Theory

Xiao Feng Wan Clear Wind Pill - TCM Herbal Formula


Xiao Feng Wan Names

  • English Name: Clear Wind Pill
  • Pinyin Name: Xiao Feng Wan
  • Alternate Names: Eliminate Wind Pills, Tangkuie and Arctium Formula
  • Chinese Character: 消风丸



Xiao Feng Wan Clinical Usages and Indications

  • Itchy and red skin lesions, possibly with weeping -psoriasis, eczema, acne, etc.
  • Topical allergic response, dermatitis -poison ivy, oak, sumac.
  • Acute [allergic] edema in the limbs.

 

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Xiao Feng Wan Cautions

    Contraindication Notes:

    • Use with caution with patients that present with yin and or blood deficiency.



Clinical Formula Combinations and Modifications


Xiao Feng Wan Has 13 Ingredients

Cang Zhu

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  • Atractylodes
    • Strongly dries dampness, strengthens spleen - low appetite, diarrhea, epigastric distention, fatigue, vomiting, greasy tongue coat.
    • Expels wind-damp-cold (bi-syndrome) in extremities.
    • Clears damp-heat from lower burner (combine with clear-heat herbs, however, as this has a warm nature (for example, Er Miao San) - vaginal discharge, swollen and sore joints.
    • Induces sweating, release the exterior.
    • Improves vision.
  • Aromatic Herbs That Transform Dampness

Chan Tui

  • Cicada Moulting
    • Disperses wind, clears heat - wind-heat with loss of voice, swollen and sore throat.
    • Vents rashes - for early stage of measles with an incomplete expression of the rash.
    • Clears eyes and removes superficial visual obstruction, wind-heat eye problems - red, painful, swollen eyes, blurry vision.
    • Stops spasms and extinguishes wind - childhood febrile diseases in which wind causes convulsions, spasms, delirium or night terrors; tetanus (lockjaw).
  • Herbs That Release The Exterior Wind Heat
  • Cautions
    • Avoid during Pregnancy.
    • Avoid in cases of exterior deficiency.

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

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.

Hei Zhi Ma

  • Black Sesame Seeds
    • Tonify the yin of the liver and kidney systems.  Useful for vision disturbances (blurry vision), tinnitus, dizziness, vertigo, premature graying of the hair.
    • Nourish liver blood and clear liver wind - headaches, dizziness, numbness in the limbs.
    • Moisten and lubricate the intestines - constipation.
  • Herbs That Tonify Yin
  • Cautions
    • Avoid in patients with loose stools and/or diarrhea due to Spleen Qi Deficiency.

Jing Jie

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  • Schizonepeta Stem
    • Expels wind and releases the exterior - useful for either wind-cold or wind-heat
    • Useful for boils, carbuncles, etc. in the initial stages
    • Resolve itching (wind-heat in the blood level), may be used topically
    • Stops bleeding, blood in stool (secondary herb), uterine bleeding
  • Herbs That Release The Exterior Wind Cold
  • Cautions
    • Avoid in measles and/or w/open sores
    • Caution with exterior deficiency
    • Avoid with liver wind patterns

Ku Shen

Mu Tong

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  • Akebia Caulis
    • Promotes urination, drains heat from the heart through the small intestine - irritability with sores of the mouth or tongue, scanty urination, lin syndrome, edema.
    • Promotes lactation, unblocks the blood vessels - insufficient lactation, less commonly for amenorrhea and bi-syndrome.
  • Herbs That Drain Dampness
  • Cautions
    • Avoid during Pregnancy.
    • Toxic - can lead to renal failure (aristolochic acid).

Niu Bang Zi

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  • Great Burdock Fruit, Arctium
    • Expels wind-heat (acrid), benefits throat - fever, cough, sore, red, swollen throat.
    • Clears heat (bitter, cold), relieves toxicity, vents rashes - red swellings, carbuncles, mumps, acute febrile rashes, early stages of measles with incomplete expression.
    • Moistens intestines (rich plant oil - slippery) - constipation due to wind-heat (cold nature of the herb).
  • Herbs That Release The Exterior Wind Heat
  • Cautions
    • Avoid in qi deficiency, diarrhea, lack of excess heat.
    • Avoid when open sores and/or carbuncles are present.

Sheng Di Huang

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  • Rehmannia
    • Clears Heat, Cools Blood. High fever, thirst, scarlet tongue, hemorrhage due to heat in the Blood.
    • Nourishes Yin, Generates Fluids. Yin Deficiency with heat signs with injury to body fluids. Dry mouth, low-grade fever, constipation, throat pain from yin deficiency.
    • Cools Ascending Heart Fire (HT, LV). Mouth and tongue sores, irritability, insomnia, malar flush.
    • Wasting thirst disorder.
  • Herbs That Cool The Blood
  • Cautions
  • Spleen Deficiency, Yang Deficiency, Damp Phlegm, Digestion Difficulties.

Shi Gao

  • Gypsum
    • The most important herb to clear internal heat, especially in the qi and yang ming levels.
    • Clears heat, drains fire (heavy, descending) - high fever with no chills, excessive thirst, sweating, flooding and big pulse (the "4 bigs"), irritability, red tongue with yellow coat.
    • Clears excess lung heat - cough, wheezing, fever, thick yellow sputum.
    • Clears blazing stomach fire - headache, toothache, painful and swollen gums.
    • Topically for eczema, burns, ulcerated sores; may also be taken internally.
  • Herbs That Drain Fire
  • Cautions
    • Avoid in patients with a weak stomach, weak pulse, and yang deficiency.
    • Avoid in cases with heat from yin deficiency.

Zhi Mu

  • Anemarrhena Rhizome
    • Clears heat, drains fire - high fever, irritability, thirst, and a rapid flooding pulse in patterns of excessive heat in the lungs and/or stomach; cough due to lung heat with thick yellow sputum.
    • Nourishes yin, moistens dryness - deficiency of lung and kidney yin, night sweats, steaming bone disorder, irritability, afternoon or low-grade fevers, bleeding gums, five-center heat; also for kidney heat signs - spermatorrhea, nocturnal emission, high sexual desire.
    • Generates fluids and clears heat - oral ulcers and inflammation due to yin deficiency, wasting and thirsting disorder.
  • Herbs That Drain Fire
  • Cautions
    • Avoid in patients with diarrhea from spleen deficiency.



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