Fu Zi Tang附子汤
Prepared Aconite Decoction
Ingredients5 herbs
Indications
Shao Yin yang deficiency with cold-damp attacking the interior: with yang failing, cold-damp lodges in the channels, sinews and bones, so the pain is deep and the whole body is cold.
Clinical Manifestations
- Generalized body and joint pain with cold limbs
- A cold feeling in the back that blankets do not relieve
- Chronic joint pain worse in cold weather
- Yang deficiency with aching bones and lassitude
- Cold-damp painful obstruction in a depleted patient
Health Categories
Modern Applications
Common adjustments
- Joint pain is severe — add Qiang Huo 羌活 and Du Huo 独活
- Marked qi and blood deficiency — add Huang Qi 黄芪 and Dang Gui 当归
- Water retention with swelling — add Sheng Jiang 生姜 — moving back toward Zhen Wu Tang
- Cold pain in the lower back and knees — add Du Zhong 杜仲 and Rou Gui 肉桂
Contraindications
Strictly for cold from yang deficiency. It is wrong wherever there are heat signs — thirst, a bitter dry mouth, a red tongue, a rapid pulse — and the classic itself uses "the mouth is bland" as the deciding sign. Aconite safety: Fu Zi is toxic if raw, underprocessed or underdecocted; it must be properly prepared, decocted first for 30–60 minutes, and prescribed and sourced by a qualified practitioner. Numbness of the mouth or tongue, palpitations or an irregular heartbeat after taking it means stop immediately and seek emergency care.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Contraindicated in pregnancy — Fu Zi is a processed toxic herb and is avoided in pregnancy.
Related Formulas
References
Source Shang Han Lun 《伤寒论》 · Eastern Han
「少阴病,身体痛,手足寒,骨节痛,脉沉者,附子汤主之。」
- Classical source (public domain), cited in the source-quote section.
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
3. 《方剂学》(全国中医药行业高等教育规划教材)— 附方 note and pattern analysis cross-checked.
Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.
