Qianzheng San: Traditional Chinese Medicine for Facial Neuralgia

December 21, 2023

Qianzheng San is a commonly used traditional Chinese medicine for dispelling wind and relieving pain. It is mainly composed of Bai Fu Zi, Bai Jiang Can, Quan Xie, and other Chinese herbs, and is commonly used to treat facial neuralgia. Let's learn about the prescription and application of Qianzheng San!

Qianzheng San

【Usage of Qianzheng San】

1. Treatment of facial nerve paralysis

The main prescription includes Qianzheng San with Shi Chang Pu, Fang Feng, Chuan Xiong each 10g, Qiang Huo, Dan Nan Xing each 6g, Gou Teng 15g, Bai Zhi 4g, and Wugong 2 pieces. If there is facial numbness, add Jin Yin Hua Teng and Si Gua Luo. If the tongue is purple, add Hong Hua.

2. Treatment of primary trigeminal neuralgia

Qianzheng San is the main prescription. If it is triggered by external wind, add Bai Zhi 5g. If there is heavy heat with yellow coating on the tongue, add Long Dan Cao 8g. If the pain is severe, add Wugong 2 pieces.

3. Treatment of hemiplegia caused by stroke

The main prescription includes Qianzheng San with Wugong 2 pieces. If there is accompanying hypertension, add Xia Ku Cao 12g, Huai Niu Xi, Sang Ji Sheng, Du Zhong each 9g.

【Clinical Application】

Adding Wugong and Tian Ma to dispel wind and relieve spasm can enhance the efficacy. However, Bai Fu Zi and Quan Xie used in the prescription are toxic substances, so the dosage should not be too large and the treatment period should not be too long.

There are many clinical studies related to this prescription, often used in combination with acupuncture, electroacupuncture, etc. If there is excessive external pathogenic factor, it can be used with Da Qin Jiao Tang, Chuan Xiong Tea for dispersion. For chronic diseases with blood stasis, it can be used with Si Wu Tang, Tao Hong Si Wu Tang. For chronic diseases with deficiency, Yang Bu Huan Wu Tang, Bu Zhong Yi Qi Tang, Yu Ping Feng San, etc. can be added. Nutritional and neural drugs such as methylcobalamin can also be used in combination.

【Precautions】

This prescription should not be used for cases of qi deficiency and blood stasis or facial and body paralysis caused by liver wind internal movement. Both Fu Zi and Quan Xie in the prescription are toxic substances, so the dosage should be cautious.

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