Prescriptions for Dispelling Exogenous Wind

Time:10/7/2008 4:07:50 PM

[PDF]Prescriptions for Dispelling Exogenous Wind

Prescriptions for Treating Wind Syndrome

Prescriptions that are mainly composed of drugs pungent in flavor and disperse in nature for dispelling exogenous wind or subduing endogenous wind to relieve convulsion and used for syndromes due to wind are known as prescriptions for treating wind syndrome.

Wind syndrome refers to those caused by pathogenic wind. Since pathogenic wind includes exogenous wind and endogenous wind, this group of prescriptions is subdivided correspondingly into prescriptions for dispelling exogenous wind and those for subduing endogenous wind.

The former is mainly made up of pungent and disperse drugs with the effect of dispelling pathogenic wind and used for treating diseases as the result of attack of muscles, meridians and collaterals, tendons and joints by exogenous wind. The latter, however, consists chiefly of drugs with the action of checking liver-yang to stop endogenous wind and is applied to diseases caused by liver-wind stirring inside the body.

In the application of this group of prescriptions, first of all, it is essential to differentiate between exogenous and endogenous wind, between cold and heat syndrome as well as between deficiency and excess syndrome. Exogenous wind should be dispelled and endogenous wind subdued. If wind is complicated with pathogenic cold, heat,dampness or phlegm, it is necessary to adopt the method of expelling cold, clearing away heat, inducing diuresis or eliminating phlegm simultaneously. In addition, in case of exogenous wind concomitant with endogenous wind, it is necessary to differentiate the primary from the secondary syndrome. In doing so, prescriptions are formed rationally.

Prescriptions for Dispelling Exogenous Wind

Chuanxiong Chatiao San

( Powder of Ligusticum)

Souroe : Taiping Huimin Hejiju Fang (Benevolent Prescriptions from Taiping Pharmaceutical Bureau).

Ingredients:

No. 1 Chuangxiong ( Rhizoma Ligustici Chuanxiong) 120 g;

No. 2 Jingjie (Herba Schizonepetae) 120 g;

No. 3 Baizhi (Radix Angelicae Dahuricae ) 60 g;

No. 4 0ianghuo (Rhizoma seu Radix Notopterygii) 60 g;

No. 5 Zhigancao(Radix Glycyrrhizae Praeparatae) 60 g;

No. 6 Xixin (HerbaAsari) 30 g;

No. 7 Fangfeng (Radix Ledebouriellae) 45 g;

No. 8 Bohe (Herba Menthae) 240 g.

Administration: Grind the above drugs into fine powder, take 6 g each time and twice daily with tea. Or decoct the above drugs in water with dosages in proportion to the original recipe.

Actions: Dispelling wind to relieve pain.

Clinical Application: This recipe is indicated for headache due to attack of exogenous wind, marked by headache, hemicrania, or pain on top of the head, aversion to cold with fever, dizziness, nasal obstruction, thin whitish fur, and superficial pulse. It is applicable to headache generated from migraine, angioneurotic headache or chronic rhinitis that is accompanied by nasal obstruction and superficial pulse and ascribed to attack by exogenous wind. In case of attack by wind-cold with aversion to cold, increase the dosage of No. 1 and add Suye (Folium Perillae ) and Shengjiang ( Rhizoma Zingiberis Recens ) to enhance the effect of dispelling wind and cold. In case of attack by wind-heat with fever or dry mouth and reddened tongue, subtract No. 4 and No. 6 and add Manjingzi (Fructus Viticis ) and Juhua ( Flos Chrysanthemi ) to expel wind-heat. In case of protracted headache, add Quanxie ( Scorpio ), Jiangcan ( Bombyx Batryticatus ) and Taoren (Semen Perisicae) to expel wind and promote blood circulation for alleviating pain.

Elucidation: The syndrome arises when exogenous wind invades head and obstructs the lucid yang-qi. It should be treated by dispelling wind and alleviating pain. No. 1, No. 3 and No. 4 have the effect of expelling wind and alleviating pain, among which No. 1 is good at relieving pain and treating headache of shaoyang meridian or jueyin meridian (i. e. pain on top of the head or in the temples), No. 4 is effective for headache of taiyang meridian (pain on the rear of the head radiating to the neck) and No. 3 is specially good for headache of yangming meridian (pain over the forehead). These three drugs supplement one another in effect and function as monarch drugs. No. 6 is capable of dispelling cold and alleviating pain and No. 8 expelling wind and refreshing mind, acting as minister drugs. No. 2 and No. 7 strengthen the effect of both monarch and minister drugs in dispelling wind and are used as adjuvant drugs. No. 5 is the guiding drug, which mediates the properties of othe drugs. Since most

ingredients are warm or dry with expelling effect, tea is used to prevent impairment of body fluid and consumption of qi because tea is cold and bitter in nature with descending effect. This makes the recipe warm but not dry, has ascending and descending effects, and expels pathogenic factors without impairing healthy qi.

Cautions: This recipe is contraindicated for headache due to deficiency of qi and blood, or due to wind generated from hyperactive yang.

Xiaofeng San

(Powder for Dispersing Pathogenic Wind)

Source : Waike Zhengzong ( Orthodox Manual of External Diseases).

Ingredients :

No. 1 Jingjie ( Herba Schizonepetae ) 9 g;

No. 2 Fangfeng (Radix Ledebouriellae) 9 g;

No. 3 Niubangzi ( Fructus Arctii) 9 g;

No. 4 Chantui (Periostracum Cicadae) 3 g;

No. 5 Cangzhu (Rhizoma Atractylodis) 6 g;

No. 6 Kushen (Radix Sophorae Flavescentis ) 6 g;

No. 7 Shigao ( Gypsum Fibrosum ) 15 g;

No. 8 Zhimu (Rhizoma Anemarrhenae) 9 g;

No. 9 Danggui (Radix Angeticae Sinensis) 9 g;

No. 10 Humaren (Semen Sesami) 9 g;

No. 11 Shengdihuang (Radix Rehmanniae) 12 g

No. 12 Mutong ( Caulis Akebiae) 1.5 g;

No. 13 Gancao (Radix Glycyrrhizae) 1.5 g.

Administration: Decoct the above drugs in water for oral application.

Actions: Dispelling wind and nourishing blood, clearing away heat and removing dampness.

Clinical Application: This recipe is indicated for rubella and eczema, marked by red skin rash or dots and spots over the whole body with pruritus, exudation of body fluid after scratching, whitish or yellowish fur, superficial and rapid pulse. It is applicable to urticaria, allergic dermatitis, paddy field dermatitis, dermatitis medicamentosa, neurodermatitis, and others, which are characterized by red skin rashes with pruritus and caused by pathogenic wind, dampness or heat. In case of feverish body and thirst due to dominant wind-heat, add Jinyinhua ( Flos Lonicerae ) and Lianqiao ( Fructus Forsythiae ) to dispel wind and clear away heat. In case of dominant damp heat with fullness or stuffiness in chest or epigastrium, heaviness and weakness of the body, thick and greasy yellowish fur, add Difuzi (Fructus Kochiae ), Cheqianzi ( Semen Plantaginis ) and Zhizi ( Fructus Gardeniae) to clear away heat and induce diuresis. In case of excessive heat in xuefen with feverish sensation in palms and sores, reddened or deep-red tongue, add Chishaoyao (Radix Paeoniae Rubra ), Mudanpi ( Cortex Moutan Radicis ) and Zicao (Radix Arnebiae seu Lithospermi) to clear away heat from blood and cool the blood.

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