Source: Beiji Qianjin Yaofang (Valuable Prescriptions for Emergencies).

Ingredients:
No. 1 Duhuo (Radix Angelicae Pubescentis) 9 g;
No. 2 Sangjisheng (Ramulus Loranthi) 6 g;
No. 3 Duzhong (Cortex Eucommiae) 6 g;
No. 4 Niuxi (Radix Achyranthis Bidentatae) 6 g;
No. 5 Xixin (Herba Asari) 6 g;
No. 6 Qinjiao (Radix Gentianae Macrophyllae) 6 g;
No. 7 Fuling (Poria) 6 g;
No. 8 Rouguixin (Cortex Cinnamoni) 6 g;
No. 9 Fangfeng (Radix Ledebouriellae) 6 g;
No. 10 Owanxiong (Rhizoma Ligustici Chuanxiong) 6 g;
No. 11 Renshen (Radix Ginseng) 6 g;
No. 12 Gancao (Radix Glycyrrhizae) 6 g;
No. 13 Danggui (Radix Angelicae Sinensis) 6 g;
No. 14 Shaoyao (Radix Paeoniae) 6 g;
No. 15 Gandihuang (Radix Rehmanniae) 6 g.
 
Administration:
Decoct the above drugs in water for oral application.
  
Actions:
Eliminating wind and dampness, relieving arthralgia, reinforcing the liver and kidney, nourishing qi and blood.

Clinical Application:
This recipe is indicated for chronic bi-syndrome with deficiency of both the liver and kidney and insufficient qi and blood, marked by pain of the waist and knees, limited movement or numbness of joints, aversion to cold with preference for warmth, palpitation and short breath, pale tongue with whitish fur, thready and weak pulse. It is applicable to chronic arthritis, lumbar muscle strain, hyperosteogeny, rheumatic sciatica and others, which have a long course of illness and manifest deficiency of the liver and kidney as well as insufficiency of qi and blood. In terms of Ingredient No. 14, Baishaoyao (Radix Paeoniae Alba) can be used for nourishing blood and Chishaoyao (Radix Paeoniae Rubra) for promoting blood circulation.

In case of sharp pain from arthralgia, add Zhichuanwu (Radix Aconiti Praeparata), Zhicaowu (Radix Aconiti Kusnezoffii Praeparata ) and Baihuashe (Agkistrodon Acutus) to expel wind and remove obstruction from the collaterals, activate blood flow and relieve pain. In case of prevailing cold, add Fuzi (Radix Aconiti) and Ganjiang (Rhizoma Zingiberis) to warm yang and dispel cold. In case of prevailing dampness, subtract No. 15 and add Fangji (Radix Stephaniae Tetrandrae), Yiyiren (Semen Coicis) and Cangzhu (Rhizoma Atractylodis) to eliminate dampness and subduing swelling. In the absence of lowered body resistance, subtract No. 15 and No. 11.
  
Elucidation:
The syndrome is caused by protracted bi-syndrome due to wind, cold and dampness, which lead to hepatic and nephric impairment as well as consumption and impairment of qi and blood. Ingredient No. 1 is capable of eliminating wind, cold and dampness from the lower-energizer and alleviating arthralgia and used as monarch drug. No. 6 and No. 9 function as minister drugs, which help the monarch drug in eliminating wind and dampness and relieving pain. No. 8 is warm in nature with the function of dispelling cold and activating blood circulation, while No. 5 is effective in relieving pain by expelling wind and cold.

No. 2, No. 3 and No. 4 bear the action of reinforcing the liver and kidney and strengthening tendons and bones, while No. 13, No. 14, No. 15 and No. 10 possess the function of enriching blood and activating its circulation. No. 11, No. 7 and No. 12 are capable of supplementing qi and invigorating the spleen so as to build up body resistance. These twelve ingredients are all used as adjuvant drugs. No. 12 also serves as guiding drug, mediating the properties of other drugs.

Cautions:
This recipe should not be used for bi-syndrome without deficiency of healthy qi or with reddness, swelling and pain of the joints.