Herb Formulas Notebook


Zhi Shi Xie Bai Gui Zhi Tang

Unripe Bitter Orange, Chinese Garlic and Cinnamon Twig Decoction

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Source: Essentials from the Golden Cabinet (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Regulate Qi

Pattern: Painful Obstruction of Chest due to clumping of Qi and Phlegm from chest Yang deficiency

Key Symptoms: Fullness and pain in the chest or a stabbing pain that radiates from chest to back, wheezing, coughing, shortness of breath.
Secondary Symptoms: Focal distention in the chest that feels like a flow of Qi proceeding from the flanks to the area around the heart.

Tongue: White greasy coating
Pulse: Submerged, wiry or tight

Gua Lou 12g
Xie Bai 9g
Zhi Shi 12g
Hou Po 12g
Gui Zhi 3g

Preparation: Decoction. The source text advises boiling zhi Shi and Hou Po with 5 cups of water until 2 remain, removing the dregs and adding the other three ingredients before boiling again for a short time. At present all five ingredients are usually added together.

Actions: Unblocks the Yang, dissipates clumps, expels Phlegm, directs Qi downwards

Contraindications: Chest pain due to Lung consumption or Phlegm-Heat. Should not be used long term.

Research Links:
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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.