Du Huo Ji Sheng Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

獨活寄生湯 · Dú Huó Jì Shēng Tāng

A classical formula for chronic bi syndrome of the lower back and knees with Liver-Kidney deficiency and Qi-blood insufficiency.

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Quick Facts

Formula Category
Wind-Damp Dispelling Formulas
Primary Pattern
Dampness
Primary Function
Dispel wind-damp, stop bi pain, tonify Liver and Kidney, nourish Qi and blood
Primary Therapeutic Principle
Dispel wind-damp bi while tonifying Liver-Kidney and Qi-blood
Classical Source
Classical TCM formulary
Available as Granules
Yes

Formula Overview

A classical formula for chronic bi syndrome of the lower back and knees with Liver-Kidney deficiency and Qi-blood insufficiency.

Therapeutic Principle

Traditionally selected for chronic bi of the lower back and knees with Liver-Kidney deficiency and Qi-blood insufficiency, rather than excess wind-damp bi or blood-stasis bi alone.

Composition: Sovereign, Minister, Assistant, Envoy

Every herb in the formula, grouped by the job it does in the classical hierarchy.

佐AssistantTreats accompanying patterns
細辛Xi Xin3g
Asarum / Wild Ginger
  • enters the kidney channel of shaoyin effective for searching out and dispelling wind-cold-dampness within the yin channels effective for removing dampness in the channels and collaterals
The combination of dang gui, chuan xiong, niu xi, and rou gui activate the blood, wind can be dispelled when blood moves smoothly. Therefore, the treatment for wind is basically associated with activating the blood.
秦艽Qin Jiao6g
Large-Leaf Gentian Root
  • dispels wind-dampness
  • relaxes tendons and soothes joints
Treats accompanying patterns and supports the chief medicinals.
防風Fang Feng6g
Saposhnikovia Root
  • diffuses wind from the body to overcome dampness
Treats accompanying patterns and supports the chief medicinals.
肉桂Rou Gui3g
Cinnamon Bark
  • warms the gate of vitality and guides fire back to the source
Treats accompanying patterns and supports the chief medicinals.
當歸Dang Gui9g
Chinese Angelica Root
  • nourishes and harmonize blood
Treats accompanying patterns and supports the chief medicinals.
川芎Chuan Xiong6g
Chuanxiong Rhizome
  • moves blood and qi and reaches the head and channels
Treats accompanying patterns and supports the chief medicinals.
白芍Bai Shao9g
White Peony Root
  • fortifies the spleen and boosts qi
Treats accompanying patterns and supports the chief medicinals.
熟地黃Shu Di Huang12g
Prepared Rehmannia Root
  • nourishes blood and essence
Treats accompanying patterns and supports the chief medicinals.
人參Ren Shen9g
Ginseng Root
  • powerfully boosts yuan qi and fortifies the spleen and lung
Treats accompanying patterns and supports the chief medicinals.
茯苓Fu Ling9g
Poria / Hoelen
  • fortifies the spleen
  • leaches dampness and quiets the heart
Treats accompanying patterns and supports the chief medicinals.

Classical Composition

  • Angelicae Pubescentis Radix (Du Huo) 3 liang (9g)
  • Taxilli Herba (Sang Ji Sheng) 2 liang (6g)
  • Eucommiae Cortex (Du Zhong) 2 liang (6g)
  • Achyranthis Bidentatae Radix (Niu Xi) 2 liang (6g)
  • Asari Radix et Rhizoma (Xi Xin) 2 liang (6g)
  • Gentianae Macrophyllae Radix (Qin Jiao) 2 liang (6g)
  • Poria (Fu Ling) 2 liang (6g)
  • Cinnamomi Cortex (Rou Gui) 2 liang (6g)
  • Saposhnikoviae Radix (Fang Feng) 2 liang (6g)
  • Chuanxiong Rhizoma (Chuan Xiong) 2 liang (6g)
  • Ginseng Radix et Rhizoma (Ren Shen) 2 liang (6g)
  • Glycyrrhizae Radix et Rhizoma (Gan Cao) 2 liang (6g)
  • Angelicae Sinensis Radix (Dang Gui) 2 liang (6g)
  • Paeoniae Radix Alba (Shao Yao) 2 liang (6g)
  • Rehmanniae Radix (Di Huang) 2 liang (6g)

Dosages follow the classical source and are shown for study, not as a prescription.

Related Conditions

Related Health Topics

Actions

  • Dispels wind-dampness
  • relieves pain
  • boosts the liver and kidney
  • supplements qi and blood.

Indications

  • This formula is indicated for long-term bi syndrome associated with deficiency of the liver and kidney and insufficiency of qi and blood.
  • The symptoms include pain and flaccidity of the waist and knees, disorder of flexion and extension of the joints, numbness, fear of cold with a preference for warmth, palpitations, and shortness of breath.

Tongue & pulseThe tongue is pale with a white coating and the pulse is thready and weak.

