deficiency
Pain and numbness of the muscles and joints, worse in cold, damp weather
Joint pain with reduced range of movement

Modern uses

Arthritis
Arthralgia
Rheumatism
Fibromyalgia
General aches and pains of muscles and bones
Numbness
Paresthesia
Stroke

Symptoms

Body aches
Joint pain
Limited range of motion
Numbness
Pain
Tremor
Weakness

Modifications

Bi with Wind stronger: + qiang huo, + gui zhi
Bi with Cold stronger: + ma huang, + zhi fu zi
Bi with Damp stronger: + cang zhu, + yin chen hao
Fibromyalgia from stagnant Damp blocking the channels (combined with Wei Ling Tang and Bu Yang Huan Wu Tang)
Fibromyalgia from stagnant Phlegm blocking the channels (combined with Fu Zi Li Zhong Tang, Yan Nian Ban Xia Tang, modified Ge Gen Tang or Shen Ling Bai Zhu San)
Frozen shoulder (periarthritis of the shoulder): + huang qi, + qiang huo, + jiang huang, − sheng di huang, − du huo
Further option listed by the source (combined with Shi Pi Yin and modified Ge Gen Tang)

Names

Pinyin	san bi tang
English Name	Three Painful Obstruction Decoction