NINE HERB DECOCTION
Jiu Wei Qiang Huo Tang
 
‘Nine-Ingredient Notopterygium Decoction’
Source: Difficult Thing to Understand (Cǐ Shì Nán Zhī, 1308CE)
Keywords: influenza, rheumatic fever, and acute lower back sprain

Ingredients
Notopterygium incisum (Qiang Huo, notopterygium),
Ledebouriella divaricata (Fang Feng, siler),
Atracty- lodes lancea (Cang Zhu, blue atractylodes),
Asarum seiboldii (Xi Xin, asarum),
Ligusticum walichii (Chuan Xiong, ligusticum),
Angelica dahurica (Bai Zhi, angelica),
Rehmannia glutinosa (Sheng Di, raw rehmannia),
Scutellaria baicalensis (Huang Qin, Baical skullcap root),
Glycyrrhiza uralensis (Gan Cao, liquorice)

Major therapeutic action
Promotes sweating, disperses Dampness, clears internal Heat.
Biomedical action
Antifebrile, analgesic and anti-inflammatory
Indications
•  Colds and flu with chills and fever, no sweating, headache, generalised aches and pains, bitter taste and
slight thirst.
•  With the appropriate key symptoms, this formula can be used to treat biomedical conditions such as influenza, rheumatic fever, upper respiratory tract infections, sinusitis, and acute myositis, strain of the lumbar muscles.

Key symptoms for use
• aversion to cold
• fever
• absence of sweating
• headache
• pain in the extremities
• bitter taste in the mouth
• slight thirst.
• tongue: whitish fur

Combinations
• With severe chills, combine with Gan Jiang/Rou Gui.
• For upper back and shoulder pain combine with Ge Gen.
• For epigastric discomfort and distension add Chen Pi/Ben Xia.
• For pronounced thirst and irritability add Sheng Di/Shi Gao.
Dosage
The typical dose is three grams twice daily, before meals.
In severe cases or the early stages of treatment (the first two weeks), a 50-100% increase in dose may be used, and
then reduced as the treatment takes effect.

Cautions and contraindications
  None noted.
  None noted.