Herb Formulas Notebook

Gui Zhi Gan Cao Tang

Cinnamon Twig and Licorice 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 Tonify Qi

Pattern: Heart Qi Deficiency from excessive sweating

Key Symptoms: Palpitations below the heart with a desire for pressure that makes the person cross their hands over their heart.
Secondary Symptoms: Usually caused when excessive sweating has been promoted in the treatment of Cold Damage.


Ingredients

Gui Zhi 12g
Zhi Gan Cao 6g


Preparation: Decoction.


Actions: Tonifies Heart Qi and warms Heart Yang



Notes:
The specific reference from the Shang Han Lun is from Clause 64:
"When copious sweating has been promoted and the person's hands are crossed over the heart and there are palpitations below the heart with a desire for pressure, Cinnamon Twig and Licorice Decoction (gui zhi gan cao tang) governs."

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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.