C H I A N G . H U O . 1 3

General Activities
dispel wind-damp, vitalise blood, nourish liver and kidney

Sample Indications for Use
arthritis, muscular pain, sciatica, lumbago

To Personalise, Add
Angelica 14 for pain in upper back and shoulders
Acanthopanax 10 for inflammation due to weak ligaments
Myrrh Tablets for sciatica
Tang Kuei 18 for arthralgia with blood deficiency
Alisma 16 or Siler Tablets for joint swelling, especially in the knees
Cinnamon 14 for pain due to cold and damp
Liquidambar 15 for spine and hip arthralgia

Although some effects are expected within days of initiating use of this formula, administration for several weeks or months may be needed.

Manufacturing Specifications
Crude herbs are powdered, and then extracts of the same formulation are added; the mixture is formed into 750 mg tablets. Bottling of 100 and 250 tablets.

Explanatory Notes
Chiang Huo 13 was developed following an analysis of several Chinese herbal formulas for arthritis (bi syndrome manifesting as joint pain), and replaces the former version, Clematis 19, used for the same purposes. It combines the three key features of the traditional bi syndrome formulas, which are: 1) a collection of warming antirheumatic herbs (eg siler, chiang huo, tu huo, cinnamon) that dispel wind, resolve dampness accumulation and alleviate pain; 2) tonic herbs to nourish the kidney and liver and prevent wind from invading the channels (tang kuei, peony, cnidium, rehmannia, achyranthes); and 3) herbs to help the spleen prevent further accumulation of dampness (hoelen, atractylodes). The traditional formulas most similar to this one are Sanbi Tang (Decoction for the Three Bi Syndromes) and Duhuo Jisheng Tang ( Tu huo and Loranthus Combination), which are used for most cases of chronic rheumatoid arthritis as well as for lumbago and sciatica. For persons who show deficiency syndrome, especially with aging, additional tonic formulas may be given, such as Acanthopanax 10 or Recovery Pills. This formula may be able to serve as a substitute for all or part of the anti-inflammatory drugs being used by some individuals; for others who have avoided using drug therapies, this may help reduce the damaging impact of arthritis. For osteoarthritis, see Drynaria 12 and Boswellamine (White Tiger).

Chiang huo, Siler, Tang kuei, Atractylodes, Cinnamon twig, Cnidium, Peony, Achyranthes, Chin chiu, Tu-huo, Rehmannia, Hoelen, Licorice
Pin Yin
qianghuo, fangfeng, danggui, baizhu, guizhi, chuanxiong, baishao, niuxi, qinjiao, duhuo, shengdi, fuling, gancao