Herb Formulas Notebook

Gui Zhi Ren Shen Tang

Cinnamon Twig and Ginseng 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 Release Exterior-Interior Excess

Pattern: Taiyang disorder with Cold obstructing the Taiyin

Key Symptoms: Fever, chills, headache and joint pains accompanied by severe diarrhoea and hard focal distention in the epigastrium


Ingredients

Gui Zhi 12g
Zhi Gan Cao 12g
Bai Zhu 9g
Ren Shen 9g
Gan Jiang 9g


Preparation: Decoction.


Actions: Releases the Exterior, warms the Interior, augments the Qi, eliminates focal distention

Contraindications: Interior Heat or Yin deficiency



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).



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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.