Herb Formulas Notebook

Bai Hu Jia Ren Shen Tang

(White Tiger plus Ginseng Decoction)

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Clear Heat

Pattern: Injury to Qi and fluids from Yangming Heat

Key Symptoms: "Four Greats": Great fever, unquenchable thirst, great sweat, great (large) but forceless pulse
Secondary Symptoms: Aversion to Heat, red face, irritability, headache, toothache, bleeding of the gums and nose, generalised weakness, aversion to cold on the back

Tongue: Likely to be red
Pulse: Large but forceless

Shi Gao 30-90g
Zhi Mu 9-15g
Ren Shen 3-9g
Zhi Gan Cao 3-6g
Jing Mi 9-15g

In the UK Shi Gao must be substituted but no other substances really suffice in this instance, especially since the decoction already contains Zhi Mu which is the only thing that can occasionally take its place in other formulae.

Xi Yang Shen may be used instead of Ren Shen for its greater fluid generating properties.

Preparation: Decoction.

Actions: Clears Qi level Heat, drains Yangming Fire, generates fluids, alleviates thirst

Contraindications: Cold disorders. Should be discontinued if signs of headache, stiffness in the neck, icy-cold limbs, subjective sensations of cold or impairment of mental faculties occur

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.