Bu Yang Huan Wu BuYangHuanWu Tonify Yang To Restore Five Tenths Decoction 补阳还五汤 Bu Yang Huan Wu Tang, Astragalus and Peony Combination, Dang Gui, Astragalus and Pheretima Combination, Reinforce Yang and Restore the Normal Functioning of the Five Viscera Decoction bu yang huan wu tonify yang to restore five tenths decoction

Bu Yang Huan Wu Wan - Tonify Yang To Restore Five Tenths Decoction

补阳还五汤

Also known as: Bu Yang Huan Wu Tang, Astragalus and Peony Combination, Dang Gui, Astragalus and Pheretima Combination, Reinforce Yang and Restore the Normal Functioning of the Five Viscera Decoction

Clinical Usage

  • Post-stroke recovery when stasis is from qi and yang deficiency - post-stroke symptoms, paralysis, atrophy of the limbs, drooling, slurred speech, etc. 
  • Other potential uses with the correct underlying diagnosis in any blood stasis patients - MS, raynauds, ALS, etc.

Clinician Notes

  • This is -only- for use when past the non-acute phase of stroke, past the stage of hemorrhage possibilities and only in patients with signs of deficiency of qi and yang.  Avoid in cases of yin deficiency or when there is a strong, forceful pulse (liver fire, etc.).

Cautions & Precautions

  • Avoid in pregnancy.  See staff clinician notes for more details on proper usage.
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Formulas Related by Clinical Functions

Bu Yang Huan Wu Wan is in the "Invigorate the Blood and Dispel Blood Stasis" group within the "Invigorate the Blood" category.

Other Formulas in "Invigorate the Blood and Dispel Blood Stasis" (16)

Other Formulas in "Invigorate the Blood" (19)

Common Formula Ingredients

Bu Yang Huan Wu Wan is generally comprised of the following 7 ingredients:

Chi Shao
Chi Shao
Red Peony Root
  • Invigorates blood, dispels stasis (stronger than Mu Dan Pi) - dysmenorrhea, amenorrhea, abdominal pain and masses, traumatic pain associated with swelling, early stages of abscesses and boils.
  • Clears heat, cools the blood (especially for excess heat in the blood) - for heat entering the blood level with fever, purple tongue, skin blotches, bleeding, gyn issues.
  • Clears liver fire - for red swollen, painful eyes.
Chi Shao is also included in 11 formulas
Chuan Xiong
Chuan Xiong
Szechuan Lovage Root
  • Invigorate blood, promote movement of Qi - any blood stasis pattern, important for gynecological issues (amenorrhea, dysmenorrhea, difficult labor, lochioschesis).
  • Expels wind and alleviates pain - headache (temporal, vertex), dizziness, painful obstructions, skin issues.
  • Headache - moves qi upward and alleviates pain; headaches due to wind, heat, cold, blood deficiency.
Chuan Xiong is also included in 43 formulas
Dang Gui
Dang Gui
Chinese Angelica Root
  • Tonifies the blood, regulates menses - pallid, ashen complexion, tinnitus, blurred vision, palpitations, irregular menses, amenorrhea, dysmenorrhea.
  • Invigorates/harmonizes the blood, disperses cold - important herb to stop pain due to blood stasis - abdominal pain, trauma, carbuncles due to blood stasis, chronic bi.
  • Moistens dry intestines due to blood deficiency.
  • Reduces swellings, expels pus, generates flesh - sores.
Dang Gui is also included in 66 formulas
Di Long
Earthworm
  • Drains liver heat, stops spasms an convulsions - high fever with convulsions and seizures.
  • Clears lung heat - wheezing.
  • Clears heat in the channels and promotes movement - swollen, painful joints with limited range of motion, sequelae of wind-stroke.
  • Clears heat and promotes urination - hot painful urinary dysfunction, edema.
  • Hypertension associated with liver yang rising.
Di Long is also included in 3 formulas
Hong Hua
Hong Hua
Safflower Flower
  • Invigorate blood, unblock menstruation - blood stasis patterns w/amenorrhea, abdominal pain, post partum dizziness, lochioschesis, abdominal masses.
  • Dispels blood stasis, alleviates pain - blood stasis wounds and pain, carbuncles, dark purplish erythema, rash, chest pain due to blood stasis.
Hong Hua is also included in 9 formulas
Huang Qi
Huang Qi
Astragalus Root
  • Tonifies spleen qi - lack of appetite, fatigue, diarrhea.
  • Raises yang qi of spleen and stomach - prolapse of uterus, stomach, rectum, uterine bleeding.
  • Augments the wei qi and stabilizes the exterior - deficiency w/spontaneous sweating, frequent colds or shortness of breath.
  • Tonify qi and blood due to loss of blood - postpartum fever.
  • Edema from deficiency.
  • Promote discharge of pus, generate flesh - sores due to deficiency.
Huang Qi is also included in 24 formulas
Tao Ren
Peach Seed
  • Breaks up blood stasis (important herb) - menstrual disorders, abdominal pain/masses, trauma, flank pain, lung abscess, intestinal abscess.
  • Moistens intestines, unblock bowels - constipation due to dry intestines.
Tao Ren is also included in 14 formulas