Inheriting the legacy of Qi Huang, a public account with substance and warmth.
Ai Yu Xiang Tang
(1) Wind manifests as skin rashes and itching in the muscles. Wind rashes cause itching between the skin and flesh, treated with Si Wu Xiao Feng San (Four Substance Wind Dispelling Powder) – Sheng Di (Rehmannia), Dang Gui (Angelica), Chi Shao (Red Peony), Chuan Xiong (Ligusticum), Jing Jie (Schizonepeta), Fang Feng (Saposhnikovia), Bai Xian Pi (Dictamnus), Chan Yi (Cicada Slough), Bo He (Mint), Du Huo (Angelica Pubescens), Chai Hu (Bupleurum), Hong Zao (Red Dates), removing Du Huo and adding Mulberry Leaves. Avoid using cold, cool, pungent, or hot herbs.
When wind affects the tendons, it causes spasms (wind excess leads to movement, wind in the tendons leads to convulsions, which is its pathology). There are distinctions between wind-cold and wind-heat; wind-cold leads to spasms with rigidity as the main symptom, while wind-heat leads to spasms as the main symptom. Both can be treated with Tian Ma Gou Teng Yin (Gastrodia and Uncaria Decoction) – Tian Ma (Gastrodia), Gou Teng (Uncaria), Zhi Zi (Gardenia), Huang Qin (Scutellaria), Shi Jue Ming (Haliotis), Du Zhong (Eucommia), Niuxi (Achyranthes), Mulberry Branch, Xia Ku Cao (Prunella), Ye Jiao Teng (Polygonum), Fu Shen (Poria), removing Zhi Zi, Huang Qin, Niuxi and adding Gui Zhi (Cinnamon Twig) and Qiang Huo (Notopterygium). For wind-heat, remove Du Zhong, Niuxi and add Ling Yang Jiao (Antelope Horn) and Mulberry Branch.When wind affects the bones, it causes creaking sounds; wind in the joints can make them creak during movement. Medical texts mention that Bai Fu Zi (Typhonium) can be therapeutic, but this requires exploration as there is no experience here.(2) Cold in the skin causes shivering. Shivering, cold sensations, and chills often occur together. For mild cases, use Su Ye (Perilla) and Fang Feng (Saposhnikovia); for severe cases, use Ma Huang (Ephedra) and Qiang Huo (Notopterygium), which have a significant effect. If not resolved, consider other treatments.Cold in the muscles causes stiffness. When cold is in the muscles, local muscle stiffness occurs, commonly treated with Ma Huang (Ephedra), Fu Zi (Aconite), and Xi Xin (Asarum) to expel cold evil and warm the Qi and blood. If it persists, use Da Huo Luo Dan (Great Activating Decoction). However, if local numbness is due to stubborn phlegm or stagnant blood, differentiation is necessary.Cold in the tendons causes soreness. Soreness in the muscles can be treated with Gui Zhi (Cinnamon Twig), Qiang Huo (Notopterygium), Fang Feng (Saposhnikovia), Qin Jiao (Gentiana), Bai Zhi (Angelica Dahurica), and Luo Shi Teng (Clematis) which are generally effective, and can be combined with massage therapy for better results.Cold in the bones causes pain. Pain due to cold evil is often treated with Xiao Huo Luo Wan (Minor Activating Pill) to relieve pain and dispel cold, which is very effective. Later, use Shi Guo Gong Jiu (Historical State Public Wine) as a follow-up treatment if ineffective.