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Jiu Wei Qiang Huo Tang (Nine-Herb Decoction with Notopterygium)

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Acuworld

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2020-07-15 09:05:42

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<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 18pt; FONT-FAMILY: Monotype Corsiva">Jiu Wei Qiang Huo Tang</span></div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 18pt; FONT-FAMILY: Monotype Corsiva"></span> </div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 12pt; FONT-FAMILY: Verdana">(Nine-Herb Decoction with Notopterygium)</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Source:</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Hard-won Knowlege (Ci Shi Nan Zhi)</span></div><div align="center"><table style="width: 1094.67px; background-color: rgb(183, 231, 104); text-align: start;"><tbody><tr><td><blockquote dir="ltr"><div><span style="font-size: 10pt; font-family: Verdana;">Radix et Rhizoma Notopterygii (Qiang Huo)</span></div><div><span style="font-size: 10pt; font-family: Verdana;">Radix Ledebouriellae Divaricatae (Fang Feng)</span></div><div><span style="font-size: 10pt; font-family: Verdana;">Rhizoma Atractylodis (Cang Zhu)</span></div><div><span style="font-size: 10pt; font-family: Verdana;">Herba cum Radice Asari (Xi Xin)</span></div><div><span style="font-size: 10pt; font-family: Verdana;">Radix Ligustici Chuanxiong (Chuan Xiong)</span></div><div><span style="font-size: 10pt; font-family: Verdana;">Radix Angelicae Dahuricae (Bai Zhi)</span></div><div><span style="font-size: 10pt; font-family: Verdana;">Radix Scutellariae (Huang Qin)</span></div><div><span style="font-size: 10pt; font-family: Verdana;">Radix Rehmanniae Glutinosae (Sheng Di Huang)</span></div><div><span style="font-size: 10pt; font-family: Verdana;">Radix Glycyrrhizae Uralensis (Gan Cao)</span></div></blockquote></td><td><div><span style="font-size: 10pt; font-family: Verdana;">4.5g</span></div><div><span style="font-size: 10pt; font-family: Verdana;">4.5g</span></div><div><span style="font-size: 10pt; font-family: Verdana;">4.5g</span></div><div><span style="font-size: 10pt; font-family: Verdana;">1.5g</span></div><div><span style="font-size: 10pt; font-family: Verdana;">3g</span></div><div><span style="font-size: 10pt; font-family: Verdana;">3g</span></div><div><span style="font-size: 10pt; font-family: Verdana;">3g</span></div><div><span style="font-size: 10pt; font-family: Verdana;">3g</span></div><div><span style="font-size: 10pt; font-family: Verdana;">3g</span></div></td></tr></tbody></table></div>
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<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Preparation:</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Decoction. The source text advises to coarsely grind the herbs.</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Actions:</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Releases exterior dampness</span></div>
<div align="center"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">clears interior heat</span></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div></td></tr></tbody></table>
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<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #0000cd; FONT-FAMILY: Verdana">INDICATIONS:</span></div>
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<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Fever and chills (chills predominant) without sweating, headache, stiff neck, generalized aches and pain, slight thirst, a bitter taste in the mouth, a white tongue coaitng, and a floating pulse</span></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">This is externally-contracted wind-cold-dampness with concurrent internal accumulation of heat characterized by fever and chills (chills predominant) without sweating, headache, and a stiff neck. The predominance of chills and the generalized aches and pain are the primary indicators of externally-contracted dampness. Heat accumulating internally produces slight thirst and a bitter taste in the mouth. The white tongue coating and floating pulse indicate that the pathogenic influences are still in the exterior.</span></div>
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<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">ANALYSIS OF FORMULA:</span></div>
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<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">< Chief Herb></span></div>
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<li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">aromatic Radix et Rhizoma Notopterygii (Qiang Huo): </span>principal substance for dispersing exterior wind-cold-dampness</span></div></li></ul>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">< Deputy Herbs></span></div>
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<li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Radix Ledebouriellae Divaricatae (Fang Feng), Rhizoma Atractylodis (Cang Zhu): </span>assist the chief herb in releasing the exterior and eliminating dampness</span></div>
</li><li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Herba cum Radice Asari (Xi Xin), Radix Ligustici Chuanxiong (Chuan Xiong), Radix Angelicae Dahuricae (Bai Zhi): </span>assist the chief herb in releasing the exterior and treating the head and body aches.</span></div></li></ul>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">< Assistant Herbs></span></div>
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<li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Radix Scutellariae (Huang Qin), Radix Rehmanniae Glutinosae (Sheng Di Huang): </span>Clear qi and blood-level interior heat respectively, treat the thirst and bitter taste in the mouth, and also prevent the dry nature of the other herbs from injuring the fluids</span></div></li></ul>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">< Envoy Herb></span></div>
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<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Radix Glycyrrhizae Uralensis (Gan Cao): </span>harmonizes the middle burner and the actions of the other herbs</span></div></li></ul>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">COMMENTARY:</span></div>
<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana"> </span></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">Although this formula was devised by Zhang Yuan-Su during the Song dynasty, it was not recorded until the Yuan dynasty. It was originally prescribed for any greater yang-stage disorder (Exterior cold) with or without weating, which eliminated the need to choose between Ephedra Decoction (Ma Huang Tang) and Cinnamon Twig Decoction (Gui Zhi Tang). Today it is primarily used for exterior damp-cold with heat in the interior characterized by the indications above. It may also be used for toothache with exterior symptoms.</span></div>
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<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">BIOMEDICALLY-DEFINED DISORDERS:</span></div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"></span> </div>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana">upper respiratory tract infection, influenza, sinusitis, acute lower back sprain, and rheumatic fever</span></div>
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<div align="center"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Verdana">MODIFICATIONS:</span></div>
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<li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Upper back and shoulder pain: </span>(+) Radix Gentianae Qinjiao (Qin Jiao)</span></div>
</li><li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">No thirst or bitter taste in the mouth: </span>(-) Radix Scutellariae (Huang Qin), Radix Rehmanniae Glutinosae (Sheng Di Huang)</span></div>
</li><li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Pronounced thirst and irritability:</span> (+) Gypsum (Shi Gao), Radix Anemarrhenae Asphodeloidis (Zhi Mu)</span></div>
</li><li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Dry or sore throat: </span>(+) Radix Platycodi Grandiflori (Jie Geng), Fructus Arctii Lappae (Niu Bang Zi), and Herba Menthae Haplocalycis (Bo He)</span></div>
</li><li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Epigastric discomfort and distention with a greasy tongue coating:</span> (-) Radix Rehmanniae Glutinosae (Sheng Di Huang) (+) Herba Agastaches seu Pogostemi (Huo Xiang) and Rhizoma Pinelliae Ternatae (Ban Xia)</span></div>
</li><li>
<div><span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"><span style="FONT-WEIGHT: bold">Coughing up of thick sputum:</span> (+) Semen Pruni Armeniacae (Xing Ren), Radix Peucedani (Qian Hu)</span></div></li></ul>
<p><span style="FONT-SIZE: 10pt"></span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Verdana"> 
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Reference: Formulas & Strategies, Dan Bensky and Randall Barolet, Eastland Press, 1990. p. 40<p></p>