Herb Formulas Notebook

Gui Zhi Jia Fu Zi Tang

Cinnamon Twig Decoction plus Aconite


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

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


Category: Formulas that Release the Exterior

Pattern: Taiyang stage Wind-Cold or Wind attack obstructing the Channels due to Exterior Yang deficiency

Key Symptoms: Incessent sweating, generalised aches and pains, difficulty rotating the trunk, aversion to drafts (including intolerance of open windows and needing to wear a scarf or protective clothing), sweating at any time of day or night (may be spontaneous or triggered by activity, stress or wind), fever or other heat symptoms
Secondary Symptoms: Headache, stiff neck, nasal obstruction, aching and pain in the extremities (especially arms and shoulders), dry heaves, flushing, constipation

Tongue: May have white coating but not always
Pulse: Floating, deficient and rough
Abdomen: Tension in rectus abdominis


Ingredients

Gui Zhi 9g
Bai Shao 9g
Zhi Fu Zi 9g
Zhi Gan Cao 6g
Sheng Jiang 4sl
Da Zao 3-4pc

Subsitutions:
In the UK Fu Zi must be replaced. Since the formula already contains Gui Zhi and Sheng Jiang then the usual replacements of Rou Gui and Gan Jiang seem redundant so other Yang tonics should be selected, depending on other signs and symptoms.


Preparation: Decoction.


Actions: Releases pathogens from the muscle layer, regulates Ying and Wei

Contraindications: Exterior Cold and interior Heat, or internal Dampness



Notes:
This is a variation of Gui Zhi Tang for when over induction of sweating leads to damage of the Yang in the Exterior.

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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.