Qiang Huo Sheng Shi Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

羌活勝濕湯 · Qiāng Huó Shèng Shī Tāng

A classical formula for wind-damp attacking the exterior with heavy headache, neck stiffness and body ache.

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Quick Facts

Formula Category
Wind-Damp Dispelling Formulas
Primary Pattern
Dampness
Primary Function
Dispel wind-damp, release exterior, stop pain
Primary Therapeutic Principle
Dispel wind-damp from the exterior and upper body
Classical Source
Li Dongyuan school / classical
Available as Granules
Yes

Formula Overview

A classical formula for wind-damp attacking the exterior with heavy headache, neck stiffness and body ache.

Therapeutic Principle

Traditionally selected for exterior wind-damp with heavy head and body ache, rather than chronic deficient bi, exterior wind-cold-damp with more cold, or damp swelling bi.

Composition: Sovereign, Minister, Assistant, Envoy

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

Classical Composition

  • Notopterygii Rhizoma et Radix (Qiang Huo) 1 qian (6g)
  • Angelicae Pubescentis Radix (Du Huo) 1 qian (6g)
  • Ligustici Rhizoma et Radix (Gao Ben) 5 fen (3g)
  • Saposhnikoviae Radix (Fang Feng) 5 fen (3g)
  • Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gan Cao) 5 fen (3g)
  • Viticis Fructus (Man Jing Zi) 3 fen (2g)
  • Chuanxiong Rhizoma (Chuan Xiong) 1 liang (6g)

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

Related Conditions

Related Health Topics

Actions

  • Dispels wind
  • overcomes dampness
  • and relieves pain.

Indications

  • Qiang Huo Sheng Shi Tang is indicated for bi syndrome caused by wind-dampness in the exterior.
  • The symptoms are pain of the shoulder and back, headache and heavy body sensation, pain of the waist and spine that make the patient unable to turn over.

Tongue & pulseThe coating is white and the pulse is floating.

Traditional Pathogenesis

Cause & mechanism

  • This formula treats wind-dampness lying in the exterior which is caused by wind invasion while sweating, living in a damp place for a long time, or wind-damp invasion.
  • Pathogenic wind-dampness invades the hand taiyang channel and blocks its qi causing headache and heavy body sensation and pain of the waist and spine that makes the patient unable to turn around.
  • As wind-cold lies in the exterior and it is proper to induce sweating, the proper treatment is to treat by dispelling wind and overcoming dampness.

Treatment strategy

  • The treatment principle is to dispel wind-damp from the exterior and upper body.

How does this formula compare?

Compare Qiang Huo Sheng Shi TangDu Huo Ji Sheng TangJiu Wei Qiang Huo TangYi Yi Ren Tang
Primary Function Dispel wind-damp, release exterior, stop painDispel wind-damp, stop bi pain, tonify Liver and Kidney, nourish Qi and bloodDisperse wind-cold-damp, release the exterior, clear interior heatDispel wind-damp, resolve swelling, ease bi pain
Formula Category Wind-Damp Dispelling FormulasWind-Damp Dispelling FormulasExterior-Releasing FormulasWind-Damp Dispelling Formulas
Typical TCM Pattern DampnessDampnessWind-ColdDampness
Main Conditions Headache·Neck Pain·Joint Discomfort·EdemaLow Back Pain·Joint Discomfort·Numbness in LimbsFever·Cold Limbs·Headache·Muscular StiffnessJoint Discomfort·Muscular Stiffness·Edema
Main Herbs Notopterygium Root·Pubescent Angelica Root·Ligusticum Root·Saposhnikovia Root·Vitex FruitPubescent Angelica Root·Taxillus / Mulberry Mistletoe·Eucommia Bark·Achyranthes Root·Asarum / Wild GingerNotopterygium Root·Saposhnikovia Root·Atractylodes Rhizome·Asarum / Wild Ginger·Chuanxiong RhizomeCoix Seed / Job's Tears·Atractylodes Rhizome·Notopterygium Root·Pubescent Angelica Root·Saposhnikovia Root
Classical Source Li Dongyuan school / classicalClassical TCM formularyCi Shi Nan Zhi (Zhang Yuansu, Jin dynasty)Classical TCM formulary

Clinical Perspective

Qiang Huo Sheng Shi Tang, Du Huo Ji Sheng Tang, Jiu Wei Qiang Huo Tang and Yi Yi Ren Tang dispel wind-damp. Du Huo Ji Sheng Tang tonifies for chronic bi; Jiu Wei Qiang Huo Tang releases exterior wind-cold-damp; Yi Yi Ren Tang drains damp swelling. Qiang Huo Sheng Shi Tang dispels exterior wind-damp for heavy headache, neck stiffness and body ache.

Clinical Differentiation

  • Qiang Huo Sheng Shi Tang is a frequently used formula used to treat headache and heavy body sensation due to wind-dampness in the exterior and a mild exterior syndrome.
  • This clinical pattern is marked by headache and heavy body, pain of waist and spine, white coating, floating pulse.

Safety notes: This formula is acrid and drying. It is not appropriate for yin-deficiency heat or for blood-deficiency wind.

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

Frequently Asked Questions

What are the actions of Qiang Huo Sheng Shi Tang?
Qiang Huo Sheng Shi Tang has the actions of dispelling Wind and overcoming Dampness. Li Dongyuan designed it for Wind-Damp that occupies the exterior and the taiyang channel, producing a heavy aching head, neck, and back.
Which modern conditions is Qiang Huo Sheng Shi Tang suited to?
Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within exterior Wind-Damp, including a heavy aching common cold of Damp type, neck-and-shoulder stiffness after exposure to wind and damp, and early Wind-Damp body pain before it has become chronic deficiency Bi.
Is Qiang Huo Sheng Shi Tang suitable for a heavy head, stiff neck, and aching back after damp weather?
For presentations of a heavy or wrapping headache, stiff neck and back, generalized heaviness, possible mild aversion to wind, a white coating, and a floating pulse — in those whose pattern differentiation confirms Wind-Damp on the exterior — TCM commonly applies this formula as an adjunct. Sudden severe headache with fever and stiff neck needs medical evaluation.
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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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