川芎茶调散Tea-Blended Ligusticum Powder

nullTea-Blended Ligusticum Powder 川 芎 茶 调 散 Chuan Xiong Cha Tiao SanTea-Blended Ligusticum Powder 川 芎 茶 调 散 Chuan Xiong Cha Tiao SanPrescriptions of Peaceful Benevolent Dispensary nullIngredients and AdministrationHerba Menthae Haplocalycis (bo he) 240g Radix Ligustici Chuanxiong (chuan xiong) 120g Radix Angelicae Dahuricae (bai zhi) 60g Radix et Rhizoma Notopterygii (qiang huo) 60g Herba cum Radice Asari (xi xin) 30g Herba seu Flos Schizonepetae Tenuifoliae(jing jie) 120g Radix Ledebouriellae Divaricatae (fang feng) 45g Radix Glycyrrhizae Uralensis (gan cao) 60gGrind the ingredients into a fine powder and take 6g twice daily after meals with green tea. Dispelling wind to relieve pain. Actionsnull Headache due to attack of exogenous wind IndicationnullExogenous wind invades head and obstructs the clear yang-qi.Pain over the forehead is due to wind invading yangming meridianPain on top of the head is due to wind invading jueyin meridianPain in the temples is due to wind invading shaoyang meridian.Headache companied with toothache is due to wind invading shaoyin meridian.Pain on the rear of the head is due to wind invading taiyang meridiannullSyndromeHeadache, vertigo, aversion to cold with fever, nasal obstruction thin and white coating, floating pulse.null This is headache due to externally-contracted wind. The head is the meeting place of the yang channels. When wind invades the body it follows the course of the channels upward to the head and eyes, obstructing the clear yang qi, and causing headache and dizziness. This pattern is referred to in chapter 29 of Basic Questions: "Injury from wind is suffered first in the upper body." When wind attacks the exterior, the mutual regulation of the nutritive and protective qi is impaired, which leads to chills. When wind invades the exterior it battles with the normal qi, which produces fever. The normal qi forces the pathogenic influence outward, which is manifested as a floating pulse. The Lungs are the most superficial of the organs and are therefore most easily affected by wind. Because the nose is governed by the Lungs, this leads to nasal obstruction. Analysis of PrescriptionAnalysis of Prescription －－disperses wind and promotes circulation of blood to relieve painChuan Xiong Bo He, Jing Jie and Fang Feng Qiang Huo Bai Zhi Xi Xin Gan Cao Cha－dispel wind and benefit the head －－dispel wind to relieve pain－－disperses wind to relieve pain and dredges the orifices of nose.－－benefits qi and harmonizes the middle, harmonizes all the components. －－benefits the head and restricts the properties of warmth, dryness and dispersion possessed by the wind herbs Qiang Huo alleviates headache along taiyang meridian, Bai Zhi for yangming meridian.Chuan Xiong alleviates headache along shaoyang and jueyin meridians.Xi Xin alleviates headache along shaoyin meridian.Combination featureCombination feature1.Clearing-descending effect is included in ascending-dispersing effect, dispersing wind and stopping pain without warm-dry nature. 2.Treatment for headache should be determined according to the meridian tropism. COMMENTARY COMMENTARY There has been considerable debate over whether this fornmla is best suited for headache due to wind-cold or wind-heat. Most modern texts state that it is primarily for wind-cold, assigning to the herb with the largest dosage, Herba Menthae Haplocalycis(bo he), the status of deputy. However, as early as the fourteenth century, Zhu Dan-Xi stated that it was designed for wind-heat headache. null Others, such as the late seventeenth-century physician, Zhang Lu-Xuan, stated in Comprehensive Medicine According to Master Zhang that it should be used for headache due to wind that has gradually transformed into fire. And his contemporary, Wang Ang, wrote in Analytic Collection of Medical Formulas that it is intended for wind-heat in the upper part of the body. Perhaps the best interpretation is that found in the source text which notes that this is a well-balanced formula that can be used in treating any externally-contracted wind disorder wherein headache is the principal symptom. null The lingering of wind in the body causes severe headache. If the headache persists, is resistant to treatment, and occurs at irregular intervals, it is said to be due to wind in the head (tou feng). This formula is also effective in treating this condition. CAUTIONS & CONTRAINDICATIONSCAUTIONS & CONTRAINDICATIONS This formula contains a relatively large number of warm, acrid substances and is therefore inappropriate for treating headache from ascendant Liver yang due to Liver and Kidney deficiency, and for headache due to qi and blood deficiency. Clinical featureClinical feature With the appropriate presentation, this formula may be used in treating such biomedically-defined disorders as upper respiratory tract infection, migraine headache, tension headache, neurogenic headache, and acute and chronic rhinitis or sinusitis. Some reports also mention its usefulness in treating post-concussion headache.MODIFICATIONSMODIFICATIONSFor wind-cold headache, omit Herba Menthae Haplocalycis (bo he) and add Rhizoma Zingiberis Officinalis Recens (sheng jiang) and Folium Perillae Frutescentis (su ye). For wind-heat headache, omit Radix et Rhizoma Notopterygii (qiang huo) and Herba cum Radice Asari (xi xin), and add Flos Chrysanthemi Morifolii (ju hua) and Fructus Viticis (man jing zi). For chronic headache, add Flos Carthami Tinctorii (hong hua), Semen Persicae (tao ren), Bombyx Batryticatus (jiang can) and Buthus martensi (quan xie). To alter the focus of the formula in addressing headache along specific channels, add the following:Rhizoma et Radix Ligustici (gao ben) for greater yang(occipital) headache; Radix Bupleuri (chai hu) for lesser yang (temporal) headache; Radix Puerariae (ge gen)Kudzu Decoction for yang brightness (frontal) headache; and Fructus Evodiae Rutaecarpae (wu zhu yu) and Lumbricus (di long) for terminal yin (vertex) headache.