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.
Read the complete guide →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.
- dispels wind-dampness
- boosts and supplements the liver and kidney
- strengthens tendons and bones
- activates blood and dredges the joints and tendons
- 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
- dispels wind-dampness
- relaxes tendons and soothes joints
- diffuses wind from the body to overcome dampness
- warms the gate of vitality and guides fire back to the source
- nourishes and harmonize blood
- moves blood and qi and reaches the head and channels
- fortifies the spleen and boosts qi
- nourishes blood and essence
- powerfully boosts yuan qi and fortifies the spleen and lung
- fortifies the spleen
- leaches dampness and quiets the heart
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?
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
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Is Du Huo Ji Sheng Tang suitable for improving chronic cold low-back and knee pain with weakness?
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Du Huo Ji Sheng Tang: Classic TCM Formula for Chronic Bi Syndrome, Lower Back & Knee Pain with Deficiency
Juan Bi Tang: Classic TCM Formula for Wind-Damp Bi Syndrome, Joint Pain & Numbness
Shen Tong Zhu Yu Tang: Classic TCM Formula for Body Pain, Blood Stasis & Bi Syndrome
San Bi Tang: Classic TCM Formula for Wind-Cold-Damp Bi Syndrome with Qi & Blood Deficiency
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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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