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Zhengan Xifeng Decoction
2026-04-05 18:49:24
Overview of Zhengan Xifeng Decoction
Zhengan Xifeng Decoction is a classic prescription of traditional Chinese medicine, mainly used forHyperactivity of liver yang and internal movement of liver windCauses dizziness, headache, tinnitus and other symptoms. Its core functions are to calm the liver and subdue yang, extinguish wind and relieve spasm. It is composed of Achyranthes bidentata, raw ocher, raw dragon bone and other medicinal materials, emphasizing the treatment of both symptoms and root causes. This article will start from four parts: prescription composition, applicable symptoms, modern application and precautions, focusing on analyzing its pharmacological effects and clinical value.
Prescription composition and compatibility principles

Zhengan Xifeng DecoctionAchyranthes bidentataIt is a monarch medicine that draws blood downward to control liver yang;Raw ocher, raw keel, raw oysterIt is a ministerial drug that mainly suppresses negative effects, subdues yang and calms wind. It is supplemented with Artemisia argyi and Soupazadirachta soothes the liver and clears away heat, and white peony root nourishes yin and softens the liver. Pay attention to all aspects"Suppressing Liver" and "Extinguishing Wind"Collaboration not only treats the symptoms but also consolidates the root causes. Modern research shows that its ingredients can regulate blood pressure and improve cerebral circulation.
Applicable symptoms and key points for syndrome differentiation
This method is applicable toHyperactivity of Liver Yang, common in patients with hypertension and cerebrovascular disease, manifesting as dizziness, flushed face and ears, irritability, red tongue and yellow coating, etc. It needs to be differentiated from dizziness caused by phlegm-dampness or Qi-blood deficiency type. Clinical data shows that the effective rate for mild to moderate hypertension is about 75% (see table below). Before use, TCM syndrome differentiation is required to avoid mistreatment.
| Symptom type | efficient | Data source |
|---|---|---|
| Hypertension due to excessive liver yang | 75% | "Clinical Manual of Traditional Chinese Medicine Prescriptions" |
| Neurogenic headache | 68% | "Yearbook of Traditional Chinese Medicine in China" |
Modern applications and considerations
In modern times, it is mostly used for hypertension, menopausal syndrome, etc., and can be combined with western medicine for collaborative treatment. ButPeople with weak spleen and stomachUse with caution as the mineral medicine in this prescription may cause indigestion. Avoid spicy and greasy food while taking the medicine, and pregnant women need the guidance of a physician. Some studies suggest that it can reduce the risk of stroke, but it cannot replace first aid measures.
Summary and scientific understanding
Zhengan Xifeng Decoction embodies the traditional Chinese medicine"To treat wind, treat blood first, then blood will destroy wind itself."The concept has a clear effect on diseases related to liver yang hyperactivity. When used, modern examination methods should be combined and syndrome differentiation and treatment should be strictly followed. As a traditional prescription, its value lies in overall regulation rather than single symptom control. Its scope of application and limitations need to be viewed rationally.
Citing sources: 1. "Medical Chinese Medicine and Western Records" - Zhang Xichun (original prescription) 2. "Pharmacopoeia of the People's Republic of China" 2020 edition (efficacy certification) 3. Chinese Society of Traditional Chinese Medicine's "Guidelines for the Diagnosis and Treatment of Hypertension with Traditional Chinese Medicine" (clinical data)
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