Wu tou chi shi zhi wan
chuan wu tou 3 fu zi 3 gan jiang 6 shu jiao 6 chi shi zhi 6
For heart pain referring to the back, and back pain referring to the heart, wu tou chi shi zhi wan governs.
Three warm pungent herbs are used to clear the cold and cramping and pain due to cold.
Chuan wu tou or Aconitum carmichaeli is used together with fu zi. Just use fu zi at 9 grams.
Fu zi, Aconiti radix lateralis praeparata is pungent dispersing of liver blood and the ministerial fire in the san jiao. It is pungent dispersing of the heart and kidneys. It is pungent dispersing of the tai yang channels. It is pungent dispersing of excess water.
Gan jiang, Zingiberis rhizoma, dried is warm (or hot) pungent and astringent. Gan jiang is the main herb to warm the tai yin level and treat excessive dampness by introducing yang ming dryness in tai yin dampness.
Warms the interior and especially tai yin. It warms the fluids in the lungs and spleen, while assisting in dispersing cold from the body surface.
Warms tai yin spleen and the interior and dispels cold and anchors warming herbs like fu zi inward.
Fu zi and gan jiang are used together in the formula si ni tang. Zhi gan cao has been removed and replaced with shu jiao and chi shi zhi. This makes the formula more warming and dispersing of cold and dampness.
Shu Jiao, Pericarpum zanthoxyli bungeani is pungent dispersing of the liver and pericardium blood and the ministerial fire in the san jiao. It is pungent dispersing of the heart and kidneys.
Shu jiao directly warms the Fire element. It works with gan jiang in warming cold that is causing cramping.
Chi shi zhi, Halloysitum rubrum is sweet tonifying and nourishing of the stomach domain, spleen, liver, and heart. It is sour and astringing collecting of fluids into the stomach domain, spleen, liver, and heart.
Chi shi zhi is warm sour sweet clay that stops diarrhea and bleeding due to cold. Chi shi zhi is warm and astringent in nature. It regulates the middle and constrains yang qi, and eliminates cold without damaging the upright qi. When yin cold is resolved and surging is calmed, the heart pain will cease.