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Bu Yang Huan Wu Tang 补阳还五汤
Tonify the Yang Restore Five (-Tenths) Decoction


Tradition:
TCM

Source / Author:
Correction of Errors Among Physicians (1830)

Herb Name
Huang Qi 黄芪 (Astragalus)
Dang Gui
当归 (Chinese angelica) Chuan Xiong 川芎 (Sichuan lovage)
Chi Shao Yao
赤芍药 (Red Peony)
Tao Ren
桃仁 (Peach seed)
Hong Hua
红花 (Safflower)
Di Long
地龙 (Earthworm)

Latin
Astragalus membranaceus
Angelica sinensis *
Ligusticum chuanxiong
Paeonia lacti
flora

Prunus persica
Carthamus tinctorius
Pheretima spp.

Amount
120 grams
6 grams
3 grams
4.5 grams


3 grams ea.


* Dang Gui Wei, the tail or rootlets are used, these being stronger to move the Blood. If unavailable regular Dang Gui root can still be used.

Preparation:
Decoction

Function:
Tonify Qi and Yang, Move the Blood, open Obstructions

Use:
Paralysis, Hemiplegia or weakness or atrophied legs associated with deficiency and Blood stagnation with a moderate or weak and soft pulse (not wiry or strong)
1. Hemiplegia
2. Paralysis; Facial Paralysis
3. Deviation of the Eyes or Mouth
4. Aphasia; Loss of Speech; Di
fficult Speech
5. Weakness of the Legs; Atrophied Legs
6. Incontinence
7. Raynaud’s Disease
8. Thromboangitis obliterans
9. Brain Trauma; Stroke; CVA; Post Stroke Sequelae
10. Cerebral Atherosclerosis
11. Coronary Heart Disease
12. Chronic Nephritis; Chronic Prostatitis
13. Deep vein Thrombosis


Dose:

The above prepared as a decoction is taken over the course of a day.
As a powder, 3–6 grams can be taken 2–3 times daily

Cautions:
1. Not used if there is Liver Yang (Liver Heat) rising; Yin-deficient Heat; of Phlegm stagnation.
2. Not used in excess conditions marked by strong and forceful pulse
3. Not used immediately after Stroke while there is still bleeding


Modifications:
1. Slurred Speech, Loss of Speech or impaired Mental function, add Calamus
2. Facial Paralysis, add Scorpion
3. Chronic Hemiplegia, add Leech
4. Paralysis of the Legs, add Eucommia Du Zhong and Achyranthes Niu Xi 5. With Cold symptoms, add Cinnamon
6. With excess Phlegm, add Pinella Ban Xia, Calamus and Tabasheer
7. Coronary Heart disease, add Notoginseng San Qi


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