(3) Heat in the skin causes burning without sweating. Use Ji Su San (Chicken Su Powder) with Qing Hao (Artemisia Annua), Xiang Ru (Elsholtzia), Lian Qiao (Forsythia), Zhu Ye (Bamboo Leaf), and He Ye (Lotus Leaf).Heat in the muscles causes restlessness with sweating. Use Bai Hu Tang (White Tiger Decoction) with Bei Sha Shen (North American Ginseng), Lu Gen (Reed Root), Xigua Juice (Watermelon Juice), and Green Bean Shells.Heat in the tendons causes weakness. Heat must be accompanied by dampness; this condition is a gradual weakness. Use Wu Shi Qing Luo Yin (Wu Shi’s Clear Meridian Decoction) – Jin Yin Hua (Honeysuckle), Bian Dou Hua (Lima Bean Flower), Si Gua Luo (Luffa), Zhu Ye (Bamboo Leaf), He Ye (Lotus Leaf), Xigua Cui Yi (Watermelon Peel) with Gou Teng (Uncaria) and Mulberry Branch.Heat in the bones causes weakness. This condition progresses from mild to severe, with two steps: first use Cang Zhu Bai Hu (Atractylodes White Tiger) with Huang Bai (Phellodendron), then use Hu Qian Wan (Tiger’s Hidden Pill) as a decoction, adding Chen Pi (Aged Tangerine Peel) for dispersing.(4) Dampness in the skin causes yellowing. For Yang jaundice, use Yin Chen Hao Tang (Artemisia Yin Chen Decoction); for Yin jaundice, use Yin Chen Shu Fu Tang (Artemisia Yin Chen and Atractylodes Decoction) or Yin Chen Wu Ling San (Artemisia Yin Chen and Five Ingredients Powder). Clinical experience shows that for jaundice to recede, use Gui Shao Liu Jun Zi Tang (Return to Six Gentlemen Decoction) or Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) for regulation.Dampness in the muscles causes swelling. For upper body swelling, induce sweating to expel dampness, primarily using Ma Huang Lian Qiao Chi Xiao Dou Tang (Ephedra, Forsythia, and Red Bean Decoction); for lower body swelling, promote urination to expel dampness, primarily using Wei Ling Tang (Stomach and Poria Decoction).Dampness in the tendons causes weakness. Damp weakness differs from heat weakness in etiology and treatment; this condition belongs to damp stagnation in the meridians, commonly treated with Du Huo Ji Sheng Tang (Angelica Pubescens and Cistanche Decoction) – Du Huo (Angelica Pubescens), Sang Ji Sheng (Mulberry Mistletoe), Fang Feng (Saposhnikovia), Qin Jiao (Gentiana), Xi Xin (Asarum), Chuan Xiong (Ligusticum), Gan Cao (Licorice), Rou Gui (Cinnamon), Dang Gui (Angelica), Shu Di (Rehmannia), Bai Shao (White Peony), Fu Ling (Poria), Du Zhong (Eucommia), Niuxi (Achyranthes), Dang Shen (Codonopsis), removing Rou Gui and Shu Di, and appropriately adding Er Miao Wan (Two Marvels Pill).Dampness in the bones causes heaviness. This is primarily characterized by sluggish movement, not being light and agile, a feature of internal dampness. Generally, use Ping Wei San (Calm the Stomach Powder) and Shu Fu Tang (Atractylodes and Attach Decoction); for those who do not recover over time, add Chuan Xu Duan (Chuan Xuduan), Gou Ji (Cibotium), and Xi Xian Cao (Siegesbeckia).(5) Dryness in the skin causes dryness, and in the muscles causes emaciation. Autumn dryness generally injures lung fluids, then stomach fluids, and finally affects liver blood and kidney yin. When lung fluids are injured, the skin becomes dry; when stomach fluids are depleted, the muscles become emaciated like dry wood. The former is treated with Sheng Xue Run Fu Yin (Blood Generating and Skin Moistening Decoction) – Sheng Shu Di (Raw Rehmannia), Tian Dong (Asparagus), Dang Gui (Angelica), Huang Qi (Astragalus), Tao Ren (Peach Kernel), Hong Hua (Safflower), Huang Qin (Scutellaria), Gua Lou (Trichosanthes), and Wu Wei Zi (Schisandra) removing Huang Qin and Wu Wei Zi, adding Bai Zi Ren (Biota Seed) and Ma Zi Ren (Hemp Seed); the latter, in addition to