Herb Formulas Notebook

Gan Cao Xie Xin Tang

Licorice Decoction to Drain the Heart


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Discussion of Cold Damage (Shang Han Lun, 傷寒論)


Category: Formulas that Harmonise

Pattern: Jueyin Syndrome with Heat Above, Cold Below and severe Deficiency; Severe Stomach Qi Deficiency and Cold with Damp-Heat obstructing the Middle Jiao

Key Symptoms: Undigested food in the stool, irritability, erosions in the throat accompanied by fatigue, restlessness, aversion to even the smell of food.

Tongue: Thin, yellow and greasy coating. May have red tip.
Pulse: Wiry, rapid
Abdomen: Hardness and tension in the epigastrium, tension in rectus abdominis muscle, elastic tension and tenderness on pressure around Ren-12, splashing sounds in upper abdomen


Ingredients

Zhi Gan Cao 12g
Zhi Ban Xia 9-12g
Gan Jiang 9g
Huang Qin 9g
Huang Lian 3g
Da Zao 4pc

Subsitutions:
In the Shang Han Lun Ren Shen is omitted but in the Essentials from the Golden Cabinet and other sources it is included at 9g. If excess predominates then this can be omitted but if deficiency is pronounced then it is added. Likewise if a stronger Heat clearing effect is desired then Da Huang can be added.


Preparation: Decoction. Boil the ingredients in 2000 ml of water until 1200 ml remains, strain and boil again until 600 ml remains. Divide into 200 ml doses and administer 3x per day when warm.


Actions: Harmonises the Stomach, directs rebellious Qi downward, disperses clumping, eliminates focal distention

Contraindications: Focal distention due to Qi stagnation or harboured food.



Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).



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