Yang-Supplementing Five-Returning Decoction

醫林改錯湯劑

Source-based · educational reference

Source

醫林改錯

Composition

Raw Huangqi 4 liang, Danggui tail 2 qian, Chishao 1.5 qian, Dilong 1 qian, Chuanxiong 1 qian, Honghua 1 qian, Taoren 1 qian. (Yi Lin Gai Cuo)

Preparation

Decoct in water and take orally.

Form

湯劑

Function

Tonify Qi, invigorate blood, and unblock collaterals.

Traditional indications

Sequelae of stroke. Hemiplegia, deviation of the mouth and eyes, hesitant speech, drooling from the corner of the mouth, flaccidity and weakness of the lower limbs, frequent urination, or incontinence of urine, white tongue coating, slow pulse.

Modifications

Edema, tongue body pale-white, enlarged with teeth marks, and watery slippery coating: combine with Zhenwu Tang. -- Edema, thirst, difficult urination, tongue body pale-white and enlarged with watery slippery coating: combine with Wuling San. -- Diabetic foot, poor lower limb circulation or local tissue necrosis, with relatively severe Blood stasis pain: combine with Shujing Huoxue Tang. -- Diabetic foot, thromboangiitis obliterans, poor lower limb circulation or local tissue necrosis, cold coagulation and stasis: combine with Danggui Sini Tang. -- Severe edema: add Yimucao: 30. -- Cold tendency, flaccidity and weakness of the lower limbs: add prepared Fuzi: 15, Huainiuxi: 10. -- Speech impairment: add Yuanzhi: 10, Shichangpu: 10, Yujin: 10. -- Hemiplegia mainly affecting the upper limbs: add Sangzhi: 10, Guizhi: 10. -- Spleen and Stomach deficiency/weakness: add Dangshen: 15, Baizhu: 15.

Cautions

1. This formula must be taken for a long time to be effective; after recovery, it should still be continued in order to consolidate the therapeutic effect and prevent relapse. Wang said: “After recovery from taking this formula, the medicine should not be discontinued; take one dose every three to five days, or one dose every seven to eight days.” 2. However, if post-stroke hemiplegia belongs to Yin deficiency and Yang hyperactivity with phlegm obstruction and Blood stasis, presenting with a red tongue, yellow coating, and a surging, large, forceful pulse, this formula is not suitable. 3. Contraindicated in pregnant women.