the above herbs, drink a cup of milk with a tablespoon of honey every morning.Dryness in the tendons causes rigidity. Dampness is soft and flexible, while dryness is rigid and constricted, leading to prolonged illness. Treat with Zi Zao Yang Rong Tang (Nourishing and Moistening Decoction) – Sheng Shu Di (Raw Rehmannia), Dang Gui (Angelica), Bai Shao (White Peony), Huang Qin (Scutellaria), Gan Cao (Licorice), Qin Jiao (Gentiana) adding Sang Zhi (Mulberry Branch) and Gua Lou Gen (Trichosanthes Root), to clear and moisten, softening rigidity, which is quite effective. If it develops into tendon spasms, use Ejiao Ji Zi Huang Tang (Donkey-hide Gel and Egg Yolk Decoction) as the main treatment, adding Gou Qi Zi (Goji Berries), Rou Cong Rong (Cistanche), Shu Di (Rehmannia), and Lu Jiao Jiao (Deer Antler Glue).Dryness in the bones causes pain. Pain and soreness should be treated by nourishing blood and benefiting essence. For nourishing blood, use Sheng Di (Raw Rehmannia), Dang Gui (Angelica), Shao Yao (Peony), and Ji Xue Teng (Spatholobus); for benefiting essence, use Shu Di (Rehmannia), Gou Qi Zi (Goji Berries), Gui Ban (Tortoise Shell), Yu Piao (Fish Bladder), and Pig and Sheep Bone Marrow.(6) Fire in the skin causes burning. Burning, dryness, and a feeling of scorched hair should be treated with Qing Xin Tang (Clear Heart Decoction) – Lian Qiao (Forsythia), Zhi Zi (Gardenia), Sheng Gan Cao (Raw Licorice), Bo He (Mint), Huang Qin (Scutellaria), Huang Lian (Coptis), Zhu Ye (Bamboo Leaf), Da Huang (Rhubarb), and Mang Xiao (Mirabilite), removing Mang Xiao and Da Huang and adding Sheng Di (Raw Rehmannia) and Shi Gao (Gypsum).Fire in the muscles causes pain. This pain should be observed from both local and systemic tendon areas. If local pain is considered heat bi, treat with Sheng Di (Raw Rehmannia), Shi Gao (Gypsum), Zhi Mu (Anemarrhena), Huang Qin (Scutellaria), Chi Shao (Red Peony), Hu Zhang Gen (Reynoutria), Xihe Liu (Salix), and Da Qing Ye (Isatis). Fire in the tendons causes pain. Pain, soreness, should be treated with heat bi methods, preventing the condition from transitioning from excess to deficiency over time, using Qing Yang Tong Luo (Clear Yang and Open Meridians) – Sheng Di (Raw Rehmannia), Bai Shao (White Peony), Yu Zhu (Polygonatum), Tian Dong (Asparagus), Mai Dong (Ophiopogon), Sang Ji Sheng (Mulberry Mistletoe), Shen Jin Cao (Stretch Muscle Grass), Gou Teng (Uncaria), and Zhu Li (Bamboo Juice).Fire in the bones causes steaming. Fire in the bones often belongs to deficiency fire or hidden heat, with heat emerging from within, termed steaming, which is a critical symptom. Treat with Wu Zheng Wan (Five Steaming Pill) – Qing Hao (Artemisia Annua), Di Gu Pi (Lycium), Sheng Di (Raw Rehmannia), Dang Gui (Angelica), Shi Gao (Gypsum), Hu Lian (Coptis), Bie Jia (Soft Shelled Turtle) or Da Bu Yin Wan (Great Tonifying Yin Pill) – Zhi Mu (Anemarrhena), Huang Bai (Phellodendron), Shu Di (Rehmannia), Gui Ban (Tortoise Shell), and Pig and Sheep Bone Marrow as a decoction. This condition has already transitioned from the six excesses to internal injury, so medication should be gradually effective.This is for clinical reference only; non-professional doctors should not attempt acupuncture or medication.
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Ai Yu Xiang Tang
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