Herb Formulas Notebook

Huang Qi Gui Zhi Wu Wu Tang

Astagalus and Cinnamon Twig Five Substance 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 Warm Interior Cold

Pattern: Painful Obstruction of Blood

Key Symptoms: Numbness, parasthesias (especially in the extremities)
Secondary Symptoms: Aversion to drafts, sweating, mild paralysis, pain in the extremities

Tongue: Pale with white coat
Pulse: Faint in the distal and mid positions, choppy and tight in the proximal positions
Abdomen: Hypertonicity of the rectus abodominis muscle


Ingredients

Huang Qi 9-12g
Bai Shao 9g
Gui Zhi 9g
Sheng Jiang 8-12sl
Da Zao 4pc


Preparation: Decoction.


Actions: Augments the Qi, warms and harmonises the channels, unblocks painful obstruction

Contraindications: Internal Liver Wind



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.