Herb Formulas Notebook

Gan Cao Gan Jiang Fu Ling Bai Zhu Tang

Licorice, Ginger, Poria and White Atractylodes Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Essentials from the Golden Cabinet (Jin Gui Yao Lue, 金匱要略)


Category: Formulas that Expel Dampness

Pattern: Shaoyin Cold-Damp Bi of the waist and lower back due to external invasion and/or Spleen deficiency

Key Symptoms: Heavy sensation in the body, cold and pain in the lower back, pressure in the lower back as if carrying a heavy weight
Secondary Symptoms: Normal appetite, absence of thirst, copious urine

Tongue: Pale with a white moist coating
Pulse: Submerged, thin and moderate


Ingredients

Gan Cao 6g
Gan Jiang 12g
Fu Ling 12g
Bai Zhu 6g


Preparation: Decoction.


Actions: Warms the Spleen to overcome Shaoyin Dampness

Contraindications: Damp-Heat



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).

This formula uses the five element theory of reinforcing a deficient Earth to control and Excess in the Water element, hence the large amount of Spleen warming and tonifying herbs to treat a disease of the Kidney.



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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.