Herb Formulas Notebook

Fang Ji Huang Qi Tang

Stephania and Astragalus Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

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


Category: Formulas that Expel Dampness

Pattern: Exterior Deficiency with Wind-Dampness

Key Symptoms: Superficial oedema, sweating, pain, swelling or stiffness in the joints
Secondary Symptoms: Pale complexion, fatigue on slight exertion, aversion to drafts, heavy sensation in the body, urinary difficulty, slight thirst

Tongue: Pale with a white coat
Pulse: Floating
Abdomen: Weak abdominal wall, increased abdominal fat


Ingredients

Huang Qi 9-15g
Han Fang Ji 6-12g
Bai Zhu 4-5-9g
Zhi Gan Cao 4.5-6g
Sheng Jiang 2-3sl
Da Zao 1-2 pieces

Subsitutions:
In the UK Han Fang Ji must be substituted with Yi Yi Ren and Hai Tong Pi.


Preparation: Decoction.


Actions: Augments the Qi, dispels Wind, strengthens the Spleen, promotes urination, reduces oedema

Contraindications: Excess type oedema, water-Dampness constraint of the protective Yang



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).



Research Links:



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.