Zheng’s New Trauma Medicine Formulations
Due to the limitations of the times, Zheng’s trauma medicine formulations mainly remain in traditional forms such as ointments, pills, powders, and granules. With the continuous development of pharmaceutical technology and the ongoing efforts of Zheng’s trauma medicine inheritors, they have enriched the varieties of Zheng’s trauma medicines under the guidance of Zheng’s trauma theory, developing a batch of new medicinal formulations. At the same time, they have technically improved traditional formulations used clinically, ensuring clinical efficacy while developing modern formulations that are more effective, convenient to use, less toxic, and easy to carry, which have been registered and approved by the Food and Drug Administration. The following are these new formulations explained by dosage form.
(1) Pills
1. Qufeng Huoluowan (Wind-Dispelling and Meridian-Activating Pills)
Composition:Qin Jiao (Gentiana macrophylla), Chuan Xiong (Ligusticum chuanxiong), Qian Nian Jian (Hedyotis diffusa), Xu Duan (Dipsacus asperoides), Tian Ma (Gastrodia elata), Du Zhong (Eucommia ulmoides, processed), Ze Xie (Alisma orientale), Sang Ji Sheng (Taxillus chinensis), Song Jie (Pinus massoniana), Dang Gui (Angelica sinensis), Fang Feng (Saposhnikovia divaricata), He Shou Wu (Polygonum multiflorum, processed), Du Huo (Angelica pubescens), Chuan Niu Xi (Cyathula officinalis), Shi Hu (Dendrobium), Mu Li (Oyster shell, calcined), Jin Yin Hua (Lonicera japonica), Hou Po (Magnolia officinalis), Gou Ji (Cibotium barometz, processed), Gui Zhi (Cinnamon twig), Gan Cao (Licorice), with honey as an excipient.
Indications:Dispels wind-dampness, unblocks meridians, invigorates blood, and alleviates pain.
Used for numbness, stiffness, and difficulty in flexing and extending joints after trauma, as well as local swelling and pain, and rheumatic pain.
Dosage:Oral administration. 3g per dose, 3 times a day, taken with warm water or wine.
Contraindications:Not suitable for pregnant women or those during menstruation.
2. Niu Qi Di Huang Wan (Cowherb and Rehmannia Pills)
Composition:Shu Di Huang (Rehmannia glutinosa), Yan Hu Suo (Corydalis yanhusuo, vinegar processed), Mu Dan Pi (Paeonia suffruticosa), Shan Zhu Yu (Cornus officinalis), Shan Yao (Dioscorea opposita), Gou Qi Zi (Lycium barbarum), Niu Xi (Achyranthes bidentata), Ze Xie (Alisma orientale), Fu Ling (Poria cocos), with honey as an excipient.
Indications:Nourishes yin, tonifies the kidneys, reduces empty fire, and strengthens tendons and bones. Used for kidney yin deficiency, dizziness, tinnitus, soreness and weakness of the lower back and knees, tidal fever, night sweats, and seminal emission.
Dosage:Oral administration. 6g per dose, 2-3 times a day.
3. Zhuang Gu Yao Tong Wan (Bone Strengthening and Back Pain Pills)
Composition:Nu Zhen Zi (Ligustrum lucidum), Wu Wei Zi (Schisandra chinensis), Shu Di Huang (Rehmannia glutinosa), Huang Jing (Polygonatum sibiricum, processed), Gou Ji (Cibotium barometz), Xu Duan (Dipsacus asperoides), Zhi He Shou Wu (Polygonum multiflorum, processed), Hai Tong Pi (Erythrina variegata), Bai Zhu (Atractylodes macrocephala), Niu Xi (Achyranthes bidentata), Fu Ling (Poria cocos), Shan Yao (Dioscorea opposita), Yan Hu Suo (Corydalis yanhusuo, vinegar processed), with honey as an excipient.
Indications: Tonifies the kidneys, benefits essence, strengthens bones, and supports the lower back. Used for lower back and knee pain due to kidney deficiency and essence depletion, often accompanied by dizziness, palpitations, impotence, and nocturnal emissions.
Dosage:Oral administration. 1 bag per dose, 3 times a day; or as directed by a physician.
