Dang Gui Nian Tong Tang

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当归拈痛汤 (Tangkuei Decoction to Lift the Pain)

Source: Lan Shi Mi Cang — Li Gao (Yuan, 1336)

Last updated October 1, 2026

Not yet clinically reviewed

arthritis and arthralgia with inflammation and swellinggoutgeneralized joint and musculoskeletal painneurodermatitisdermatitis of the lower extremitiesgenital itchinggonorrheadysuriahematuriasciaticatrigeminal nerve painneuritispolyneuritisneuralgiaimpetigo herpetiformis

Description

Dang Gui Nian Tong Tang (Tangkuei Decoction to Lift the Pain), from the Lan Shi Mi Cang (Secrets from the Orchid Chamber) by Li Gao.

Actions: Dispels wind and dampness; Clears heat and relieves pain.

Presentation: Dampness and heat affecting the joints and extremities: joint or musculoskeletal pain with redness, swelling, and inflammation; heavy sensation in the shoulders and back; fullness in the chest and epigastrium; dermatological disorders in the lower extremities with itching and pain; skin ulceration and abscess; and a deep, tight pulse.

Cautions:

  • Avoid spicy, pungent, oily, or greasy foods

Pharmacological effects reported:

  • Anti-inflammatory: suppressed chronic arthritis induced by carrageenan or complete Freund's adjuvant (as did Du Huo Ji Sheng Tang); proposed as NSAID alternative

Source: Chen JK, Chen TT. Chinese Herbal Formulas and Applications: Pharmacological Effects & Clinical Research. Art of Medicine Press, 2009, p. 1191.

Composition

Herb Amount % Role Function
Qiang Huo
as printed: Qiang Huo (Rhizoma et Radix Notopterygii) 15g
15g 11.24% Jun (Chief) dispels wind-damp, relieves pain
Yin Chen
xi (washed) with liquor; as printed: Yin Chen (Herba Artemisiae Scopariae) 15g
15g 11.24% Jun (Chief) eliminates damp-heat
Ge Gen
as printed: Ge Gen (Radix Puerariae Lobatae) 6g
6g 4.49% Chen (Deputy) dispels wind-damp, relieves pain
Fang Feng
as printed: Fang Feng (Radix Saposhnikoviae) 9g
9g 6.74% Chen (Deputy) dispels wind-damp, relieves pain
Sheng Ma
as printed: Sheng Ma (Rhizoma Cimicifugae) 6g
6g 4.49% Chen (Deputy) dispels wind-damp, relieves pain
Huang Qin
xi (washed) with liquor; as printed: Huang Qin (Radix Scutellariae) 9g
9g 6.74% Chen (Deputy) eliminates damp-heat
Ku Shen
chao (dry-fried) in liquor; as printed: Ku Shen (Radix Sophorae Flavescentis) 6g
6g 4.49% Chen (Deputy) eliminates damp-heat
Ze Xie
as printed: Ze Xie (Rhizoma Alismatis) 9g
9g 6.74% Chen (Deputy) resolves dampness, promotes diuresis
Zhu Ling
as printed: Zhu Ling (Polyporus) 9g
9g 6.74% Chen (Deputy) resolves dampness, promotes diuresis
Zhi Mu
xi (washed) with liquor; as printed: Zhi Mu (Rhizoma Anemarrhenae) 9g
9g 6.74% Zuo (Assistant) eliminates damp-heat
Bai Zhu
as printed: Bai Zhu (Rhizoma Atractylodis Macrocephalae) 4.5g
4.5g 3.37% Zuo (Assistant) strengthens Spleen, dries dampness
Cang Zhu
as printed: Cang Zhu (Rhizoma Atractylodis) 6g
6g 4.49% Zuo (Assistant) strengthens Spleen, dries dampness
Ren Shen
as printed: Ren Shen (Radix et Rhizoma Ginseng) 6g
6g 4.49% Zuo (Assistant) tonifies qi to aid recovery
Dang Gui
as printed: Dang Gui (Radix Angelicae Sinensis) 9g
9g 6.74% Zuo (Assistant) tonifies blood to aid recovery
Gan Cao
as printed: Zhi Gan Cao (Radix et Rhizoma Glycyrrhizae Praeparata cum Melle) 15g
15g 11.24% Shi (Envoy) harmonizes the herbs

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net slightly cool (-0.33)

From 100% of the weighed grams.

cold cool neutral warm

Grams by band: cold 25%, cool 20%, neutral 18%, warm 37%.

Pairs warm and cool. 37% of the weighed grams are warm or hot and 45% cool or cold — the net is their average, not the whole story.

Small but decisive: Huang Qin 9g (cold, 7% of the grams), Ku Shen 6g (cold, 5% of the grams), Zhi Mu 9g (cold, 7% of the grams), Ze Xie 9g (cold, 7% of the grams). Dose weighting nearly cancels a herb this small, but it may be what the formula is for.

Taste

pungent sweet bitter bland
  • pungent 25%
  • sweet 37%
  • bitter 32%
  • bland 7%

From 100% of the weighed grams.

Channels reached

  • Spleen 64%
  • Stomach 57%
  • Kidney 36%
  • Lung 34%
  • Heart 34%
  • Liver 34%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Compare side by side with Nian Tong Tang →

Preparation

Coarse powder; cook 30g in 2.5 bowls water to 1 bowl; take strained, warm.

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Formula family

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

Formula Network

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Similar Formulas by composition

Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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