Herb Formulas Notebook

Gui Ling Wu Wei Gan Cao Tang

Cinnamon, Poria, Schisandra and Licorice 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 Dispel Phlegm

Pattern: Kidney Yang deficiency with congested fluids in the aftermath of a recent Externally contracted Cold disorder, Chong Mai counterflow.

Key Symptoms: Coughing with profuse, thin and white sputum, cold hands and feet, palpitations, dizziness, occasional attacks of Qi rushing upwards form the lower abdomen to the chest

Tongue: Pale with a white slippery coating
Pulse: Submerged and wiry, forceless in the proximal position


Ingredients

Gui Zhi 12g
Fu Ling 12g
Wu Wei Zi 12-15g
Gan Cao 9g


Preparation: Decoction.


Actions: Preserves the Lungs, transforms congested fluids, directs the Qi downwards



Notes:
Extraordinary Vessel attributions come from Li Shi-Zhen's (1577-8) Exposition on the Eight Extraordinary Vessels (Qi Jing Ba Mai Kao), trans. Chace & Shima (2009) where he describes a formula by Sun Si-Miao in his Formulas Worth a Thousand Gold Pieces (650) called "Ling Wu Wei Zi Tang" that appears to be identical to this and with identical indications except that Fu Ling and Wu Wei Zi are at twice the dose of Gui Xin and Gan Cao. It advises to omit Rou Gui if there is chest fullness.

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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.