Precautions:Use with caution in pregnant women, during menstruation, and in patients with rheumatism or gastric ulcers.
4. Xiao Zeng Qiang Gu Wan (Bone Strengthening and Swelling-Reducing Pills)
Composition:Shu Di Huang (Rehmannia glutinosa), Lu Xian Cao (Euphorbia humifusa), Rou Cong Rong (Cistanches salsa), Gu Sui Bu (Drynaria fortunei), Ji Xue Teng (Spatholobus suberectus), Gou Ji (Cibotium barometz), Du Huo (Angelica pubescens), Hai Tong Pi (Erythrina variegata), Shan Zha (Crataegus pinnatifida, charred), Jian Qu (Fermented wheat), Mai Ya (Hordeum vulgare, charred), with honey as an excipient.
Indications:Tonifies the liver and kidneys, dispels wind-dampness. Used for senile degenerative bone hyperplasia, belonging to the syndrome of liver and kidney deficiency.
Dosage:Oral administration. 1 pill per dose, 2-3 times a day.
Precautions:Contraindicated in those with external symptoms of chest and abdominal fullness and pain; use with caution in diabetic patients.
(2) Tablets
Xuan Hu Shang Tong Pian (Xuan Hu Pain Relief Tablets)
Composition:Yan Hu Suo (Corydalis yanhusuo, vinegar processed), Chi Shao (Paeonia lactiflora), Dang Gui (Angelica sinensis), Bai Zhi (Angelica dahurica), with excipients including starch, dextrin, aluminum hydroxide, magnesium stearate.
Indications:Invigorates blood, dispels stasis, and alleviates pain. Used for trauma and pain due to blood stasis.
Dosage:Oral administration. 3-5 tablets per dose, 2-3 times a day.
Precautions:Use with caution in pregnant women and during menstruation.
2. Zhi Xiang Pian (Three-Seven Powder Tablets)
Composition:Xiang Fu (Cyperus rotundus, processed), San Qi (Panax notoginseng), Dang Gui (Angelica sinensis), Gan Cao (Licorice), with excipients including magnesium stearate, aluminum hydroxide, starch, dextrin.
Indications:Invigorates blood and unblocks meridians, regulates qi, and alleviates pain. Used for pain caused by muscle and ligament injuries, especially intercostal and lumbar muscle injuries.
Dosage:Oral administration. 4-5 tablets per dose, 2-3 times a day.
Precautions:Use with caution in pregnant women and during menstruation.
3. Chuang Shang Xiao Zhong Pian (Trauma Swelling-Reducing Tablets)
Composition:San Qi (Panax notoginseng), Zhu Jie Shen (Ziziphus jujuba), with excipients including magnesium stearate, aluminum hydroxide.
Indications:Dispels stasis, stops bleeding, reduces swelling, and alleviates pain. Used for bleeding and swelling pain due to trauma.
Dosage:Oral administration. 2-3 tablets per dose, 2-3 times a day.
Precautions:Use with caution in pregnant women and during menstruation.
4. Xiao Zeng Qiang Gu Pian (Bone Strengthening and Swelling-Reducing Tablets)
Composition:Shu Di Huang (Rehmannia glutinosa), Lu Xian Cao (Euphorbia humifusa), Rou Cong Rong (Cistanches salsa), Ji Xue Teng (Spatholobus suberectus), Gu Sui Bu (Drynaria fortunei), Gou Ji (Cibotium barometz, stir-fried), Du Huo (Angelica pubescens), Hai Tong Pi (Erythrina variegata), Shan Zha (Crataegus pinnatifida, charred), Jian Qu (Fermented wheat), Mai Ya (Hordeum vulgare, charred), with excipients including starch, dextrin.
Indications:Tonifies the liver and kidneys, dispels wind-dampness. Used for senile degenerative bone hyperplasia, belonging to the syndrome of liver and kidney deficiency.
Dosage:Oral administration. 4 tablets per dose, 2-3 times a day. Contraindicated in those with external symptoms of chest and abdominal fullness.
