Xuan Bi Tang

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宣痹汤 (Disband Painful Obstruction Decoction)

Source: Wen Bing Tiao Bian (1798)

Last updated October 1, 2026

Not yet clinically reviewed

high fever, chillsdark complexionpainful and swollen joints

Description

Xuan Bi Tang (Disband Painful Obstruction Decoction), from the Wen Bing Tiao Bian, is used to clear heat and transform dampness; reduce pain; treat damp-heat Bi syndrome.

Presentation: high fever, chills; dark complexion; painful and swollen joints; tongue: gray or yellow sticky coating; pulse: soft and rapid.

Syndrome: Damp-heat syndrome.

Composition strategy:

  • Pungent, bitter and cold herbs treat Bi syndrome
  • Herbs regulate the San Jiao to remove damp-heat from meridians, muscles and joints

Source: Yang Y. Chinese Herbal Formulas: Treatment Principles and Composition Strategies. Churchill Livingstone Elsevier, 2010, p. 219.

Composition

Herb Amount % Role Function
Han Fang Ji
as printed: Han Fang Ji (Stephaniae tetrandrae radix)
15g 14.29% Jun (Chief) clear heat, transform dampness, benefit joints, stop pain
Xing Ren
as printed: Xing Ren (Armeniacae semen)
15g 14.29% Chen (Deputy) disperse Lung-Qi, regulate water passage
Hua Shi
as printed: Hua Shi (Talcum)
15g 14.29% Chen (Deputy) clear heat, leach out dampness in Lower-Jiao
Lian Qiao
as printed: Lian Qiao (Forsythiae fructus)
9g 8.57% Zuo (Assistant) —
Zhi Zi
as printed: Zhi Zi (Gardeniae fructus)
9g 8.57% Zuo (Assistant) drain damp-heat from San Jiao
Yi Yi Ren
as printed: Yi Yi Ren (Coicis semen)
15g 14.29% Zuo (Assistant) transform damp-heat in Middle-Jiao and meridians
Ban Xia
as printed: Ban Xia (Pinelliae rhizoma)
9g 8.57% Zuo (Assistant) open Qi obstruction, eliminate dampness
Can Sha
as printed: Can Sha (Bombycis mori excrementum)
9g 8.57% Zuo (Assistant) open Qi obstruction, eliminate dampness
Chi Xiao Dou
as printed: Chi Xiao Dou (Phaseoli semen)
9g 8.57% Zuo (Assistant) eliminate damp-heat in meridians, muscles, joints

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 (-0.66)

From 100% of the weighed grams.

cold cool neutral warm

Grams by band: cold 37%, cool 23%, neutral 9%, warm 31%.

Pairs warm and cool. 31% of the weighed grams are warm or hot and 60% cool or cold — the net is their average, not the whole story.

Small but decisive: Zhi Zi 9g (cold, 9% of the grams). Dose weighting nearly cancels a herb this small, but it may be what the formula is for.

Taste

pungent sweet sour bitter bland
  • pungent 20%
  • sweet 23%
  • sour 4%
  • bitter 39%
  • bland 14%

From 100% of the weighed grams.

Channels reached

  • Lung 69%
  • Stomach 46%
  • Spleen 46%
  • Large intestine 29%
  • Kidney 29%
  • Heart 26%

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 San Ren Tang →

Preparation

Decoction; han fang ji is usually used and the Phaseoli dose is often increased 2-3 times.

Source: Scheid V, Bensky D, Ellis A, Barolet R. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. Eastland Press, 2009, p. 762.

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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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