Herb Formulas Notebook

Zhen Wu Tang

True Warrior 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: Kidney, or Spleen and Kidney Yang deficiency with retention of pathogenic water, or Taiyang Cold Damage moving into Shaoyin

Key Symptoms: Sensations of internal cold or cold extremities, exhaustion, deep aching and heaviness in the extremities
Secondary Symptoms: Dizzness, palpitations, coughing and vomiting, abdominal pain aggravated by cold, oedema, loose stools, urinary difficulty, generalised twitching

Tongue: Pale or dark, swollen and tooth-marked body with white, slippery coating
Pulse: Submerged, thin, forceless
Abdomen: Splashing sounds in the abdomen, pulsations in the upper abdomen or around the umbilicus, pencil-line tension above or below the umbilicus


Ingredients

Zhi Fu Zi 9g
Bai Zhu 6g
Fu Ling 9g
Sheng Jiang 9g
Bai Shao 9g

Subsitutions:
Fu Zi cannot be used in the UK but no substitute can effectively replace it in this context.


Preparation: Decoction.


Actions: Warms the Yang, promotes urination



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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Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.