5. Qiang Jin Pian (Strong Muscle Tablets)
Composition:Xiang Fu (Cyperus rotundus, processed), Dang Gui (Angelica sinensis), Tu Bie Chong (Eupolyphaga sinensis), Yuan Zhi (Polygala tenuifolia), Xu Duan (Dipsacus asperoides), Gan Cao (Licorice), Mo Yao (Commiphora molmol, processed), Niu Xi (Achyranthes bidentata), Ru Xiang (Boswellia carterii, processed), with excipients including magnesium stearate.
Indications:Regulates qi, invigorates blood, strengthens muscles and tendons, unblocks meridians, and alleviates pain. Used for chronic pain and limited joint movement due to old ligament and muscle injuries.
Dosage:Oral administration. 3-5 tablets per dose, 2-3 times a day, taken with warm water.
Precautions:Use with caution in pregnant women and patients with chronic gastrointestinal diseases.
(3) Liquid Formulations
1. Qi Wei San Qi Kou Fu Ye (Seven Flavor San Qi Oral Liquid)
Composition:San Qi (Panax notoginseng), Chi Shao (Paeonia lactiflora), Xiang Fu (Cyperus rotundus, processed), Chuan Xiong (Ligusticum chuanxiong), Hong Hua (Carthamus tinctorius), Yan Hu Suo (Corydalis yanhusuo, vinegar processed), Gan Cao (Licorice), with excipients including sucrose, sodium citrate.
Indications:Regulates qi, invigorates blood, transforms stasis, and alleviates pain. Used for early-stage soft tissue injuries with blood stasis and qi stagnation, swelling, and pain.
Dosage:Oral administration. 10mL per dose, 3 times a day, shaken before use; for children, reduce to half.
Contraindications:Not suitable for pregnant women. Use with caution during menstruation and in diabetic patients.
2. Yi Er Li Kou Fu Ye (Yi Er Li Oral Liquid)
Composition:Huang Qi (Astragalus membranaceus), Ren Shen (Panax ginseng), San Qi (Panax notoginseng), Dang Gui (Angelica sinensis), Dan Shen (Salvia miltiorrhiza), Yin Yang Huo (Epimedium), Hong Mao Wu Jia Pi (Acanthopanax senticosus), Fo Shou (Citrus medica), Gou Qi Zi (Lycium barbarum), Gan Cao (Licorice), with excipients including stevia, sodium benzoate.
Indications:Tonifies qi and blood, unblocks blood vessels, benefits liver and kidneys, strengthens muscles and bones. Used for weakness and fatigue of muscles and bones after trauma, difficulty in joint flexion and extension, delayed fracture healing, or accompanied by fatigue.
Dosage:Oral administration. 10mL per dose, 3 times a day, shaken before use; or as directed by a physician.
Contraindications:Do not use with Wu Ling Zhi (Flying Squirrel Feces).
3. Leng Xi Kou Fu Ye (Cold Knee Oral Liquid)
Composition:Bai Zhu (Atractylodes macrocephala), Ba Ji Tian (Morinda officinalis, processed), Fu Ling (Poria cocos), Fang Feng (Saposhnikovia divaricata), Xiang Fu (Cyperus rotundus, processed), Niu Xi (Achyranthes bidentata), Shi Hu (Dendrobium), Fen Bi Xie (Rhizoma Dioscoreae), with excipients including sodium benzoate.
Indications:Dispels wind-dampness, strengthens muscles and bones. Used for rheumatic joint pain, osteoarthritis, and sciatica.
Dosage:Oral administration. 10mL per dose, 3 times a day.
(4) Capsules
1. Kang Gu Zhi Song Jiao Nang (Anti-Osteoporosis Capsules)
Composition:Gui Ban (Testudo graeca, vinegar processed), Huang Bai (Phellodendron amurense, processed), Zhi Mu (Anemarrhena asphodeloides, processed), Shu Di Huang (Rehmannia glutinosa), Suo Yang (Cynomorium songaricum), Chen Pi (Citrus reticulata), Dang Gui (Angelica sinensis), Yin Yang Huo (Epimedium), Niu Xi (Achyranthes bidentata), Bai Shao (Paeonia lactiflora), with excipients including starch.
