Juan Bi Tang

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蠲痹汤 (Remove Painful Obstruction Decoction)

Source: Bai Yi Xuan Fang (1178)

Last updated October 1, 2026

Not yet clinically reviewed

osteoarthritisrheumatoid arthritisgouty arthritisbursitisfrozen shoulderperiarthritis of the shoulderstennis elbowlumbagoneck pain

Description

Juan Bi Tang (Remove Painful Obstruction Decoction), from the Bai Yi Xuan Fang (Selected Formulas).

Actions: Tonifies qi; Harmonizes the ying (nutritive) and wei (defensive) levels; Dispels wind and dampness.

Presentation: Bi zheng from wind-dampness with ying and wei deficiency: pain in the neck, shoulder and arm, numbness of the extremities (most effective for upper-body pain).

Pharmacological effects reported:

  • Anti-inflammatory: marked reduction of swelling at 4-8 g/kg; no analgesic effect at 4, 8 or 16 g/kg

Source: Chen JK, Chen TT. Chinese Herbal Formulas and Applications: Pharmacological Effects & Clinical Research. Art of Medicine Press, 2009, p. 1158.

Composition

Herb Amount % Role Function
Qiang Huo
as printed: Qiang Huo (Rhizoma et Radix Notopterygii) 45g [9g]
9g 15.79% Jun (Chief) dispels wind-dampness and relieves pain
Fang Feng
as printed: Fang Feng (Radix Saposhnikoviae) 45g [9g]
9g 15.79% Jun (Chief) dispels wind-dampness and relieves pain
Huang Qi
mi zhi (fried with honey); as printed: Huang Qi (Radix Astragali) 45g [9g]
9g 15.79% Chen (Deputy) tonifies qi and harmonizes ying and wei
Dang Gui
as printed: Dang Gui (Radix Angelicae Sinensis) 45g [9g]
9g 15.79% Chen (Deputy) tonifies blood and harmonizes ying and wei
Jiang Huang
as printed: Jiang Huang (Rhizoma Curcumae Longae) 45g [9g]
9g 15.79% Zuo (Assistant) activates qi and blood circulation
Gan Cao
as printed: Zhi Gan Cao (Radix et Rhizoma Glycyrrhizae Praeparata cum Melle) 15g [3g]
3g 5.26% Shi (Envoy) harmonizes the herbs (with Sheng Jiang)
Chi Shao
as printed: Chi Shao (Radix Paeoniae Rubra) 45g [9g]
9g 15.79% activates qi and blood circulation

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 warm (+0.63)

From 100% of the weighed grams.

cool neutral warm

Grams by band: cool 16%, neutral 5%, warm 79%.

Taste

pungent sweet sour bitter
  • pungent 32%
  • sweet 37%
  • sour 8%
  • bitter 24%

From 100% of the weighed grams.

Channels reached

  • Spleen 68%
  • Liver 63%
  • Lung 21%
  • Heart 21%
  • Kidney 16%
  • Stomach 5%

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 Niu Huang Cheng Qi Tang →

Preparation

Grind to coarse powder; cook 15g with 5 slices Sheng Jiang in 2 bowls water down to 1 bowl; take warm. May be decocted today with bracketed doses.

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Formula family

Contains Dang Gui Bu Xue Tang + Fang Feng, Qiang Huo, Jiang Huang and 2 more
Full herb lists
  • This formula = Dang Gui Bu Xue Tang + Fang Feng, Qiang Huo, Jiang Huang, Gan Cao and Chi Shao

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

Formulas that share herbs with this one — the closer to the centre, the stronger the match. Click a node to explore.

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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