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There are two base formulas in the ‘Expel Wind’ category:

Formulas that Release Wind from the Skin and Channels
  • Xiao Feng San (Eliminate Wind Powder)
Formulas that Extinguish Internal Wind
  • Tian Ma Gou Teng Yin (Gastridia and Uncaria Decoction)

1. Xiao Feng San (Eliminate Wind Powder)

[copy2cart name=”Xiao Feng San (Eliminate Wind Powder)” formula=”JJE(6)|FFG(6)|NBZC(6)|CT(6)|CZU(6)|KS(6)|mu-tong(3)|SGS(6)|ZMU(6)|SDH(6)|DGI(6)|HZM(6)|GC(3)” mode=”2″]

Jing Jie6Herba Schizonepetae
Fang Feng6Radix Saposhnikoviae
Niu Bang Zi6Fructus Arctii Tostus
Chan Tui*6Periostracum Cicadae*
Cang Zhu6Rhizoma Atractylodes lancea
Ku Shen6Radix Sophorae Flavescentis
Mu Tong*3Caulis Aristolochiae Seu Clematis*
Shi Gao*6Gypsum Fibrosum*
Zhi Mu6Rhizoma Anemarrhenae asphodeloidis
Sheng di Huang6Gypsum Fibrosum
Dang Gui6Radix Angelicae sinensis
Hei Zhi Ma6Semen Sesami Nigrum
Gan Cao3Radix Glycyrrhizae uralensis
Source: True Lineage of External Medicine (Wai Ke Zheng Zong)
Actions

Disperses Wind, eliminates Dampness, clears Heat and cools the Blood

Indications
  • Weepy, itchy, red or bleeding skin lesions over a large part of the body
  • A white or yellow tongue coating
  • A forceful, floating and rapid pulse
Formula
  • Jing Jie, Fang Feng, Niu Bang Zi and Chan Tui (chiefs) unblock the interstices and pores and disperse Wind to stop itching.
  • Cang Zhu, Ku Shen and Mu Tong (deputies) drain Dampness and Damp-Heat.
  • Shi Gao and Zhi Mu (deputies) clear Qi-level Heat, helping to clear Heat from the Interior and preventing the condition from penetrating to a deeper level.
  • Sheng di, Dang Gui and He Zi Ma (assistants) nourish and invigorate the Blood and provide a moistening function.
  • Gan Cao (envoy) clears Heat, relieves toxicity and harmonises the actions of the other herbs.
Adaptations
  • Severe Wind-Heat and toxin: add Jin Yin Hua, Lian Qiao, Pu Gong Ying and Ye Ju Hua
  • Severe Heat in the Blood: add Mu Dan Pi, Chi Shao and Zi Cao
  • Severe Dampness: add Yi Yi Ren, Bai Xian Pi and Di Fu Zi
  • Severe Wind: add Bai Hua She, Quan Xie and Fu Ping
Discussion
  • It is essential to treat the Blood as the battle between Wind and Damp-Heat injures Blood and Yin.
  • Herbs that expel Wind and dry Dampness have the potential to further injure Blood and Yin, which will increase itchiness.
  • “To treat Wind, first treat the Blood; when the Blood moves, the Wind will naturally be extinguished” is an adage.
  • Coffee, alcohol, seafood, spicy foods and smoking may interfere with the formula and should be avoided when taking.
  • With the appropriate presentation, the formula may be used for urticaria, eczema, contact dermatitis, Schonlein-Henoch purpura, tinea infection and nappy rash.
Cautions & Contraindications

This formula should not be used in cases of marked Qi or Blood deficiency due to its strong dispersing nature.

2. Tian Ma Gou Teng Yin (Gastridia and Uncaria Decoction)

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Tian Ma*9Rhizoma Gastrodiae
Gou Teng12 – 15Ramulus Uncariae Cum Uncis
Shi Jue Ming*18 – 24Concha Haliotidis
Zhi Zi9Fructus Gardeniae Tosum
Huang Qin9Radix Scutellariae
Yi Mu Cao9 – 12Herba Leonuri
Chuan Niu Xi12Radix Cyathulae
Du Zhong9 – 12Cortex Eucommiae
Sang Ji Sheng9 – 24Herba Taxilli
Ye Jiao Teng9 – 30Caulis Polygoni Multiflori
Fu Shen9 – 15Poria cum Radix Pini
Source: New Significance of Patterns and Treatment in Miscellaneous Diseases (Za Bing Zheng Zhi Xin Yi)
Actions

Calms the Liver, extinguishes Wind, clears Heat, invigorates Blood, and tonifies the Liver and Kidneys

Indications
  • Headache, dizziness, vertigo
  • Tinnitus, blurred vision
  • A sensation of heat rushing to the head
  • Insomnia with dream-disturbed sleep
  • Numbness, twitching or spasms in the extremities
  • A red tongue
  • A wiry, rapid pulse
Formula
  • Tian Ma, Gou Teng and Shi Jue Ming (chiefs) calm the Liver and extinguish Wind.
  • Zhi Zi and Huang Qin (deputies) clear Heat and drain Fire, and prevent Heat rising in the Liver channel.
  • Yi Mu Cao and Chuan Niu Xi (assistants) invigorate Blood, promote circulation and encourage the downward movement of Blood.
  • Du Zhong and Sang Ji Sheng (assistants) tonify and nourish the Liver and Kidneys.
  • Ye Jiao Teng and Fu Shen calm the Spirit and settle the Will.
Adaptations

More severe symptoms: add Ling Yang Jiao*

Discussion

This formula is commonly used for hypertension and with the appropriate presentation it may be used for cerebrovascular disease, transitory ischaemic attacks (TIAs), essential and renal hypertension, hypertensive encephalopathy, aphasia, apraxia, epilepsy and neurosis.

*Unavailable in the UK

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