Herb Formulas Notebook

Ling Gui Zhu Gan Tang

Poria, Cinnamon Twig, Atractylodes 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 Expel Dampness

Pattern: Counterflow fullness below the Heart, with Qi surging upward to the chest; thin mucus in the epigastrium; Phlegm-Rheum below the Heart

Key Symptoms: Fullness in the chest and hypochondrium, surging palpitations, dizziness on standing or vertigo, shortness of breath with coughing of clear and watery sputum.

Tongue: Pale and swollen with a white and slippery or greasy coating
Pulse: Sunken and tight


Ingredients

Fu Ling 12g
Gui Zhi 9g
Bai Zhu 12g
Zhi Gan Cao 6g


Preparation: Decoction.


Actions: Warms the Bladder, promotes Qi transformation, tonifies the Spleen and resolves Dampness.

Contraindications: Damp-Heat, Yin deficiency or hyperactivity of Liver Yang



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.