Indications:Nourishes yin, subdues yang, tonifies kidneys, and strengthens bones. Used for weakness of muscles and bones due to kidney yin deficiency, osteoporosis, and chronic lower back and knee pain with limited mobility.
Dosage:Oral administration. 4-5 capsules per dose, 2-3 times a day, taken with warm water.
Precautions:Use with caution in pregnant women.
2. Bu Qi Yi Shen Jiao Nang (Qi and Kidney Tonifying Capsules)
Composition:Shu Di Huang (Rehmannia glutinosa), Yin Yang Huo (Epimedium), Huang Bai (Phellodendron amurense, processed), Gui Jia (Testudo graeca), Mai Dong (Ophiopogon japonicus), Niu Xi (Achyranthes bidentata), Du Zhong (Eucommia ulmoides, salt processed), Sha Ren (Amomum villosum), Fu Ling (Poria cocos), Ren Shen (Panax ginseng), Mu Li (Oyster shell, calcined), Wu Wei Zi (Schisandra chinensis), with excipients including calcium carbonate.
Indications:Tonifies qi and blood, strengthens heart and kidneys, strengthens muscles and bones. Used for weakness of muscles and bones, poor appetite, and nocturnal emissions due to qi and blood deficiency.
Dosage:Oral administration. 4-5 capsules per dose, 2-3 times a day, taken with warm water.
3. Ling Yu Jiao Nang (Antelope Horn Capsules)
Composition:Ling Yang Jiao (Antelope horn), Tian Ma (Gastrodia elata), Dan Nan Xing (Arisaema cumingii), Bai Fu Zi (Typhonium giganteum, processed), Bai Zhi (Angelica dahurica), Fa Ban Xia (Pinellia ternata), Fang Feng (Saposhnikovia divaricata), Qiang Huo (Notopterygium incisum).
Indications:Dispels wind, relieves spasms, and alleviates pain. Used for headaches, dizziness, and hemiplegia after cranial trauma; mild to moderate muscle tears and abrasions.
Dosage:Oral administration. 4 capsules per dose, 2-3 times a day.
4. Shu Gui Jiao Nang (Atractylodes and Cinnamon Capsules)
Composition:Bai Zhu (Atractylodes macrocephala), Rou Gui (Cinnamon), Bai Zhi (Angelica dahurica), Gan Cao (Licorice), Dang Gui (Angelica sinensis), Bai Shao (Paeonia lactiflora), Chuan Xiong (Ligusticum chuanxiong), with excipients including starch.
Indications:Invigorates blood, reduces swelling, dispels cold, dispels dampness, unblocks meridians, and alleviates pain. Used for muscle injuries, lumbar muscle injuries, and cold-damp pain.
Dosage:Oral administration. 4-5 capsules per dose, 2-3 times a day, taken with warm water.
Precautions:Use with caution in pregnant women and patients with chronic gastrointestinal diseases.
(5) Ointments
1. Er Huang Xin Shang Zhi Tong Ointment (Two Huang New Injury Pain Relief Ointment)
Composition:Huang Bai (Phellodendron amurense), Da Huang (Rheum palmatum), Yan Hu Suo (Corydalis yanhusuo), Chi Shao (Paeonia lactiflora), Bai Zhi (Angelica dahurica), Da Xue Teng (Spatholobus suberectus), Qiang Huo (Notopterygium incisum), Du Huo (Angelica pubescens), Chuan Mu Xiang (Saussurea costus), Fu Rong Ye (Hibiscus rosa-sinensis), Xue Jie (Dragon’s blood), Bo He (Mentha haplocalyx), Zhang Nao (Camphor), Bing Pian (Menthol), with excipients including sodium alginate, glycerin.
Indications:Invigorates blood, transforms stasis, reduces swelling, and alleviates pain. Used for closed soft tissue injuries causing redness, swelling, heat, and pain.
Dosage:External use. Apply to the affected area, change dressing every 12-24 hours; or as directed by a physician.
Adverse Reactions:Some patients may experience rashes or allergic reactions after use.
Contraindications:Not suitable for those with skin lesions.
Precautions:1. If a rash occurs at the application site, discontinue use immediately and wash off the ointment. 2. Use with caution in those allergic to seafood.
