Juan Bi Tang蠲痹汤
Remove Painful Obstruction Decoction
Ingredients7 herbs
Indications
Wind-cold-damp painful obstruction blocking the channels: the three pathogens together lodge in the channels of the limbs, and the blood no longer nourishes them, so pain and numbness appear together.
Clinical Manifestations
- Shoulder and arm pain with difficulty raising the arm
- Numbness of the hands and arms
- Chronic joint pain worse in cold damp weather
- Wandering aches of the limbs
- Stiffness of the shoulders after long exposure to cold
Health Categories
Modern Applications
Common adjustments
- Cold predominates with severe fixed pain — add Zhi Chuan Wu 制川乌 under close supervision, decocted first
- Damp predominates with swelling and heaviness — add Yi Yi Ren 薏苡仁 and Cang Zhu 苍术
- Wind predominates with roaming pain — add Fang Feng 防风 and Wei Ling Xian 威灵仙
- Long illness with blood deficiency and numbness — add Ji Xue Teng 鸡血藤 and Bai Shao 白芍
- Heat signs have appeared — remove Gui Xin and add Ren Dong Teng 忍冬藤
Contraindications
Not for damp-heat painful obstruction with hot, red, swollen joints — the warming herbs will aggravate it. It contains Ru Xiang, which moves blood and can irritate the stomach; take it after food. Shoulder or arm pain with progressive weakness, wasting or loss of sensation needs medical investigation rather than herbs alone.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Contraindicated in pregnancy — it contains Ru Xiang and Chuan Xiong, both strongly blood-moving, together with warming Gui Xin.
Related Formulas
References
Source 《杨氏家藏方》 · Qing
- Classical source of record (public domain).
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.