Traditional Pathogenesis

Cause & mechanism

  • Du Huo Ji Sheng Tang is a frequently used formula for long-term bi syndrome caused by liver and kidney deficiency, and qi and blood insufficiency.
  • It is generally caused by the contraction of wind-cold-dampness which, over a long period of time, leads to bi syndrome.
  • The liver and kidney are involved and there is consumption of qi and blood.
  • Wind-cold-damp invasion in the limbs and joints leads to qi and blood blockage that cause pain of the waist and knee.
  • Gradually, stiffness and numbness of the limbs and joints might be seen.
  • It is said in the《Basic Questions》that bi in the bones results in heaviness, while bi in the channels results in numbness.
  • Additionally, the kidney governs bone and the liver governs sinews.
  • When pathogens invade the sinews and bone for a long time, the liver and kidney might be damaged with consumption of qi and blood.
  • Consequently, weakness of the waist and knee occurs as the waist is the residence of the kidney and the knees are the residence of the tendons.
  • Qi and blood consumption leads to palpitations and shortness of breath.
  • It is said in《Basic Question》Su Wen that deficiency of ying qi gives rise to numbness, while deficiency of wei qi gives rise to flaccidity, and deficiency of both ying and wei qi give rise to numbness and flaccidity.
  • Expel wind-cold-dampness on the one hand and boost the liver and kidney and supplement qi and blood on the other hand.

Treatment strategy

  • Zheng qi deficiency and pathogenic excess are involved in this pattern; therefore, the therapeutic methods are to reinforce zheng qi and dispel pathogens.

How does this formula compare?

Compare Du Huo Ji Sheng TangSan Bi TangJuan Bi TangShen Tong Zhu Yu Tang
Primary Function Dispel wind-damp, stop bi pain, tonify Liver and Kidney, nourish Qi and bloodDispel wind-damp, tonify Qi and blood, ease bi painDispel wind-damp, move Qi and blood, stop bi painInvigorate Blood, move Qi, dispel wind-damp, stop pain
Formula Category Wind-Damp Dispelling FormulasWind-Damp Dispelling FormulasWind-Damp Dispelling FormulasBlood-Invigorating Formulas
Typical TCM Pattern DampnessDampnessDampnessBlood Stasis
Main Conditions Low Back Pain·Joint Discomfort·Numbness in LimbsJoint Discomfort·Low Back Pain·Numbness in LimbsJoint Discomfort·Muscular Stiffness·Shoulder DiscomfortJoint Discomfort·Muscular Stiffness·Low Back Pain·Numbness in Limbs
Main Herbs Pubescent Angelica Root·Taxillus / Mulberry Mistletoe·Eucommia Bark·Achyranthes Root·Asarum / Wild GingerPubescent Angelica Root·Asarum / Wild Ginger·Saposhnikovia Root·Large-Leaf Gentian Root·Cinnamon TwigNotopterygium Root·Pubescent Angelica Root·Cinnamon Twig·Mulberry Twig·Chinese Angelica RootLarge-Leaf Gentian Root·Chuanxiong Rhizome·Peach Kernel·Safflower·Licorice Root
Classical Source Classical TCM formularyClassical TCM formularyClassical TCM formularyYi Lin Gai Cuo (Wang Qingren, Qing dynasty, 1830)

Clinical Perspective

Du Huo Ji Sheng Tang, San Bi Tang, Juan Bi Tang and Shen Tong Zhu Yu Tang all treat bi syndrome. San Bi Tang and Juan Bi Tang dispel wind-damp with less tonification; Shen Tong Zhu Yu Tang invigorates blood for blood-stasis bi pain. Du Huo Ji Sheng Tang dispels wind-damp while tonifying Liver-Kidney and Qi-blood for chronic lower-body bi with deficiency.

Clinical Differentiation

  • Du Huo Ji Sheng Tang is a frequently used formula for long-term bi syndrome caused by liver-kidney deficiency and qi and blood insufficiency.
  • This clinical pattern is marked by cold pain of the waist and knees, stiffness of the joint, palpatations, shortness of breath, thready and weak pulse.

Safety notes: This formula is not applicable for patients with an excess pattern of bi caused by damp-heat.

For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

Frequently Asked Questions

What are the actions of Du Huo Ji Sheng Tang?
Du Huo Ji Sheng Tang has the actions of dispelling Wind-Damp, stopping Bi pain, and tonifying the Liver and Kidney as well as Qi and Blood. It is the representative formula for chronic painful obstruction of the low back and legs on a background of deficiency.
Which modern diseases is Du Huo Ji Sheng Tang suited to?
Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within chronic Wind-Cold-Damp Bi with Liver-Kidney and Qi-Blood deficiency, including chronic lumbar strain or osteoarthritis of deficiency-Cold type, chronic sciatica or knee pain with weakness, and lingering rheumatic joint pain in older or depleted patients.
Is Du Huo Ji Sheng Tang suitable for improving chronic cold low-back and knee pain with weakness?
For presentations of chronic aching or heavy pain in the low back and knees, weakness of the legs, aversion to cold, worse in cold-damp weather, possible numbness, a pale tongue, and a thin weak pulse — in those whose pattern differentiation confirms deficiency Bi — TCM commonly applies Du Huo Ji Sheng Tang as an adjunct. It cannot replace evaluation of disc herniation, fracture, or inflammatory arthritis.
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Medical Disclaimer

For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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