2. Jiu Shang Huo Luo Ointment (Old Injury Activating Ointment)
Composition:Bi Xie (Dioscorea nipponica), Qiang Huo (Notopterygium incisum), Du Huo (Angelica pubescens), Bai Ji (Bletilla striata), Rou Gui (Cinnamon), Xu Duan (Dipsacus asperoides), Chuan Mu Xiang (Saussurea costus), He Huan Pi (Albizia julibrissin), Dang Gui (Angelica sinensis), Chuan Xiong (Ligusticum chuanxiong), Tu Bie Chong (Eupolyphaga sinensis), Yan Hu Suo (Corydalis yanhusuo), Chuan Niu Xi (Achyranthes bidentata), Gu Sui Bu (Drynaria fortunei), Hai Tong Pi (Erythrina variegata), Sheng Chuan Wu (Aconitum carmichaelii, raw), Sheng Cao Wu (Aconitum carmichaelii, raw), Ji Xue Teng (Spatholobus suberectus), Zhang Nao (Camphor), Bing Pian (Menthol), with excipients including sodium alginate, glycerin.
Indications:Soothes tendons, invigorates blood, warms meridians, and alleviates pain. Used for late-stage injuries, where swelling has mostly subsided, but the affected area is weak and painful under load, with tenderness.
Dosage:Apply to the affected area.
Adverse Reactions:Occasional allergic reactions such as rashes or itching.
Contraindications:Not suitable for those with skin lesions. Precautions: If a rash occurs at the application site, discontinue use immediately.
3. Gu Zhe Ointment (Fracture Ointment)
Composition:Gu Sui Bu (Drynaria fortunei), Xue Jie (Dragon’s blood), Er Cha (Catechu), Xue Yu Tan (Carbonized blood), Bai Ji (Bletilla striata), Mu Xiang (Saussurea costus), Qiang Huo (Notopterygium incisum), Dang Gui (Angelica sinensis), Ru Xiang (Boswellia carterii, processed), Bai Zhi (Angelica dahurica), Zhang Nao (Camphor), Bing Pian (Menthol), with excipients including sodium alginate, glycerin, ethanol.
Indications:Invigorates blood, alleviates pain, and promotes bone healing. Used for trauma-induced swelling and pain that has subsided, but bone callus formation is not yet evident.
Dosage:Apply to the injured area.
Adverse Reactions:Occasional allergic reactions such as rashes or itching.
Contraindications:Not suitable for those with skin lesions.
Precautions:If a rash occurs at the application site, discontinue use immediately.
4. Qi Teng Ruan Jian Ointment (Qi and Vine Softening Ointment)
Composition:Huang Qi (Astragalus membranaceus), Ji Xue Teng (Spatholobus suberectus), Hai Zao (Sargassum), San Leng (Sparganium stoloniferum), E Zhu (Curcuma zedoaria), Shan Dou Gen (Sophora tonkinensis), Chuan Xiong (Ligusticum chuanxiong), Sheng Chuan Wu (Aconitum carmichaelii, raw), Sheng Cao Wu (Aconitum carmichaelii, raw), Tian Nan Xing (Arisaema cumingii), Bai Lian (Nymphaea tetragona), Chi Shao (Paeonia lactiflora), Cang Zhu (Atractylodes lancea), Zhang Nao (Camphor), Bing Pian (Menthol), with excipients including sodium alginate, glycerin, ethanol.
Indications:Invigorates blood, disperses stasis, softens hard masses, and disperses nodules. Used for late-stage injuries with localized tissue swelling and hardness, limited joint function, ossifying myositis, and bone hyperplasia.
Dosage:Apply to the affected area.
Adverse Reactions:Some patients may experience rashes or allergic reactions after use.
Contraindications:Not suitable for those with skin lesions.
Precautions:If a rash occurs at the application site, discontinue use immediately.
This article is excerpted from the “Chuan School of Traditional Chinese Medicine Masters Series. Zheng Huai Xian”, and is intended solely for academic sharing.
Disclaimer: Non-professionals should not attempt to use these medicines; specific treatments and medications should be followed as per medical advice.