Theory

Juan Bi Wan Remove Painful Obstruction Decoction - TCM Herbal Formula


Juan Bi Wan Names

  • English Name: Remove Painful Obstruction Decoction
  • Pinyin Name: Juan Bi Wan
  • Alternate Names: Juan Bi Tang, Chuan Pi Tang, Chiang-huo and Curcuma Combination, Notopterygium and Turmeric Combination



Juan Bi Wan Clinical Usages and Indications

  • Wind-cold-damp bi syndromes in qi deficient patients - joint pain possibly with heaviness of the limbs that generally improves with movement.  Rheumatoid arthritis, osteoarthritis, gouty arthritis.  With wind-cold-damp patterns other inflammatory conditions such as fibromyalgia.
  • Atrophy from qi and blood stagnation - stroke recovery.

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Clinical Formula Combinations and Modifications

  • There are two formulas with the same name, the one primarily described above is from the classic text "selected formulas" - the other which has a slightly different herbal formulation is from the "medical revelations" source. 

Juan Bi Wan Has 8 Ingredients

Qiang Huo

Jiang Huang

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  • Tumeric Rhizome
    • Invigorate blood, unblock menses - chest and abdominal pain, amenorrhea, dysmenorrhea, pain and swelling due to trauma.
    • Promote the movement of Qi, alleviate pain - epigastric and/or abdominal pain.
    • Expel wind, promote movement of blood - wind damp painful obstruction w/blood stasis (particularly in the shoulders).
  • Herbs That Invigorate Blood

Dang Gui

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  • Chinese Angelica Root
    • Tonifies the blood, regulates menses - pallid, ashen complexion, tinnitus, blurred vision, palpitations, irregular menses, amenorrhea, dysmenorrhea.
    • Invigorates/harmonizes the blood, disperses cold - important herb to stop pain due to blood stasis - abdominal pain, trauma, carbuncles due to blood stasis, chronic bi.
    • Moistens dry intestines due to blood deficiency.
    • Reduces swellings, expels pus, generates flesh - sores.
  • Herbs That Tonify Blood

Bai Shao

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  • White Peony Root
    • Nourishes the blood and regulates menstrual problems due to blood deficiency (pale, lusterless complexion and nails) - menstrual dysfunction, vaginal discharge, uterine bleeding - very common herb for gynecological disorders (Si Wu Tang).
    • Calms liver yang, alleviates pain from constrained liver qi or disharmony between the liver and the spleen due to liver yang rising - cramping and spasms (limbs and abdomen), abdominal pain from dysentery, headache and dizziness.
    • Preserves yin, adjusts ying and wei levels - vaginal discharge and spermatorrhea, exterior wind-cold from deficiency with continuous sweating, spontaneous sweating, night sweats.
  • Herbs That Tonify Blood
  • Cautions
    • Incompatible with Li Lu
    • Avoid in cases of yang deficiency and cold in the middle jiao - diarrhea, cold sensation in the stomach.

Huang Qi

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  • Astragalus Root
    • Tonifies spleen qi - lack of appetite, fatigue, diarrhea.
    • Raises yang qi of spleen and stomach - prolapse of uterus, stomach, rectum, uterine bleeding.
    • Augments the wei qi and stabilizes the exterior - deficiency w/spontaneous sweating, frequent colds or shortness of breath.
    • Tonify qi and blood due to loss of blood - postpartum fever.
    • Edema from deficiency.
    • Promote discharge of pus, generate flesh - sores due to deficiency.
  • Herbs That Tonify Qi

Fang Feng

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  • Ledebouriella root, siler
    • Releases exterior, expel wind-cold (headache, chills, body ache)
    • Bi-Syndromes, Wind-Damp, alleviates pain, relieves spasms (not very strong, only as a supporting herb)
    • Trembling hands and/or feet
    • Spleen/Liver intestinal issues - painful diarrhea, bright blood in stool
    • Migraines
    •  
  • Herbs That Release The Exterior Wind Cold
  • Cautions
    • Avoid in Yin Deficiency - Empty Heat
    • Avoid in spasms from Blood Deficiency

Gan Cao

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  • Licorice Root
    • Tonifies the spleen and augments qi - spleen deficiency w/shortness of breath, fatigue, loose stools (si jun zi tong).
    • Qi and/or blood deficiency w/irregular pluse or palpitations (Zhi Gan Cao Tang).
    • Moistens the lungs and stops cough - heat/cold in the lungs (Ma Xing Shi Gan Tang).
    • Clears heat and toxic fire (raw) - carbuncles, sores, sore throat due to fire toxin (internally or topically).
    • Alleviates pain and stops spasms - abdomen or legs (Shao Yao Gan Cao Tang).
    • Often used to harmonize and/or moderate characteristics of other herbs.
    • Antidote for toxic substances (internally and topically).
  • Herbs That Tonify Qi
  • Cautions
    • Avoid with excess dampness, nausea, vomiting.
    • Incompatible with Gan Sui, Da Ji, Yuan Hua, Hai Zao (although used in some formulas with Hai Zao).
    • If taken for long periods of time, may cause hypertension and/or edema.

Da Zao

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  • Chinese Date, Jujube
    • Tonifies spleen qi - weakness, shortness of breath, reduced appetite, loose stools.
    • Nourishes the blood, calms the spirit - irritability, pale complexion, emotional disturbances, restlessness.
    • Useful to harmonize the harsh properties of other herbs.
  • Herbs That Tonify Qi
  • Cautions
    • May cause heat, dampness, and phlegm leading to fullness in the middle jiao, food stagnation.



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