Herb Formulas Notebook

Gui Zhi Jia Gui Tang

Cinnamon Twig Decoction plus Cinnamon


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: Running Piglet Qi due to damage to Heart Yang leading to upsurging of Yang Qi along the Chong Mai

Key Symptoms: Recurring intermittend surging sensation rushing from the abdomen to the chest and Heart making the patient uncomfortable standing up or lying down, 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 and either lax or frail
Abdomen: Tension in rectus abdominis


Ingredients

Gui Zhi 15g
Bai Shao 9g
Zhi Gan Cao 6g
Sheng Jiang 4sl
Da Zao 3-4pc


Preparation: Decoction.


Actions: warms and descends Heart Yang, releases pathogens from the muscle layer, regulates Ying and Wei.

Contraindications: Exterior Cold and interior Heat, or internal Dampness



Notes:
This is variation of Gui Zhi Tang intended for when a Taiyang stage disorder has been improperly treated with the fire needle, inducing excessive sweating that has damaged the Heart Yang but can also be used for any presentation of Running Piglet Qi due to Heart Yang Deficiency.

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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.